| dc.date.accessioned |
2017-08-23T08:58:22Z |
|
| dc.date.available |
2017-08-23T08:58:22Z |
|
| dc.identifier.uri |
http://hdl.handle.net/123456789/13716 |
|
| dc.title |
Oral appliance in sleep apnea treatment : respiratory and clinical effects and long-term adherence |
en |
| ethesis.discipline |
Orthodontics |
en |
| ethesis.discipline |
Hampaiston oikomishoito |
fi |
| ethesis.discipline |
Ortodonti |
sv |
| ethesis.discipline.URI |
http://data.hulib.helsinki.fi/id/Cc23e5ca-ba76-4f21-b281-f9f3beb2fd2c |
|
| ethesis.faculty |
Lääketieteellinen tiedekunta |
fi |
| ethesis.faculty |
Faculty of Medicine |
en |
| ethesis.faculty |
Medicinska fakulteten |
sv |
| ethesis.faculty.URI |
http://data.hulib.helsinki.fi/id/a4d5aaa2-b5aa-41a7-ba4c-e5e0df7a902d |
|
| ethesis.university.URI |
http://data.hulib.helsinki.fi/id/50ae46d8-7ba9-4821-877c-c994c78b0d97 |
|
| ethesis.university |
Helsingin yliopisto |
fi |
| ethesis.university |
University of Helsinki |
en |
| ethesis.university |
Helsingfors universitet |
sv |
| dct.creator |
Bachour, Patrick |
|
| dct.issued |
2016 |
|
| dct.language.ISO639-2 |
eng |
|
| dct.abstract |
PURPOSE:
There is an increasing tendency to use oral appliance (OA) as an alternative treatment for sleep apnea. Here we report the long-term adherence and clinical effects of OA therapy.
METHODS:
All sleep apnea patients treated at the Department of Dentistry between the years 2006 and 2013 (n=1208) were reviewed. A questionnaire about OA adherence, asthma symptoms (Asthma Control Test™, ACT), and general health was sent to all patients who continued OA therapy after the 1-month follow-up visit (n=811). OA was adjusted to obtain at least 70 % of the maximal protrusion of the mandible.
RESULTS:
The response rate was 37.4 % (99 women, 204 men). The mean±SD age and BMI were 58.7±10.3 years and 27.3±4.0 kg/m(2), respectively. During the mean follow-up period of 3.3 years, there was no significant variation in BMI. Forty-one patients abandoned OA therapy yielding an adherence rate of 86 %. Ninety-seven percent of patients used OA ≥4 h/day, and the mean daily use was 7.2±1.1 h. The ACT score improved with OA use from 16.0±5.9 to 20.1±3.8 (p=0.004), indicating better asthma control. The apnea and hypopnea index decreased significantly from 27±19 at baseline to 10±10 with OA therapy (p=0.001).
CONCLUSIONS:
After a 1-month trial period, the long-term adherence to oral appliance was good. OA therapy decreased apneas and hypopneas significantly, and its long-term use was associated with an improvement in respiratory and asthma symptoms. |
en |
| dct.subject |
sleep study |
en |
| dct.subject |
asthma |
en |
| dct.subject |
questionnaire |
en |
| dct.subject |
oral sleep apnea appliance |
en |
| dct.language |
en |
|
| ethesis.language.URI |
http://data.hulib.helsinki.fi/id/languages/eng |
|
| ethesis.language |
English |
en |
| ethesis.language |
englanti |
fi |
| ethesis.language |
engelska |
sv |
| ethesis.supervisor |
Palotie, Tuula |
|
| ethesis.thesistype |
pro gradu-avhandlingar |
sv |
| ethesis.thesistype |
pro gradu -tutkielmat |
fi |
| ethesis.thesistype |
master's thesis |
en |
| ethesis.thesistype.URI |
http://data.hulib.helsinki.fi/id/thesistypes/mastersthesis |
|
| dct.identifier.ethesis |
E-thesisID:51ee8595-d70f-43b7-b116-2411fe33b392 |
|
| ethesis.degreeprogram |
Hammaslääketieteen koulutusohjelma |
fi |
| ethesis.degreeprogram |
Dental curriculum |
en |
| ethesis.degreeprogram |
Odontologiska utbildningsprogrammet |
sv |
| ethesis.degreeprogram.URI |
http://data.hulib.helsinki.fi/id/65a12edc-c954-4554-bf1f-54a7d860abdc |
|
| ethesis-internal.timestamp.reviewStep |
2017-05-29 15:32:40:467 |
|
| dct.identifier.urn |
URN:NBN:fi:hulib-201708235274 |
|
| dc.type.dcmitype |
Text |
|
| ethesis.discipline.med |
Ortodontia |
fi |
