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Article: Subjective efficacy of oral appliance design features in the management of obstructive sleep apnea: A systematic review

TitleSubjective efficacy of oral appliance design features in the management of obstructive sleep apnea: A systematic review
Authors
Issue Date2010
PublisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/ajodo
Citation
American Journal Of Orthodontics And Dentofacial Orthopedics, 2010, v. 138 n. 5, p. 559-576 How to Cite?
AbstractIntroduction: The purpose of this study was to review available evidence on the efficacy of various oral appliances on subjectively perceived symptoms of obstructive sleep apnea syndrome. Methods: A search of 4 databases was carried out. Articles were initially selected based on their titles or abstracts. Full articles were then retrieved and further scrutinized according to predetermined criteria. Reference lists of selected articles were searched for any missed publications. The finally selected articles were methodologically evaluated. Results: Of an initial 1475 references, 14 studies were randomized controlled trials, which formed the basis of this review. Mandibular advancement devices (MADs) were compared with either inactive appliances (6 studies) or MADs with different design features (8 studies). In comparison with inactive appliances, the majority of studies showed improved subjective outcomes with MADs, suggesting that mandibular advancement is a crucial design feature of oral appliance therapy for obstructive sleep apnea syndrome. Conclusions: There is no 1 MAD design that most effectively influences subjectively perceived treatment efficacy, but efficacy depends on many factors including materials and method used for fabrication, type of MAD (monoblock or Twin-block), and the degree of protrusion (sagittal and vertical). This review highlights the absence of universally agreed subjective assessment tools and health-related quality of life outcomes in the literature today. Future trials of MAD designs need to assess subjective efficacy with agreed standardized tools and health-related quality of life measures to guide clinical practicitioners about which design might be most effective in the treatment of obstructive sleep apnea syndrome with oral appliances. Copyright © 2010 by the American Association of Orthodontists.
Persistent Identifierhttp://hdl.handle.net/10722/142259
ISSN
2015 Impact Factor: 1.69
2015 SCImago Journal Rankings: 1.249
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorAhrens, Aen_HK
dc.contributor.authorMcGrath, Cen_HK
dc.contributor.authorHägg, Uen_HK
dc.date.accessioned2011-10-28T02:41:51Z-
dc.date.available2011-10-28T02:41:51Z-
dc.date.issued2010en_HK
dc.identifier.citationAmerican Journal Of Orthodontics And Dentofacial Orthopedics, 2010, v. 138 n. 5, p. 559-576en_HK
dc.identifier.issn0889-5406en_HK
dc.identifier.urihttp://hdl.handle.net/10722/142259-
dc.description.abstractIntroduction: The purpose of this study was to review available evidence on the efficacy of various oral appliances on subjectively perceived symptoms of obstructive sleep apnea syndrome. Methods: A search of 4 databases was carried out. Articles were initially selected based on their titles or abstracts. Full articles were then retrieved and further scrutinized according to predetermined criteria. Reference lists of selected articles were searched for any missed publications. The finally selected articles were methodologically evaluated. Results: Of an initial 1475 references, 14 studies were randomized controlled trials, which formed the basis of this review. Mandibular advancement devices (MADs) were compared with either inactive appliances (6 studies) or MADs with different design features (8 studies). In comparison with inactive appliances, the majority of studies showed improved subjective outcomes with MADs, suggesting that mandibular advancement is a crucial design feature of oral appliance therapy for obstructive sleep apnea syndrome. Conclusions: There is no 1 MAD design that most effectively influences subjectively perceived treatment efficacy, but efficacy depends on many factors including materials and method used for fabrication, type of MAD (monoblock or Twin-block), and the degree of protrusion (sagittal and vertical). This review highlights the absence of universally agreed subjective assessment tools and health-related quality of life outcomes in the literature today. Future trials of MAD designs need to assess subjective efficacy with agreed standardized tools and health-related quality of life measures to guide clinical practicitioners about which design might be most effective in the treatment of obstructive sleep apnea syndrome with oral appliances. Copyright © 2010 by the American Association of Orthodontists.en_HK
dc.languageengen_US
dc.publisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/ajodoen_HK
dc.relation.ispartofAmerican Journal of Orthodontics and Dentofacial Orthopedicsen_HK
dc.subject.meshMandibular Advancement - instrumentation-
dc.subject.meshOrthodontic Appliance Design-
dc.subject.meshOrthodontic Appliances-
dc.subject.meshPatient Satisfaction-
dc.subject.meshSleep Apnea, Obstructive - therapy-
dc.titleSubjective efficacy of oral appliance design features in the management of obstructive sleep apnea: A systematic reviewen_HK
dc.typeArticleen_HK
dc.identifier.emailMcGrath, C:mcgrathc@hkucc.hku.hken_HK
dc.identifier.emailHägg, U:euohagg@hkusua.hku.hken_HK
dc.identifier.authorityMcGrath, C=rp00037en_HK
dc.identifier.authorityHägg, U=rp00020en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.ajodo.2010.01.030en_HK
dc.identifier.pmid21055596-
dc.identifier.scopuseid_2-s2.0-78149418950en_HK
dc.identifier.hkuros184082en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-78149418950&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume138en_HK
dc.identifier.issue5en_HK
dc.identifier.spage559en_HK
dc.identifier.epage576en_HK
dc.identifier.isiWOS:000283801700023-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridAhrens, A=37021149400en_HK
dc.identifier.scopusauthoridMcGrath, C=7102335507en_HK
dc.identifier.scopusauthoridHägg, U=7006790279en_HK

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