Dental side effects of long-term obstructive sleep apnea therapy: a 10-year follow-up study

2019 ◽  
Vol 24 (9) ◽  
pp. 3069-3076 ◽  
Author(s):  
Julia Anne Margarethe Uniken Venema ◽  
Michiel H. J. Doff ◽  
Dilyana S. Joffe-Sokolova ◽  
Peter J. Wijkstra ◽  
Johannes H. van der Hoeven ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Side Effects ◽  
Follow Up Study ◽  
Obstructive Sleep

scholarly journals 0592 DENTAL SIDE EFFECTS OF LONG TERM OBSTRUCTIVE SLEEP APNEA THERAPY. A 10 YEAR FOLLOW UP STUDY

SLEEP ◽  
2017 ◽  
Vol 40 (suppl_1) ◽  
pp. A219-A220
Author(s):  
JA Uniken Venema ◽  
A Hoekema ◽  
M Doff
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Side Effects ◽  
Follow Up Study ◽  
Obstructive Sleep

scholarly journals Long-term therapeutic efficacy of oral appliances in treatment of obstructive sleep apnea-hypopnea syndrome

2012 ◽  
Vol 83 (4) ◽  
pp. 653-658 ◽  
Author(s):  
Xu Gong ◽  
Jingjing Zhang ◽  
Ying Zhao ◽  
Xuemei Gao
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Side Effects ◽  
Term Therapy ◽  
Cephalometric Analysis ◽  
Oral Appliances ◽  
Obstructive Sleep ◽  
Hypopnea Syndrome

ABSTRACT Objective: To investigate the long-term efficacy and safety of oral appliances (OAs) in treating obstructive sleep apnea-hypopnea syndrome (OSAHS) by length of treatment. Materials and Methods: This is a retrospective study to review the usage of OAs in Chinese OSAHS patients in recent decades. Ninety-four valid questionnaires were returned by 412 patients with OSAHS receiving OA treatment. Among the wearers, 22 agreed to follow-up polysomnography, and 25 agreed to follow-up cephalograms. Tolerance and side effects of OAs were assessed by a survey. Comparisons of efficacy were carried out between the initial and follow-up polysomnography measurements. Cephalometric analysis was used to investigate skeletal and occlusal changes to determine safety of the OAs. Results: The longest treatment extended to 147 months, with a median of 74 months (first and third quartiles, 30 and 99 months, respectively). Among the participants, 14.9% had been treated for more than 120 months. Side effects were temporary and relatively minimal and included tooth soreness (37.2%), dry mouth (33.0%), odd bite feeling (31.9%), and excess salivation (30.8%). Polysomnography proved that OAs remained effective for the treatment of OSAHS in the long term; initial Apnea-Hypopnea Index values were reduced from a median of 24.50 (quartiles, 14.65, 54.05) without the OA to 7.40 with the OA (2.12, 10.00), and follow-up median values were 25.55 without the OA (11.71, 43.65) and 4.25 with the OA (1.38, 7.70). Cephalometric analysis indicated mild and slow changes in the skeleton and occlusion after average treatment duration of 5 years. Conclusion: OAs provided effective and safe long-term therapy for patients with OSAHS. Follow-up supervision is recommended since long-term alterations take place, although these appear to be minimal.

scholarly journals Long-term obstructive sleep apnea therapy: a 10-year follow-up of mandibular advancement device and continuous positive airway pressure

2020 ◽  
Vol 16 (3) ◽  
pp. 353-359 ◽  
Author(s):  
Julia A. M. Uniken Venema ◽  
Michiel H. J. Doff ◽  
Dilyana Joffe-Sokolova ◽  
Peter J. Wijkstra ◽  
Johannes H. van der Hoeven ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Continuous Positive Airway Pressure ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Mandibular Advancement Device ◽  
Mandibular Advancement ◽  
Obstructive Sleep

Long-term oral appliance therapy in obstructive sleep apnea syndrome: a controlled study on temporomandibular side effects

2011 ◽  
Vol 16 (3) ◽  
pp. 689-697 ◽  
Author(s):  
Michiel H. J. Doff ◽  
Steffanie K. B. Veldhuis ◽  
Aarnoud Hoekema ◽  
James J. R. Huddleston Slater ◽  
P. J. Wijkstra ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Side Effects ◽  
Sleep Apnea Syndrome ◽  
Oral Appliance ◽  
Controlled Study ◽  
Oral Appliance Therapy ◽  
Obstructive Sleep ◽  
Apnea Syndrome

scholarly journals Long-Term Subjective Outcomes of Barbed Reposition Pharyngoplasty for Obstructive Sleep Apnea Syndrome Treatment

2020 ◽  
Vol 17 (5) ◽  
pp. 1542 ◽  
Author(s):  
Giannicola Iannella ◽  
Bianca Vallicelli ◽  
Giuseppe Magliulo ◽  
Giovanni Cammaroto ◽  
Giuseppe Meccariello ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Obstructive Sleep Apnea Syndrome ◽  
Sleep Apnea Syndrome ◽  
Obstructive Sleep ◽  
Swallowing Problems ◽  
Apnea Syndrome ◽  
Subjective Outcomes

Background: The purpose of this study was to evaluate long-term subjective outcomes of barbed reposition pharyngoplasty for obstructive sleep apnea syndrome (OSAS) treatment using a specific questionnaire, the Palate Postoperative Problem Score (PPOPS). Methods: 140 patients who underwent barbed reposition pharyngoplasty (BRP) surgery in the Morgagni Pierantoni Hospital of Forlì, Italy were enrolled in the study. Postoperative outcomes were evaluated in a short- and long-term follow-up using the PPOPS questionnaire. The average period of follow-up was 26 months. All patients received the PPOPS questionnaire by telephone in a period between April and August 2019. Results: 51% of patients complained of swallowing problems after surgery. In 91% of cases, the problem cleared up spontaneously. At the time of the interview, only 9% of patients had a residual swallowing difficult. At the time of PPOPS evaluation, rhinolalia was observed in 8% of patients, whereas nose regurgitation was present in 2% of patients. In 20% of patients, the foreign body sensation was present during follow-up. The value of apnea–hypopnea index (AHI) reduced from the preoperative value of 31.5 to the postoperative value of 11.4. Conclusions: BRP surgery proved to be an effective technique, appreciated by the majority of patients. Use of the PPOPS questionnaire has demonstrated that the BRP technique seems to ensure efficacy and lower morbidity, with few complications after surgery.

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