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| Artikel
nr. |
010 |
| Hoofdonderwerp |
Analysis of the efficacy
of the Twin Block (TB) in relation to the Herbst
appliance as a mandibular advancement splint (MAS). |
| Titel |
A comparison of the
Twin Block and Herbst mandibular advancement splints
in the treatment of patients with obstructive sleep
apnoea: a prospective study. |
| Ondertitel |
Behandeling snurken
en slaapapneu |
| Publicatiedatum |
februari 2005 |
| Auteurs |
H.M. Lawton, J.M.
Battagel, B. Kotecha; Orthodontic Department, Dental
School, Royal London Hospital, London, UK |
| Tijdschrift |
Eur J Orthod. 2005
Feb;27(1):82-90 |
| Aantal
pagina's |
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| Link |
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=
pubmed&dopt=Abstract&list_uids=15743867&query_hl=6 |
| Taal |
Engels |
| Abstract |
Each subject (total
of 16 patients) was fitted with a TB and Herbst
MAS in a random order with a washout period of 2
weeks between appliances. Once each patient was
subjectively happy with the performance of each
appliance, questionnaires and a visual analogue
scale (VAS) were used to determine differences in
snoring, daytime sleepiness, quality of life, side-effects
of the appliances and patient preference. All patients
underwent overnight domiciliary sleep recordings
prior to and after fitting each appliance in order
to objectively assess sleep quality in terms of
the apnoea-hypopnoea index (AHI), snoring frequency
and arterial oxygen saturation.The results suggested
that there was no difference in the treatment performance
of the TB and Herbst MAS for AHI (P = 0.71), snoring
frequency (P = 0.49), arterial blood oxygen saturation
(P = 0.97), quality of life and side-effects. The
Herbst MAS proved to be the more effective appliance
for reducing daytime sleepiness (P = 0.04) and was
the more popular appliance among the patients. Side-effects
with both appliances were minor and improved in
the longer term. The TB MAS represents a viable
alternative to the Herbst MAS in the treatment of
patients with OSA. |
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| Artikel
nr. |
011 |
| Hoofdonderwerp |
Examination of the
effect of MAD intervention on SDB in patients with
CHF. |
| Titel |
A mandibular advancement
device reduces sleep disordered breathing in patients
with congestive heart failure. |
| Ondertitel |
|
| Publicatiedatum |
2004 |
| Auteurs |
M. Eskafi, C. Cline,
B. Israelsson, M. Nilner; Department of Stomatognathic
Physiology, Faculty of Odontology, Malmo University,
Sweden |
| Tijdschrift |
Eur J Orthod. 2005
Feb;27(1):82-90 |
| Aantal
pagina's |
8 |
| Link |
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=
Abstract&list_uids=15779492&query_hl=8 |
| Taal |
Engels |
| Abstract |
Sleep disordered breathing
(SDB) including obstructive and central sleep apnoea/hypopnoea
as well as periodic breathing (PB) is common and
is believed to increase risk for mortality in patients
with congestive heart failure (CHF). Mandibular
advancement device (MAD) has widely been recommended
for treatment of obstructive sleep apnoea but the
method has never been investigated for treatment
of SDB in the patients with CHF. The aim with the
present study was to examine the effect of MAD intervention
on SDB in patients with CHF.
Conclusion: The MAD intervention may be a feasible
method for reducing SDB in patients with stable,
mild to moderate CHF and left ventricular systolic
dysfunction. |
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| Artikel
nr. |
012 |
| Hoofdonderwerp |
Evaluation of the
tolerability and to find predictors of treatment
success for an individually adjusted, one-piece
mandibular advancement device in patients with snoring
and obstructive sleep apnea. |
| Titel |
Mandibular Advancement
Devices in 630 Men and Women With Obstructive Sleep
Apnea and Snoring |
| Ondertitel |
Tolerability and predictors
of treatment success. |
| Publicatiedatum |
april 2004 |
| Auteurs |
M. Marklund, H. Stenlund,
K.A. Franklin; Department of Orthodontics, Umea
University, Sweden |
| Tijdschrift |
Chest Journal. 2004;125:1270-1278 |
| Aantal
pagina's |
11 |
| Link |
http://www.chestjournal.org/cgi/content/full/125/4/1270 |
| Taal |
Engels |
| Abstract |
Study objective:
To evaluate the tolerability and to find predictors
of treatment success for an individually adjusted,
one-piece mandibular advancement device in patients
with snoring and obstructive sleep apnea.
Patients: Six hundred nineteen of 630 patients (98%),
who consecutively received treatment for sleep apnea
and snoring from February 1989 to August 2000, were
followed up. They had a mean apnea-hypopnea index
of 16 (range, 0.0 to 76) and a mean body mass index
of 28 (range, 19 to 42).
Measurements: Interviews, questionnaires, and overnight
sleep apnea recordings. Patients with an apnea-hypopnea
index of 10 in the supine and/or lateral position
were considered to have obstructive sleep apnea.
A lateral apnea-hypopnea index of < 10, together
with a supine apnea-hypopnea index of 10, defined
supine-dependent sleep apneas.
Conclusions: The mandibular advancement device is
recommended for women with sleep apnea, for men
with supine-dependent sleep apneas defined by a
lateral apnea-hypopnea index of < 10, and for
snorers without sleep apnea. Men who increase in
weight during treatment reduce their chance of treatment
success and are advised to be followed up with a
new sleep apnea recording with the device. |
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