Condylar Position in the Treatment of Obstructive Sleep Apnea with a Mandibular Advancement Device: A Pilot Study

Author:

Gurgel Marcela12,Kurita Lucio1ORCID,Fonteles Cristiane1,Ribeiro Thyciana1,Costa Fabio1,Freitas Benedito3,Bruin Veralice4,Cevidanes Lucia2,Chaves-Junior Cauby1

Affiliation:

1. Department of Clinical Dentistry, School of Pharmacy, Dentistry and Nursing, Universidade Federal do Ceará, Fortaleza, CE, Brazil

2. Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Michigan, Ann Arbor, MI, United States

3. Department of Clinical Dentistry, School of Dentistry, Universidade Federal do Maranhão, São Luis, MA, Brazil

4. Department of Clinical Medicine, School of Medicine, Universidade Federal do Ceará, Fortaleza, CE, Brazil

Abstract

Abstract Objective To evaluate, through a tomographic analysis, the positional changes of the condyle when using a mandibular advancement device (MAD) for the treatment of obstructive sleep apnea (OSA), and to assess if the condylar positions influence OSA polysomnographic patterns. Materials and Methods Ten OSA patients underwent treatment with an MAD, and polysomnographic and tomographic examinations were performed before therapy (T0) and after MAD placement (T1). Results By comparing the T0 and T1 measurements, we observed advancement and extrusion of the condyles in all patients (p < 0.001), as well as a decrease in the apnea-hypopnea index (AHI) (p < 0.001), increases in the mean (p = 0.001) and minimum (p < 0.001) oxyhemoglobin saturation, and a significant correlation between the anterior displacement of the right (p = 0.003) and left (p = 0.015) condyles. Discussion Condylar advancement was directly correlated with OSA improvement: the greater the advancement, the better the AHI.

Publisher

Georg Thieme Verlag KG

Subject

Behavioral Neuroscience,Medicine (miscellaneous),Neuroscience (miscellaneous)

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3