Retrospective comparison of the George Gauge™ registration and the sibilant phoneme registration for constructing OSA oral appliances.

Autor: Viviano J; Private Practice, Sleep Disorders Dentistry RLC, Mississauga, ON, Canada., Klauer D; Private Practice, Granger, IN, USA., Olmos S; Private Practice, La Mesa, CA, USA., Viviano JD; Private Practice, Sleep Disorders Dentistry RLC, Mississauga, ON, Canada.
Jazyk: angličtina
Zdroj: Cranio : the journal of craniomandibular practice [Cranio] 2022 Jan; Vol. 40 (1), pp. 5-13. Date of Electronic Publication: 2019 Nov 26.
DOI: 10.1080/08869634.2019.1694776
Abstrakt: Objective : To compare outcomes for appliances manufactured utilizing the George Gauge™ Registration (GGR) and the Sibilant Phoneme Registration (SPR). It was hypothesized that there would be no difference in outcomes. Methods : This study is a retrospective analysis of two groups. Each group consisted of 20 oral appliances manufactured utilizing the GGR and 20 utilizing the SPR. Results : For the two-site data, no difference in outcomes was demonstrated ( p = .24). The SPR method required fewer calibrations ( p = 5.6 × 10 -3 ) and less jaw movement ( p = 3.33 × 10 -4 ). Both bite methods resulted in similarly variable post-AHI scores ( p = .52). For the eight-site data, no difference in outcomes was demonstrated ( p = .76). The SPR required less movement of the jaw ( p = 4.52 × 10 -5 ); however, outcome variance was larger for the SPR ( p = .036). Conclusion : The study null hypothesis of no difference in outcomes was supported. Abbreviations: AHI: Apnea-Hypopnea Index; GGR: George Gauge Registration; SPR: Sibilant Phoneme Registration; OSA: Obstructive Sleep Apnea; OA: Oral Appliance; OAT: Oral Appliance Therapy; MA: Mandibular Advancement; VDO: Vertical Dimensional Opening; AADSM: American Academy of Dental Sleep Medicine; ABDSM: American Board of Dental Sleep Medicine; BMI: Body Mass Index.
Databáze: MEDLINE