Dental side effects of long-term obstructive sleep apnea therapy: a 10-year follow-up study
| Autor: | Boudewijn Stegenga, Dilyana S Joffe-Sokolova, Peter J. Wijkstra, Aarnoud Hoekema, Julia A. M. Uniken Venema, Johannes H. van der Hoeven, Michiel H. J. Doff |
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| Přispěvatelé: | Groningen Research Institute for Asthma and COPD (GRIAC), Personalized Healthcare Technology (PHT), Oral Kinesiology |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Molar
animal structures Overjet medicine.medical_treatment Continuous positive airway pressure Dentistry Overbite 03 medical and health sciences 0302 clinical medicine SDG 3 - Good Health and Well-being Occlusion Mandibular advancement device Medicine Humans Treatment outcome General Dentistry Sleep Apnea Obstructive business.industry 10 year follow up Dental occlusion Dental side effects Occlusal Splints 030206 dentistry medicine.disease Obstructive sleep apnea respiratory tract diseases 030220 oncology & carcinogenesis business Mandibular Advancement Follow-Up Studies |
| Zdroj: | Clinical Oral Investigations, 24. SPRINGER HEIDELBERG Clinical Oral Investigations, 24(9), 3069-3076. Springer Verlag Uniken Venema, J A M, Doff, M H J, Joffe-Sokolova, D S, Wijkstra, P J, van der Hoeven, J H, Stegenga, B & Hoekema, A 2020, ' Dental side effects of long-term obstructive sleep apnea therapy : a 10-year follow-up study ', Clinical Oral Investigations, vol. 24, no. 9, pp. 3069-3076 . https://doi.org/10.1007/s00784-019-03175-6 |
| ISSN: | 1436-3771 1432-6981 |
| DOI: | 10.1007/s00784-019-03175-6 |
| Popis: | OBJECTIVES: Patients with obstructive sleep apnea (OSA) are usually treated with either mandibular advancement device (MAD) or continuous positive airway pressure (CPAP) therapy. The objective of this study is to evaluate changes in dental occlusion associated with long-term MAD and CPAP therapy.MATERIALS AND METHODS: Data from 14 OSA patients using MAD and 17 OSA patients using CPAP therapy were evaluated at baseline, 2-year and 10-year follow-up. Changes in dental occlusion were analyzed from dental plaster casts with a digital sliding caliper.RESULTS: At 2-year follow-up, MAD therapy resulted in significant dental changes when compared with baseline values. In MAD therapy, overjet and overbite decreased with 1.1 ± 1.8 mm and 1.1 ± 1.2 mm respectively. With CPAP therapy overjet and overbite decreased significantly with 0.2 ± 0.5 mm and 0.3 ± 0.5 mm, respectively. Both groups also showed significant changes in molar occlusion. After a 10-year follow-up, significant and more pronounced changes were seen in overjet and overbite. In MAD therapy, overjet and overbite decreased with 3.5 ± 1.5 mm and 2.9 ± 1.5 mm respectively when compared with baseline values. In CPAP therapy, overjet and overbite decreased with 0.7 ± 1.5 mm and 0.8 ± 1.4 mm respectively when compared with baseline values.CONCLUSIONS: This study demonstrates that MAD and CPAP therapy result in significant changes in dental occlusion. These changes appear progressive and more pronounced with MAD compared to CPAP therapy.CLINICAL RELEVANCE: Long-term OSA treatment results in significant dental side effects that may progress over time. Informed consent is fundamental before starting MAD treatment and individualized long-term follow-up is of eminent importance. |
| Databáze: | OpenAIRE |
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