A1 Refereed original research article in a scientific journal
Reasons for failure of mandibular advancement splint therapy in the treatment of obstructive sleep apnea
Authors: Palotie Tuula, Peltomaa Anni, Bachour Adel, Bachour Patrick, Mäkitie Antti, Peltomaa Miikka, Vallittu Pekka
Publisher: TAYLOR & FRANCIS LTD
Publication year: 2024
Journal: Cranio
Journal name in source: CRANIO-THE JOURNAL OF CRANIOMANDIBULAR & SLEEP PRACTICE
Journal acronym: CRANIO
Volume: 42
Issue: 2
First page : 185
Last page: 189
Number of pages: 5
ISSN: 0886-9634
eISSN: 2151-0903
DOI: https://doi.org/10.1080/08869634.2021.1922810(external)
Web address : https://doi.org/10.1080/08869634.2021.1922810(external)
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/59540478(external)
Objective: To investigate the reasons for poor adaptation to mandibular advancement splint (MAS) treatment.
Methods: The study consisted of 44 patients with obstructive sleep apnea who had unsuccessful MAS treatment. Data were collected on age, body mass index, gender, general and mental diseases, continuous positive airway pressure (CPAP) tryout, usage of occlusal splint, dental overjet, temporomandibular disorders, shortened dental arch, sleep apnea severity, and Apnea-Hypopnea Index. Sixty patients who underwent successful MAS treatment were controls.
Results: Patients with missing molars failed significantly more often in MAS therapy than the controls (p = 0.020). Patients with CPAP tryout prior to MAS treatment had a tendency to fail MAS treatment. MAS treatment was more likely to be successful in patients with prior occlusal splint experience (p = 0.050).
Conclusion: The study could not identify a single reason for MAS failure.
Downloadable publication This is an electronic reprint of the original article. |
Funding information in the publication:
This work was supported by an HUH research grant.