Oral appliances for the management of severe snoring: a randomized controlled trial.

Abstract:

:The aim of this randomized controlled trial was to assess the effectiveness of a mandibular advancement appliance (MAA) in managing severe snoring. Twenty-eight adults with severe snoring and normal overnight oximetry were recruited from sleep disorder clinics. A maxillary placebo appliance and a MAA were worn by each subject for a period of 4-6 weeks each. Questionnaires at baseline and after each appliance period assessed bed partners' reports of snoring severity (loudness and number of nights per week), and patients' records of daytime sleepiness. Twenty-five subjects completed the entire trial. The MAA was significantly more effective than the placebo in reducing the frequency and loudness of snoring, the reported daytime sleepiness and the frequency of morning tiredness. Excessive salivation was the most commonly reported complication. It was concluded that the custom-made MAA was significantly more effective than the placebo in managing the main symptoms of severe snoring. However, not all subjects' partners reported an improvement with the MAA, with 84 per cent reporting a reduction in snoring loudness and 76 per cent reporting snoring on fewer nights per week.

journal_name

Eur J Orthod

authors

Johnston CD,Gleadhill IC,Cinnamond MJ,Peden WM

doi

10.1093/ejo/23.2.127

keywords:

subject

Has Abstract

pub_date

2001-04-01 00:00:00

pages

127-34

issue

2

eissn

0141-5387

issn

1460-2210

journal_volume

23

pub_type

临床试验,杂志文章,随机对照试验
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