Abstract:
Objective and design:Our aim was to evaluate the effect of mandible advancement splint (MAS) in mild, moderate, and severe obstructive sleep apnea (OSA). We also determined, if and in which OSA-groups the adequate forward movement in MAS could be quantified without sleep registration for different OSA levels. A retrospective study. Settings:The effect of MAS was measured with clinical methods and by sleep registration. Participants:The series consisted of 103 patients, 75 males and 28 females (mean age 52 years) suffering from mild (32 per cent), moderate (32 per cent), or severe (36 per cent) OSA, who were treated with MAS at Helsinki University Hospital, Finland during the years 2011-2012. Seventy per cent of the patients had tried continuous positive airway pressure (CPAP) before MAS. Results:The lower the body mass index (BMI) was the bigger the probability was to get apnea/hypopnea index (AHI) values <5 per hour with MAS (P < 0.01). The total AHI decreased significantly from the baseline with MAS: 23 per hour (range 5-89) to 6 per hour (range 0.3-54), (P < 0.001). The mean oxygen desaturation index (ODI4%) improved significantly from 16 per hour (range 1-76) to 5.3 per hour (range 0.2-49), (P < 0.01), and the minimum oxygen saturation improved significantly from 84 per cent (67-91) to 87 per cent (68-93), (P < 0.01). The reduction of AHI with MAS was significantly bigger in patients with a previous CPAP experience (73 per cent) than those who did not tried CPAP therapy. The positive correlation was found between the decrease in AHI and the increase of the protrusion in MAS. Conclusion:Both sleep recordings and subjective indicators demonstrated that MAS therapy was successful in OSA based on ESS, total AHI, ODI4%, and minimum oxygen saturation values. It seems useful to increase the protrusion at its maximal clinical tolerance. An experienced dentist could make therapeutically decision concerning the follow up of MAS efficacy regardless of the result of sleep study. We suggest that MAS is a valuable treatment alternative for CPAP. However, the previous use of CPAP with MAS as well as lower baseline BMI seem to have a positive correlation with the success of MAS therapy.
journal_name
Eur J Orthodjournal_title
European journal of orthodonticsauthors
Palotie T,Riekki S,Mäkitie A,Bachour A,Arte S,Bäck Ldoi
10.1093/ejo/cjw068subject
Has Abstractpub_date
2017-10-01 00:00:00pages
497-501issue
5eissn
0141-5387issn
1460-2210pii
cjw068journal_volume
39pub_type
杂志文章abstract:AIMS:To establish whether adolescent orthodontic patients with hypodontia have a preference between the aesthetic outcomes of two treatment strategies for lateral incisor agenesis. MATERIALS/METHODS:Standardized photographs of pre-orthodontic patients with missing lateral incisors were manipulated to produce images th...
journal_title:European journal of orthodontics
pub_type: 杂志文章
doi:10.1093/ejo/cju021
更新日期:2015-04-01 00:00:00
abstract::The aim of this study was to investigate the relationship between Turkish university students' awareness of malocclusion, their satisfaction with their personal dental appearance, and the severity of their occlusal irregularities. The sample consisted of 841 randomly selected university students, 522 (62.1 per cent) m...
journal_title:European journal of orthodontics
pub_type: 杂志文章
doi:10.1093/ejo/cjn083
更新日期:2009-04-01 00:00:00
abstract::Tensile bond strength and bond failure location were evaluated in vitro for two types of aesthetic brackets (non-silanated ceramic, polycarbonate) and one stainless steel bracket, using bovine teeth as the substrate and diacrylate resin as the adhesive. The results show that metallic bracket had the highest bond stren...
journal_title:European journal of orthodontics
pub_type: 杂志文章
doi:10.1093/ejo/21.1.71
更新日期:1999-02-01 00:00:00
abstract::This retrospective study examined the occurrence of congenitally missing permanent teeth and the need for dental treatment in the Regensburg University Medical Centre of Eastern Bavaria. Using a dental administration software tool, a total of 1442 patients who presented for orthodontic treatment between 1994 and 2006 ...
journal_title:European journal of orthodontics
pub_type: 杂志文章
doi:10.1093/ejo/cjq021
更新日期:2011-02-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to evaluate the cephalometric outcome of bone-anchored maxillary protraction (BAMP) in individuals with unilateral complete cleft lip and palate (UCLP). MATERIAL AND METHODS:The experimental group (EG) comprised 23 individuals (17 males and 6 females) with UCLP and a mean age of 11...
journal_title:European journal of orthodontics
pub_type: 杂志文章
doi:10.1093/ejo/cjz005
更新日期:2019-09-21 00:00:00
abstract::Unilateral tip-back mechanics are challenging because of a number of undesirable side-effects associated with their use during orthodontic treatment. The purpose of this paper is to review the differential diagnosis and treatment planning of Class II subdivision malocclusions and present a treatment strategy based on ...
journal_title:European journal of orthodontics
pub_type: 杂志文章
doi:10.1093/ejo/19.1.93
更新日期:1997-02-01 00:00:00
abstract::The objective of this study was to investigate the effects of precuring of primer coated on bracket bases on the strength of bonds between metal brackets and gold alloy. Square type III gold alloy plates were sandblasted with 30 μm silicon dioxide. After silica coating, excessive particles were removed gently with air...
journal_title:European journal of orthodontics
pub_type: 杂志文章
doi:10.1093/ejo/cjq163
更新日期:2012-02-01 00:00:00
abstract:Background:Orthodontic diagnostic standards generally use the cranial base as a reference and rely on samples selected by orthodontists. Objective:The purpose of this study was to provide male and female standards for a novel non-radiographic approach for orthodontic diagnosis that utilizes 3D dentofacial photogrammet...
journal_title:European journal of orthodontics
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doi:10.1093/ejo/cjw055
更新日期:2017-04-01 00:00:00
abstract::The aim of this in vitro study was to compare the shear bond strength (SBS) and failure modes of a conventional resin-based composite with a recently developed amorphous calcium phosphate (ACP)-containing orthodontic composite system. Forty freshly extracted human maxillary premolar teeth were randomly divided into tw...
journal_title:European journal of orthodontics
pub_type: 杂志文章,随机对照试验
doi:10.1093/ejo/cjp115
更新日期:2010-06-01 00:00:00
abstract:Objective:To evaluate the transverse relationships of the first permanent molars after the correction of posterior crossbite performed during the deciduous dentition with two different treatment protocols. Materials/methods:Ninety patients (40 males and 50 females) with posterior crossbite were treated during the deci...
journal_title:European journal of orthodontics
pub_type: 杂志文章
doi:10.1093/ejo/cjw080
更新日期:2017-10-01 00:00:00
abstract::To compare force levels obtained from glass fibre-reinforced composite (FRC) archwires. Specifically, FRC wires were compared with polymer matrices having different dimethacrylate monomer compositions. FRC material (E-glass provided by Stick Tech Ltd, Turku, Finland) with continuous unidirectional glass fibres and fou...
journal_title:European journal of orthodontics
pub_type: 杂志文章
doi:10.1093/ejo/cjr128
更新日期:2013-02-01 00:00:00
abstract::Although there are numerous publications on bilateral non-compliance molar distalization appliances, there is limited information on problems such as asymmetrical unilateral Class II malocclusions. The aim of the present investigation was to examine the distalization of molars unilaterally in patients with a unilatera...
journal_title:European journal of orthodontics
pub_type: 杂志文章
doi:10.1093/ejo/cji118
更新日期:2006-08-01 00:00:00
abstract::The aim was to analyse 27-year-olds' perceptions of their own dental arrangement and any orthodontic care they may have received as a child or adolescent. All of the individuals in a sample of young adults in Kronoberg County, Sweden, who had received orthodontic care during childhood or adolescence (n = 121) were sel...
journal_title:European journal of orthodontics
pub_type: 杂志文章
doi:10.1093/ejo/20.3.319
更新日期:1998-06-01 00:00:00
abstract::This prospective study analysed the lateral cephalometric radiographs of 59 dentate, white, Caucasian males. Thirty-five patients with proven obstructive sleep apnoea (OSA) formed the experimental group, while 24 subjects with no history of respiratory disease acted as controls. Radiographs were traced and digitized, ...
journal_title:European journal of orthodontics
pub_type: 杂志文章
doi:10.1093/ejo/18.6.557
更新日期:1996-12-01 00:00:00
abstract::The aims of the study were to analyse the records of 26 subjects (18 females, eight males) with maxillary canine-first premolar transposition (Mx.C.P1) together with 160 subjects with a palatally displaced canine (PDC) to determine the pattern of tooth agenesis in these cases and to compare them with similar samples r...
journal_title:European journal of orthodontics
pub_type: 杂志文章
doi:10.1093/ejo/cji040
更新日期:2005-10-01 00:00:00
abstract::This paper describes and illustrates an innovative versatile skull-holding device for experimental research in cephalometrics. Repositioning of the skulls was evaluated and found to be highly reproducible. ...
journal_title:European journal of orthodontics
pub_type: 杂志文章
doi:10.1093/ejo/18.2.193
更新日期:1996-04-01 00:00:00
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...
journal_title:European journal of orthodontics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1093/ejo/23.2.127
更新日期:2001-04-01 00:00:00
abstract::In this study, botulinum neurotoxin type A (BoTx/A) was injected into the temporalis and masseter muscles of growing rats to induce masticatory hypoactivity. Sixty, 30-day-old, male Long-Evans rats were randomly divided into four groups. BoTx/A was bilaterally injected in the masseter muscles in group I, in the tempor...
journal_title:European journal of orthodontics
pub_type: 杂志文章
doi:10.1093/ejo/cjq029
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVES:During orthodontic arch expansion, the teeth are displaced against the perioral soft tissues. This can affect the equilibrium of forces that are thought to act on teeth, with consequent implications for long-term stability. The aim of this study was to investigate the effect of incremental lower lip advancem...
journal_title:European journal of orthodontics
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更新日期:2014-12-01 00:00:00
abstract::The aim of this study was to assess the severity of any underlying malocclusion in subjects presenting for treatment of a palatally impacted canine (PIC) using a modification of the Dental Health Component (DHC) of the Index of Treatment Need (MIOTN), which does not factor in the impacted canine. The pre-treatment stu...
journal_title:European journal of orthodontics
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doi:10.1093/ejo/cjn130
更新日期:2009-08-01 00:00:00
abstract::The viscoelastic behaviour of prototype composite orthodontic archwires was evaluated using a bend stress relaxation test. Archwires having 10 different volume fractions of reinforcement were subjected to constant bending radii in a water bath at 37 degrees C for time periods of up to 90 days. The wires were subsequen...
journal_title:European journal of orthodontics
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doi:10.1093/ejo/22.1.1
更新日期:2000-02-01 00:00:00
abstract::A logical basis for the sequence of wires chosen during orthodontic treatment with fixed appliances is presented. This utilizes a new more realistic model for the radial deflection of a segment of the archwire in which the wire is restrained by the ligatures on the misaligned tooth, contacts the inner edges of the bra...
journal_title:European journal of orthodontics
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更新日期:1992-06-01 00:00:00
abstract::The purpose of this investigation was to evaluate the effects of dental tipping and rotation immediately after surgically assisted rapid palatal expansion (SARPE). Fourteen patients (10 females, four males; mean age 25.6 years) who required a SARPE procedure were available for this study. A palatal expander appliance ...
journal_title:European journal of orthodontics
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更新日期:2003-08-01 00:00:00
abstract::Reduced nasal airflow can be the result of enlarged adenoids, hypertrophic turbinates, severely deviated nasal septum, or even narrow nasal cavities. The question of whether the width of the nasal cavity may influence certain facial dimensions examined on the postero-anterior cephalometric X-ray was evaluated through ...
journal_title:European journal of orthodontics
pub_type: 杂志文章
doi:10.1093/ejo/13.5.410
更新日期:1991-10-01 00:00:00
abstract::The aim of this investigation was to evaluate the effects of different tooth types on the shear bond strength (SBS) of two orthodontic resin adhesive systems in vitro. Two hundred extracted sound human teeth were used in the study. Ten teeth of each tooth type were the mounted in acrylic resin leaving the buccal surfa...
journal_title:European journal of orthodontics
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doi:10.1093/ejo/cjn006
更新日期:2008-08-01 00:00:00
abstract::The aim of this prospective study was to quantify the display of the dentition through the soft tissue frame during speech using videography for different age groups. Two hundred and sixty-one subjects were initially screened and were divided into five groups: group 1 (G1) (15-19 years), G2 (20-29 years), G3 (30-39 ye...
journal_title:European journal of orthodontics
pub_type: 杂志文章
doi:10.1093/ejo/cjs084
更新日期:2013-10-01 00:00:00
abstract::The long-term goal of this research is to define the dimensions of nasal airway adequacy in children. Nasal airway size and variables associated with growth were assessed in 138 healthy children aged 7-15 years. The pressure-flow technique (Warren, 1984) was used to calculate the smallest cross-sectional area of the n...
journal_title:European journal of orthodontics
pub_type: 杂志文章
doi:10.1093/ejo/13.4.311
更新日期:1991-08-01 00:00:00
abstract::The purpose of this study was to demonstrate the advantage of the finite helical axis (FHA) system in the biomechanical analysis of orthodontic tooth movement by comparing it with the rectangular coordinate (XYZ) system. Ten patients (6 females and 4 males, mean age 23 years 7 months) were selected. Maxillary canine r...
journal_title:European journal of orthodontics
pub_type: 杂志文章
doi:10.1093/ejo/cjm061
更新日期:2007-12-01 00:00:00
abstract::Orthodontic bonding with glass ionomer cement is comparatively new. The purpose of this article is to review the current literature covering both in vitro and in vivo studies of various glass ionomer cements that have been used for orthodontic bonding. The review indicates that there is little support in the literatur...
journal_title:European journal of orthodontics
pub_type: 杂志文章,评审
doi:10.1093/ejo/18.4.385
更新日期:1996-08-01 00:00:00
abstract::The aetiology of palatal canine impaction is unclear. The aim of this research was to investigate the occlusal features that could contribute to the aetiology of palatal maxillary canine impaction. The material consisted of the pre-treatment dental casts of 34 patients (27 female and seven male) with unilateral palata...
journal_title:European journal of orthodontics
pub_type: 杂志文章
doi:10.1093/ejo/cji022
更新日期:2005-10-01 00:00:00