Journal Article10.1111/JSR.13462
Partner perceptions are associated with objective sensor-measured adherence to oral appliance therapy in obstructive sleep apnea
Kjersti Gjerde,Kjersti Gjerde,Sverre Lehmann,Sverre Lehmann,Bjørn Bjorvatn,Bjørn Bjorvatn,Morten Berge,Morten Berge,Frode Thuen,Thomas Berge,Anders Johansson,Anders Johansson +11 more
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TL;DR: In this paper, a prospective clinical study was conducted to determine objective, sensor-measured adherence to a mandibular advancement device (MAD) in patients with obstructive sleep apnea and to identify partner-specific adherence-related factors.
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Abstract: The aims of the present prospective clinical study were to determine objective, sensor-measured adherence to a mandibular advancement device (MAD) in patients with obstructive sleep apnea (OSA) and to identify partner-specific adherence-related factors. A total of 77 eligible participants with mild, moderate, or severe OSA and who were non-adherent to continuous positive airway pressure (mean age 56.2 years) participated in the study (32.5% women). The mean (range) observation time between MAD delivery and final follow-up was 8.3 (3.4-16.5) months. The mean apnea-hypopnea index (AHI) was 26.6 events/hr at baseline and 12.5 events/hr at the 8-month follow-up (both p < 0.001). The mean sensor-measured adherence at the 8-month follow-up was 60.1% for ≥4 hr/night of appliance use for ≥5 days/week. Average usage was 6.4 hr/night, when worn. The mean reduction in the AHI was significantly greater in the "good adherence" (Δ 17.4) than the "poor adherence" group (Δ11.0; p < 0.05). From the partner's perspective, the appliance had a positive effect on sharing a bedroom in the good- (55%) compared to the poor-adherence group (25%; p < 0.05) and on their relationship (51.7% versus 17.9%, respectively; p < 0.05). Regression analyses identified the partner's snoring and apneas to be the most significant factor predicting good adherence to MAD (odds ratio 4.4, 95% confidence interval 1.4-14.0). In conclusion, social factors, like partner perceptions, were positively associated with adherence, which indicate that partner's attitudes and support may be a resource that can be utilised to improve adherence in oral appliance treatment of OSA.
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The role of oral appliance therapy in obstructive sleep apnoea
TL;DR: A review of oral appliance therapy for adults with obstructive sleep apnoea (OSA) can be found in this article , where the authors address the key areas of mode of action, rationale, practice guidelines, predictors and their impact on a range of health outcomes.
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Wearable Orofacial Technology and Orthodontics
Sabarinath Prasad,Sivakumar Arunachalam,Thomas Boillat,Ahmed Ghoneima,Narayan H. Gandedkar,Samira Diar-Bakirly +5 more
TL;DR: Orofacial wearable devices may be unimodal or incorporate multiple sensing modalities as mentioned in this paper , which can collect, store, and relay information regarding an individual's current body status to other devices operating on compatible networks in naturalistic settings.
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Occlusal interventions for managing temporomandibular disorders
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TL;DR: This study examines occlusal interventions for managing temporomandibular disorders (TMD), a musculoskeletal condition causing jaw pain and other health issues, through occlusal splints and adjustments to improve alignment and alleviate symptoms.
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Factors associated with treatment adherence to mandibular advancement devices: a scoping review.
Boudewijn R.A.M. Rosenmöller,Liza J M van de Rijt,Ralph de Vries,Ghizlane Aarab,Frank Lobbezoo +4 more
TL;DR: In this article , a systematic literature search was conducted using bibliographic databases PubMed, Embase.com , Web of Science, and the Cochrane Library (Wiley) to identify relevant studies that described factors associated with adherence to MAD in the treatment of OSA or snoring combined with OSA in adults.
Sociodemographic and Healthcare System Barriers to PAP Alternatives for Adult OSA: A Scoping Review.
Amritpal Singh,Amrita Bhat,Jasmeet Saroya,Jolie L. Chang,Megan L. Durr +4 more
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