Abstract
Question: In patients with obstructive sleep apnoea are dental appliances as effective as uvulopalatopharyngoplasty?
Objective To compare the effect of dental appliance and uvulopalatopharyngoplasty (UPPP) for treatment of obstructive sleep apnoea.
Design Randomised controlled trial.
Intervention UPPP or a dental appliance to achieve mandibular advancement of 50% of maximum protrusive capacity.
Outcome measures Apnoea index (AI), apnoea/ hypoxia index (AHI), oxygen desaturation index (ODI) and snoring index (SI).
Results Both groups showed significant decrease in the values for AI, AHI, ODI and SI at 6 and 12 months. At 12 months AI and AHI were significantly better in the dental-appliance group but other outcomes showed no difference (see Table 1).
Conclusions Evidence suggests that dental appliances may be a useful adjunct to the treatment of obstructive sleep apnoea.
Wilhelmsson B, Tegelberg A, Walker-Engstron M-L, Ringqvuist M, Andersson L, Krekmanov, et al. A prospective randomised study of a dental appliance compared with uvulopalatopharyngoplasty in treatment of obstructive sleep apnoea. Acta Otolaryngol 1999; 119:503–509
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Address for reprints: Bo Wilhelmsson, Department of Otorhinolaryngology, Central Hospital, SE-721 Vasteras, Sweden. Fax: +46 21175364.
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Cohen, R. Dental appliances may be useful for the treatment of obstructive sleep apnoea. Evid Based Dent 3, 51 (2002). https://doi.org/10.1038/sj.ebd.6400103
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DOI: https://doi.org/10.1038/sj.ebd.6400103