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Dental Sleep Medicine

Sylvan S Mintz, Reka Kovacs
PURPOSE: In 2005, the American Academy of Sleep Medicine stated, "Oral appliances are indicated for use in patients with mild to moderate obstructive sleep apnea (OSA) who prefer them to CPAP therapy, or who do not respond to, are not appropriate candidates for, or who fail treatment attempts with CPAP." However, this recommendation is based upon variable results from only six studies with more than 100 participants. These studies have assessed the effectiveness of mandibular advancement devices (MADs) in specific groups (military populations, academic institutions, or hospital settings) with no large study conducted in a fee-for-service private practice where the majority of patients receive MADs for OSA...
March 8, 2018: Sleep & Breathing, Schlaf & Atmung
Soumyojeet Bagchi, Arvind Tripathi, Suryakant Tripathi, Sushil Kar, Sarvada Chandra Tiwari, Juhi Singh
PURPOSE: To record the incidence of cognitive dysfunction in edentulous patients suffering from obstructive sleep apnea (OSA) and establish a plausible hypothesis to explain the correlation of cognitive dysfunction and OSA. MATERIALS AND METHODS: In this study, 315 edentulous patients (aged 60 to 65 years) visiting the outpatient department at Saraswati Dental College, Lucknow were recruited from January 2013 to October 2015. Prosthodontic Diagnostic Index (PDI) classification was used to assess the intraoral condition to relate it with the span of edentulousness...
February 22, 2018: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
Carolina Carvalho Bortoletto, Mônica da Consolação Canuto Salgueiro, Renata Valio, Yara Dadalti Fragoso, Pamella de Barros Motta, Lara Jansiski Motta, Fernanda Yukie Kobayashi, Kristianne Porta Santos Fernandes, Raquel Agnelli Mesquita-Ferrari, Alessandro Deana, Sandra Kalil Bussadori
[Purpose] Present study aimed to evaluate the relationship between sleep bruxism and headache in school children. [Subjects and Methods] This study was conducted with 103 children aged 3-6 years. The exclusion criteria were early tooth loss, dental appliance was used, physical or psychological limitations, chronic disease and continuous medication. Sleep bruxism was diagnosed based on an indication by parents of the occurrence of teeth clenching/grinding and incisor/occlusal tooth wear, following the criteria of the American Academy of Sleep Medicine...
November 2017: Journal of Physical Therapy Science
Enrico Facco, Gastone Zanette
Dental anxiety (DA) can be considered as a universal phenomenon with a high prevalence worldwide; DA and pain are also the main causes for medical emergencies in the dental office, so their prevention is an essential part of patient safety and overall quality of care. Being DA and its consequences closely related to the fight-or-flight reaction, it seems reasonable to argue that the odyssey of DA began way back in the distant past, and has since probably evolved in parallel with the development of fight-or-flight reactions, implicit memory and knowledge, and ultimately consciousness...
2017: Frontiers in Psychology
(no author information available yet)
No abstract text is available yet for this article.
April 25, 2017: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
Anita Valanju Shelgikar, Sharon Aronovich, Jeffrey J Stanley
Continuous positive airway pressure (CPAP) intolerance remains a persistent problem for many obstructive sleep apnea patients. Clinicians and researchers continue to search for other effective treatment modalities given the well-documented sequelae associated with untreated obstructive sleep apnea. A multidisciplinary "Alternatives to CPAP program" (ALT) can facilitate systematic evaluation of non-CPAP therapies appropriate for an individual patient. We review successful strategies and barriers encountered during implementation of an ALT at our institution...
March 15, 2017: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
Giulio Alessandri-Bonetti, Vincenzo D'Antò, Chiara Stipa, Roberto Rongo, Serena Incerti-Parenti, Ambrosina Michelotti
Objectives: To evaluate the dentoskeletal changes associated with long-term and continuous mandibular advancement device (MAD) use in sleep-related breathing disorder patients. Methods: Cephalometric measurements and three-dimensional model analysis were performed at baseline and after 3.5 ± 1.1 years in 20 snoring and obstructive sleep apnoea patients treated with the Silensor® appliance. Intra-group differences were compared using paired t-test or Wilcoxon signed-rank test...
October 1, 2017: European Journal of Orthodontics
Anthony Dioguardi, Moh'd Al-Halawani
Oral appliance therapy (OAT) has become an increasingly popular nonsurgical option for the treatment of obstructive sleep disorders. Recent research supports its efficacy and high levels of compliance for patients with obstructive sleep disorders. Common side effects of OAT include temporomandibular joint-related symptoms, bite changes, and tooth movement. These side effects can be minimized by the use of exercises. The American Academy of Dental Sleep Medicine and the American Academy of Sleep Medicine have released joint clinical practice guidelines for the treatment of obstructive sleep apnea and snoring with OAT...
December 2016: Otolaryngologic Clinics of North America
B R Chrcanovic, J Kisch, T Albrektsson, A Wennerberg
Recent studies have suggested that the insertion of dental implants in patients being diagnosed with bruxism negatively affected the implant failure rates. The aim of the present study was to investigate the association between the bruxism and the risk of dental implant failure. This retrospective study is based on 2670 patients who received 10 096 implants at one specialist clinic. Implant- and patient-related data were collected. Descriptive statistics were used to describe the patients and implants. Multilevel mixed effects parametric survival analysis was used to test the association between bruxism and risk of implant failure adjusting for several potential confounders...
November 2016: Journal of Oral Rehabilitation
(no author information available yet)
No abstract text is available yet for this article.
August 26, 2016: British Dental Journal
F Lobbezoo, G Aarab, P Wetselaar, A Hoekema, J de Lange, N de Vries
No abstract text is available yet for this article.
October 2016: Journal of Oral Rehabilitation
Kate Quinlan
No abstract text is available yet for this article.
May 27, 2016: British Dental Journal
Luca Levrini, Franco Sacchi, Francesca Milano, Antonella Polimeni, Paolo Cozza, Edoardo Bernkopf, Marzia Segù, Marco Zucconi, Claudio Vicini, Enrico Brunello
BACKGROUND: The aim of the present article is to present a set of proposed clinical recommendations aimed at Italian dentists involved in the management of patients with obstructive sleep apnea syndrome or snoring. METHODS: With the purpose of creating a study group, some of the most important Italian scientific societies operating in fields relevant to the issue of sleep medicine in dentistry were asked to appoint a representative. Each member of the study group was required to answer questions regarding the clinical management of OSAS and snoring...
July 2015: Annali di Stomatologia
(no author information available yet)
No abstract text is available yet for this article.
February 26, 2016: British Dental Journal
S Murali Mohan, E Mahesh Gowda, A S Banari
The subject of sleep medicine, for dental profession in general and prosthodontists in particular, continue to offer great challenges and opportunities in terms of diagnosis, treatment planning and treatment based on qualitative evidence. Although the role played by the prosthodontists is still in its infancy, there is much to learn and understand in the rapidly evolving field of sleep medicine as the recognition of co-managing patients with sleep disorders by the prosthodontists is fast becoming a reality...
December 2015: Medical Journal, Armed Forces India
Lin Kang, Shu-Yang Zhang, Wen-Ling Zhu, Hai-Yu Pang, Li Zhang, Ming-Lei Zhu, Xiao-Hong Liu, Yong-Tai Liu
BACKGROUND: Frailty is a new prognostic factor in cardiovascular medicine due to the aging and increasingly complex nature of elderly patients. It is useful and meaningful to prospectively analyze the manner in which frailty predicts short-term outcomes for elderly patients with acute coronary syndrome (ACS). METHODS: Patients aged ≥ 65 years, with diagnosis of ACS from cardiology department and geriatrics department were included from single-center. Clinical data including geriatrics syndromes were collected using Comprehensive Geriatrics Assessment...
November 2015: Journal of Geriatric Cardiology: JGC
Anne E Sanders, Aderonke A Akinkugbe, Gary D Slade, Greg K Essick
PURPOSE: The aim of this study is to investigate the relationship between tooth loss and signs and symptoms of obstructive sleep apnea (OSA) in a representative sample of the general US population. METHODS: Data were from 7305 men and women aged ≥25 years participating in the 2005-2008 National Health and Nutrition Examination Survey. Tooth loss, occlusal contacts, and denture use were determined by dental examination. Four cardinal OSA signs and symptoms were evaluated by questions based on American Academy of Sleep Medicine criteria...
September 2016: Sleep & Breathing, Schlaf & Atmung
Wael Talaat, Balsam AlRozzi, Sausan Al Kawas
OBJECTIVES: The aim of this study was to assess the undergraduate dental education in sleep medicine in Middle East universities as well as the students' knowledge in this field. METHODS: A cross-sectional observational study was carried out during the period from September 2013 to April 2014.Two different questionnaires were used. A self-administered questionnaire and a cover letter were emailed and distributed to 51 randomly selected Middle East dental schools to gather information about their undergraduate sleep medicine education offered in the academic year 2012-2013...
January 2, 2016: Cranio: the Journal of Craniomandibular Practice
Soleil D Roberts, Hitesh Kapadia, Geoff Greenlee, Maida L Chen
STUDY OBJECTIVES: Nasal positive airway pressure (nPAP) for treatment of pediatric obstructive sleep apnea (OSA) is a widespread therapy that currently lacks longitudinal data describing how mask pressure impacts the developing facial skeleton. This retrospective cohort study compared midfacial growth in pediatric patients with underlying craniofacial conditions diagnosed with OSA who were compliant vs. noncompliant with nPAP therapy, and explored correlations between demographic, medical, and sleep variables with annual rate of facial change...
April 15, 2016: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
G D Kochar, A Chakranarayan, S Kohli, V S Kohli, V Khanna, B Jayan, S S Chopra, M Verma
The aim of this study was to quantify the changes in pharyngeal airway space (PAS) in patients with a skeletal class II malocclusion managed by bilateral sagittal split ramus osteotomy for mandibular advancement, using three-dimensional (3D) registration. The sample comprised 16 patients (mean age 21.69±2.80 years). Preoperative (T0) and postoperative (T1) computed tomography scans were recorded. Linear, cross-sectional area (CSA), and volumetric parameters of the velopharynx, oropharynx, and hypopharynx were evaluated...
May 2016: International Journal of Oral and Maxillofacial Surgery
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