دورية أكاديمية
أعرض في EDS

Effects of different treatments for obstructive sleep apnea on temporomandibular joint: a randomized clinical trial.

التفاصيل البيبلوغرافية
العنوان: Effects of different treatments for obstructive sleep apnea on temporomandibular joint: a randomized clinical trial.
المؤلفون: Attia AAMM; Oral and Maxillofacial Surgery, Faculty of Dentistry, Mansoura University, Mansoura, Egypt., Awad SS; Oral and Maxillofacial Surgery, Faculty of Dentistry, Mansoura University, Mansoura, Egypt. sawad@mans.edu.eg., Mansour M; Diagnostic and Interventional Radiology, Faculty of Medicine, Mansoura University, Mansoura, Egypt., Baz H; Phoniatrics Unit, Faculty of Medicine, Mansoura University, Mansoura, Egypt., Zahran KM; Fixed Prosthodontics, Faculty of Dentistry, Mansoura University, Mansoura, Egypt., Saleh AM; Chest Medicine, Sleep Disorder Breathing Unit, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
المصدر: BMC oral health [BMC Oral Health] 2024 Aug 11; Vol. 24 (1), pp. 931. Date of Electronic Publication: 2024 Aug 11.
نوع المنشور: Journal Article; Randomized Controlled Trial
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088684 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6831 (Electronic) Linking ISSN: 14726831 NLM ISO Abbreviation: BMC Oral Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Sleep Apnea, Obstructive*/therapy , Sleep Apnea, Obstructive*/complications , Mandibular Advancement*/instrumentation , Mandibular Advancement*/methods , Continuous Positive Airway Pressure* , Temporomandibular Joint Disorders*/therapy , Temporomandibular Joint Disorders*/complications , Temporomandibular Joint Disorders*/diagnostic imaging, Humans ; Adult ; Female ; Male ; Middle Aged ; Prospective Studies ; Myofunctional Therapy/methods ; Young Adult ; Temporomandibular Joint/diagnostic imaging ; Magnetic Resonance Imaging ; Polysomnography ; Treatment Outcome ; Pain Measurement
مستخلص: Background: In recent years, obstructive sleep apnea (OSA) has been increasingly recognized as a significant health concern. No previous studies assessed the effect of recommended treatment modalities of patients with OSA on the temporomandibular joint (TMJ). The current study aimed to evaluate the effect of different treatment modalities of OSA, such as continuous positive airway pressure (CPAP), mandibular advancement device (MAD), and oral myofunctional therapy (OMT) on subjective symptoms, clinical, and radiographic signs of temporomandibular disorders.
Patients & Methods: This hospital-based prospective randomized controlled clinical trial study was approved by the institutional review board and formal patient consent, 39 OSA patients, ranging in age from 19 to 56 after confirmation with full night Polysomnography (PSG) with healthy TMJ confirmed clinically and radiographically with magnetic resonance imaging (MRI) were randomly allocated into three treatment groups. Group 1: 13 patients were managed with CPAP after titration, group 2: 13 patients were managed with digitally fabricated MAD, and group 3: 13 patients were managed with OMT. The following parameters were evaluated before and 3 months after the intervention. Pain using a visual analogue scale (VAS), maximum inter-incisal opening (MIO), lateral movements, and clicking sound of TMJ. MRI was done before and 3 months after the intervention.
Results: Out of the 83 patients enrolled, 39 patients completed the treatment. There were no statistically significant differences in lateral jaw movements or clicking, and no significant difference in MRI findings between the three studied groups before and after the intervention. The OMT group showed a statistically significant difference in pain (p = 0.001), and MIO (p = 0.043) where patients experienced mild pain and slight limitation in mouth opening after 3 months of follow-up in comparison to MAD and CPAP groups.
Conclusion: CPAP and MAD are better for preserving the health of TMJ in the treatment of OSA patients. While OMT showed mild pain and slight limitation of MIO (that is still within the normal range of mouth opening) compared to CPAP and MAD.
Trial Registration: The study was listed on www.
Clinicaltrials: gov with registration number (NCT05510882) on 22/08/2022.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Continuous positive airway pressure, oral myofunctional therapy; Mandibular advancement device; Obstructive sleep apnea; Pain; Temporomandibular disorder
سلسلة جزيئية: ClinicalTrials.gov NCT05510882
تواريخ الأحداث: Date Created: 20240811 Date Completed: 20240811 Latest Revision: 20240829
رمز التحديث: 20240830
مُعرف محوري في PubMed: PMC11317010
DOI: 10.1186/s12903-024-04623-w
PMID: 39129005
قاعدة البيانات: MEDLINE
الوصف
تدمد:1472-6831
DOI:10.1186/s12903-024-04623-w