Mandibular Torus as a New Index of Success for Mandibular Advancement Devices
| العنوان: | Mandibular Torus as a New Index of Success for Mandibular Advancement Devices |
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| المؤلفون: | Teresa Diaz de Teran, Pedro Muñoz, Felix de Carlos, Emilio Macias, Marta Cabello, Olga Cantalejo, Paolo Banfi, Antonello Nicolini, Paolo Solidoro, Monica Gonzalez |
| المساهمون: | Universidad de Cantabria |
| المصدر: | Scopus International Journal of Environmental Research and Public Health; Volume 19; Issue 21; Pages: 14154 International Journal of Environmental Research and Public Health 2022, 19, 14154 |
| بيانات النشر: | MDPI AG, 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Male, Sleep Apnea, Obstructive, obstructive sleep apnoea, mandibular advancement devices, cephalometry, mandibular torus, Health, Toxicology and Mutagenesis, Public Health, Environmental and Occupational Health, Occlusal Splints, Middle Aged, Treatment Outcome, Quality of Life, Humans, Female, Mandibular Advancement, Retrospective Studies |
| الوصف: | Background: In obstructive sleep apnoea (OSA), treatment with mandibular advancement devices (MADs) reduces patients’ Apnoea–Hypopnoea index (AHI) scores and improves their sleepiness and quality of life. MADs are non-invasive alternatives for patients who cannot tolerate traditional continuous positive airway pressure (CPAP) therapy. The variability of responses to these devices makes it necessary to search for predictors of success. The aim of our study was to evaluate the presence of mandibular torus as a predictor of MAD efficacy in OSA and to identify other potential cephalometric factors that could influence the response to treatment. Methods: This was a retrospective cohort study. The study included 103 patients diagnosed of OSA who met the criteria for initiation of treatment with MAD. Structural variables were collected (cephalometric and the presence or absence of mandibular torus). Statistical analysis was performed to evaluate the existence of predictive factors for the efficacy of MADs. Results: A total of 103 patients who were consecutively referred for treatment with MAD were included (89.3% men); the mean age of the participants was 46.3 years, and the mean AHI before MAD was 31.4 (SD 16.2) and post- MAD 11.3 (SD 9.2). Thirty-three percent of patients had mandibular torus. Torus was associated with a better response (odds ratio (OR) = 2.854 (p = 0.035)) after adjustment for sex, age, body mass index (BMI; kg/m2), the angle formed by the occlusal plane to the sella–nasion plane (OCC plane to SN), overinjection, and smoking. No cephalometric predictors of efficacy were found that were predictive of MAD treatment success. Conclusions: The presence of a mandibular torus practically triples the probability of MAD success. This is the simplest examination with the greatest benefits in terms of the efficacy of MAD treatment for OSA. |
| وصف الملف: | application/pdf |
| تدمد: | 1660-4601 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::60e4e6682be37763bdfe4620f06ad3c9 https://doi.org/10.3390/ijerph192114154 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....60e4e6682be37763bdfe4620f06ad3c9 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 16604601 |
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