IJERPH, Vol. 16, Pages 3248: The Most Effective Amount of Forward Movement for Oral Appliances for Obstructive Sleep Apnea: A Systematic Review
IJERPH, Vol. 16, Pages 3248: The Most Effective Amount of Forward Movement for Oral Appliances for Obstructive Sleep Apnea: A Systematic Review
International Journal of Environmental Research and Public Health doi: 10.3390/ijerph16183248
Authors:
Yuki Sakamoto
Akifumi Furuhashi
Eri Komori
Hiroyuki Ishiyama
Daichi Hasebe
Kazumichi Sato
Hidemichi Yuasa
This systematic review clarifies the amount of effective protrusion in mandibular advancement devices of oral appliances required for obstructive sleep apnea (OSA). The systematic review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Review Manager 5 and GRADEpro were used to combine trials and analyze data. The present review included three studies. In mild to moderate OSA cases, measured using the apnea–hypopnea index (AHI), 50% protrusion was more effective than 75% protrusion. However, 75% protrusion was more effective for severe cases. Sleep stage, Epworth Sleepiness Scale (ESS), snoring index, and side effects significantly differed between the groups. Additionally, 75% protrusion was more effective (AHI: 0.38, 95% CI: −0.89 to 1.65, p = 0.56; sleep stage 3: −1.20, 95% CI: 9.54–7.14, p = 0.78; ESS: 1.07, 95% CI: −0.09 to 2.24, p = 0.07; snoring index: 0.09, 95% CI: 0.05–0.13, p < 0.05; side effects: RR: 1.89, 95% CI: 0.36–9.92, p = 0.45). As ...
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Yuki Sakamoto Akifumi Furuhashi Eri Komori Hiroyuki Ishiyama Daichi Hasebe Kazumichi Sato Hidemichi Yuasa Tags: Article Source Type: research