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 per the AHI, 75% protrusion was ...
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research

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Conclusions:Playing a wind instrument and singing may have a small but positive effect on sleep disorders. Considering the practicality and investment of (rehearsal) time, didgeridoo and singing are the most promising interventions to reduce obstructive sleep apnea and snoring, respectively. However, the results of this review are based on few studies and the synthesis of the evidence is graded to have low certainty.Citation:van der Weijden FN, Lobbezoo F, Slot DE. The effect of playing a wind instrument or singing on risk of sleep apnea: a systematic review and meta-analysis.J Clin Sleep Med. 2020;16(9):1591 –1601. 
Source: Dental Technology Blog - Category: Dentistry Source Type: news
Who do you think understands more about bipolar disorder: a psychiatrist or a patient with the illness? In this Not Crazy podcast, we discuss whether a patient can be considered a mental health expert without all the credentials after their name. Today we invite writer and bipolar advocate Natasha Tracy — who also has bipolar disorder — to the show to give her opinion. Would you seek advice from a patient? Join us for an in-depth discussion on mental health patients as experts. (Transcript Available Below) Subscribe to Our Show! And Please Remember to Rate &Review Us!   Guest Information for &lsquo...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: General Interview Not Crazy Podcast Policy and Advocacy Source Type: blogs
Who do you think understands more about bipolar disorder: a psychiatrist or a patient with the illness? In this Not Crazy podcast, we discuss whether a patient can be considered a mental health expert without all the credentials after their name. Today we invite writer and bipolar advocate Natasha Tracy — who also has bipolar disorder — to the show to give her opinion. Would you seek advice from a patient? Join us for an in-depth discussion on mental health patients as experts. (Transcript Available Below) Subscribe to Our Show! And Please Remember to Rate &Review Us!   Guest Information for &lsquo...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: General Interview Not Crazy Podcast Policy and Advocacy Source Type: blogs
Authors: Feitoza CC, Coelho N, Costa N, Ponte A, Azevedo W PMID: 32966245 [PubMed - as supplied by publisher]
Source: Journal of Clinical Orthodontics : JCO - Category: Dentistry Tags: J Clin Orthod Source Type: research
AbstractObjectivesWe aimed to investigate the relationship between the presence and severity of obstructive sleep apnea (OSAS) and smoking by using pulmonary function tests and polysomnographic data.MethodsThis analytical cross ‐sectional study was done by retrospectively examining the files of patients who applied to the Meram Medical Faculty Chest Diseases Sleep Laboratory between 07.01.2016‐30.12.2018. Three‐hundred and thirty‐three patients who were diagnosed with OSAS or simple snoring by polysomnography (PSG) were included in the study.ResultsThose involved in the study; 17.1% were simple snoring [apnea ‐hy...
Source: The Clinical Respiratory Journal - Category: Respiratory Medicine Authors: Tags: ORIGINAL ARTICLE Source Type: research
Conclusions: The "Firefly" app based sensing technology offers the potential to significantly lower the barrier of entry to OSA screening, as no hardware (other than the user's personal smartphone) is required. Additionally, multi-night analysis is possible in the home environment, without requiring the wearing of a portable PSG or other home sleep test (HST). PMID: 32944361 [PubMed]
Source: Journal of Thoracic Disease - Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
OBJECTIVE: To explore the relationship between insomnia phenotype and mild cognitive impairment (MCI) in young and middle-aged patients with obstructive sleep apnea hypopnea syndrome (OSAHS). METHODS: Those patients admitted due to snoring and exam...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Distraction, Fatigue, Chronobiology, Vigilance, Workload Source Type: news
Journal of Clinical Sleep Medicine,Volume 16, Issue 9, Page 1429-1430, September 2020.
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Authors: Source Type: research
Purpose: The aim of this study was to explore the clinical characteristics of different sleep perception types of obstructive sleep apnea–hypopnea syndrome (OSAHS) patients and to analyze the correlation between sleep perception and polysomnography (PSG) indicators in OSAHS patients.Methods: We retrospectively analyzed 355 patients diagnosed with OSAHS by PSG at the Sleep Medicine Center of Shengjing Hospital of China Medical University. Patients saw a doctor due to snoring and daytime sleepiness from March 2017 to March 2018. We excluded the patients who are
Source: Frontiers in Neurology - Category: Neurology Source Type: research
CONCLUSION: Dynamic pain after tonsillectomy and uvulopalatopharyngoplasty could immediately be mitigated by local treatments upon sweet spots. Local treatments upon sweet spots were highly suggested to begin early post-operatively and be included in the take-home routines for patients receiving tonsillectomy and uvulopalatopharyngoplasty. PMID: 32909450 [PubMed - as supplied by publisher]
Source: The Annals of Otology, Rhinology, and Laryngology - Category: ENT & OMF Authors: Tags: Ann Otol Rhinol Laryngol Source Type: research
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