KMID : 0360120120340060426
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Journal of the Korean Society of Maxillofacial Plastic Reconstructive Surgeons 2012 Volume.34 No. 6 p.426 ~ p.431
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Assessment of Treatment Outcome after Using Temporary Mandibular Advancement Devices in Obstructive Sleep Apnea Patients
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Park Joon-Hyung
Oh Su-Seok Hong Jong-Rak Kim Chang-Soo Paeng Jun-Young
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Abstract
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Purpose: The aim of this study was to evaluate the effect of temporary mandibular advancement devices (MAD) in obstructive sleep apnea (OSA) patients
Methods: 28 patients (male 21, female 7) undergoing temporary mandibular advancement device treatment for OSA were selected from 2011.01. to 2012.02. in the department of Oral & Maxillofacial Surgery at SamsungMedicalCenter. Treatment efficacy was determined by polysomnography (PSG) at baseline & after MAD delivery. The response group was defined as >50% Apnea-Hypopnea Index (AHI) reduction plus post-MAD AHI <10, and the non-response group was defined as <50% AHI reduction. The lateral cephalogram was analysed including SNA, SNB, UL, MPH, PAS, PASU, and PAST using V-ceph$^{TM}$ ¼ö½Ä À̹ÌÁö (Cybermed, USA).
Results: The responsers were 23 patients, and non-responsers were 5 patients. The AHI was significantly reduced with temporary MAD ($8.08{\pm}7.93$ ¼ö½Ä À̹ÌÁö) compared with baseline ($28.51{\pm}20.56$ ¼ö½Ä À̹ÌÁö) in the response group (n=23). No significant difference was observed between pre MAD and post MAD except SNB on cephalometric analysis. Among 11 patients successfully treated with the temporary device, 9 patients said that using permanent device brings better effect too.
Conclusion: These results indicate that the Temporary MAD could not be the only effective tools on OSA but also be used to predict patient¡¯s reactivity about permanent appliance treatment. Further studies are warranted to evaluate the relations between temporary MAD and permanent MAD.
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KEYWORD
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Mandibular advancement device, Obstructive sleep apnea, Oral appliance
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