Effects of Occlusal Stabilization Splints on Obstructive Sleep Apnea: A Randomized Controlled Trial

Nikolopoulou, Maria; Ahlberg, Jari; Visscher, Corine M.; Hamburger, Hans; Naeije, M.; Lobbezoo, Frank

doi:10.11607/jop.967

Cited by 40 publications

(27 citation statements)

References 7 publications

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“…This individual variation was also observed in the previous studies . It has been reported that the use of thick maxillary OS may increase the severity of the respiratory disturbance index in patients with obstructive sleep apnoea (OSA) . Respiratory disturbances may enhance arousals and provoke SB activity .…”

Section: Discussionsupporting

confidence: 78%

Oral appliances for managing sleep bruxism in adults: a systematic review from 2007 to 2017

Jokubauskas

Baltrušaitytė

Pileičikienė

2017

J of Oral Rehabilitation

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SUMMARY The review focuses on the last decade of research regarding the use of various oral appliances (OAs) in the management of sleep bruxism (SB) in adults. Sixteen (n = 16) papers of 641 identified citations involving 398 participants were included in the review. Of them, seven were randomised controlled trials (RCTs), seven were uncontrolled before-after studies and two were crossover trials. Analysis of the included articles revealed a high variability of study designs and findings. Generally, the risk of bias was lowto-unclear for RCTs and high for crossover studies, whilst the before-after studies exhibited several structural limitations. Nine studies used polysomnography/polygraphy/electromyography for SB diagnosis, whilst others were based on history taking and clinical examination. Most of them featured small samples and were short term. Of the studies using objective SB evaluations, eight showed positive results for almost every type of OA in reducing SB activity, with a higher decrease for devices that are designed to provide a certain extent of mandibular advancement. Among the studies using a subjective SB evaluation, one demonstrated a significant reduction in SB activity, and additional two showed a myorelaxant effect of OA in SB patients. Although many positive studies support the efficiency of OA treatment for SB, accepted evidence is insufficient to support its role in the long-term reduction of SB activity. Further studies with larger samples and sufficient treatment periods are needed to obtain more acknowledgements for clinical application.

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Section: Discussionsupporting

confidence: 78%

Oral appliances for managing sleep bruxism in adults: a systematic review from 2007 to 2017

Jokubauskas

Baltrušaitytė

Pileičikienė

2017

J of Oral Rehabilitation

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“…For example, the use of single upper arch oral appliance customized for SB was shown to exacerbate obstructive respiratory events in patients with SDB (ie, rise in the apnea-hypopnea index). 60,61 In case of a patient with SB at risk of SDB (eg, obstructive sleep apnea), we recommended a mandibular occlusal splint (made for the lower jaw) or a mandibular advancement appliance. …”

Section: Pharmacotherapymentioning

confidence: 99%

Overview on Sleep Bruxism for Sleep Medicine Clinicians

Carra

Huynh

Fleury

et al. 2015

Sleep Medicine Clinics

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“…Indeed, insertion of an intraoral prosthesis would have an indirect effect on the tongue, soft palate, and the patency of the airway (8,9,10) . The study of Gagnon et al (11) on dentate patients, advocated that a bite elevation without a protrusive component might due to the risk of aggravating the upper airway obstruction for some patients.…”

Section: Introductionmentioning

confidence: 99%

“…Impaired function of the genioglossus muscles and pharyngeal inflammation was reported also with dentures wearing (6,13) . Literatures stated that both the lingual flange and palatal plate are responsible for the encroachment of the tongue and reduction in upper airway volume (10,14) . Furthermore, the shape of the palatal contour may affect the functions of the tongue and soft palate that will alter the pharyngeal airway volume (7) .…”

Section: Introductionmentioning

confidence: 99%

Influence of Denture Palatal Contouring on the Oropharyngeal Space in Complete Denture Wearers: A Cross-Over Radiographic Study

Abdel-Khalek

Ibrahim

Aboelmaaty

2018

Egyptian Dental Journal

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Objectives: The aim of this 2-years cross-over study was to radiographically compare the influence of palatal contouring of maxillary denture on oro-pharyngeal airway space. Methods:The study was conducted on 20 healthy patients who were completely edentulous in the maxilla and mandible. All patients were randomly allocated in two equal groups to receive a mandibular denture opposed by a maxillary denture with either an arbitrary contoured palate (ACP) or a functional contoured palate (FCP) at the start of the study. The maxillary denture was exchanged after 1 year from insertion. The oropharyngeal volume (OPV) and minimum cross sectional area (CSA) were measured by using CBCT. Results:After 12 months of denture insertion, the mean OPV was more with FCP (29.9±3.1cm 3 ) compared to ACP denture (24.9±2.2 cm 3 ), also the mean CSA was more with FCP denture (363.7±67.3mm 2 ) compared to ACP denture (286.5±65.8mm 2 ). There was a high positive correlation between OPV and CSA with FCP denture ( r=0.90) and ACP denture (r= 0.61). Conclusion:Within this limited study, fabricating a complete denture with functionally contoured palatal surface may have a positive role in maintaining the oropharyngeal airway patency especially in old patients.(1598) -Khalek, et al. Abdel

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Effects of Occlusal Stabilization Splints on Obstructive Sleep Apnea: A Randomized Controlled Trial

Cited by 40 publications

References 7 publications

Oral appliances for managing sleep bruxism in adults: a systematic review from 2007 to 2017

Oral appliances for managing sleep bruxism in adults: a systematic review from 2007 to 2017

Overview on Sleep Bruxism for Sleep Medicine Clinicians

Influence of Denture Palatal Contouring on the Oropharyngeal Space in Complete Denture Wearers: A Cross-Over Radiographic Study

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