Models of anatomically based oropharyngeal rehabilitation with a multilevel approach for patients with obstructive sleep apnea: a meta-synthesis and meta-analysis

Lin, Hsin; Su, Po‐Lan; Lin, Chii Jeng; Hung, Ching Hsia

doi:10.1007/s11325-019-01971-8

Cited by 2 publications

(1 citation statement)

References 67 publications

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“…The prevalence in these healthy adult individuals was 7.4% and 24.2%, respectively [51]. Also, in the near future, this high prevalence of OSA can reduce in DS patients with early stimulation that includes oropharyngeal exercises in DS [52,53], which have recently been described as essential measures to decrease OSA-related symptoms in the population general [54][55][56][57][58]. These exercises improve OSA by reducing the circumference of mouth and neck breathing and improving lip hypotonia, the resting position of the tongue, and hypotonia [54][55][56][57][58].…”

Section: Discussionmentioning

confidence: 99%

STOP-Bang questionnaire should be used in all adults with Down Syndrome to screen for moderate to severe obstructive sleep apnea

et al. 2020

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Study objectives To determine the prevalence of obstructive sleep apnea (OSA) in adults with Down syndrome (DS), to investigate factors related to OSA severity and to identify which sleep questionnaire is the most appropriate for the screening of OSA in this population. Methods Cross-sectional study that consecutively included 60 adults with DS. All patients underwent type III polysomnography and clinical and laboratory data were collected; sleep assessment questionnaires were applied. Multiple linear regression models evaluated the associations between OSA severity (measured by the respiratory event index-REI) and clinical and laboratory data and sleep questionnaires (Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index, BERLIN and STOP-Bang questionnaires). Results Results show that 60 (100%) adults with DS had OSA, with moderate-severe OSA identified in 49 (81.6%). At the multivariate linear regression, REI significantly correlated with hematocrit levels, BMI and STOP-Bang questionnaire (SBQ) results (P <0.001). The positive STOP-Bang �3 points) showed 100% of sensitivity (95%CI: 92.75-100%), 45.45% of specificity (95%CI: 16.75-76.62), positive predictive value of 89.09% (95%CI: 82.64-93.34%), negative predictive value of 100%, accuracy of 90% (95%CI: 79.49-96.24%) and OR of 24.29.

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Section: Discussionmentioning

confidence: 99%

STOP-Bang questionnaire should be used in all adults with Down Syndrome to screen for moderate to severe obstructive sleep apnea

et al. 2020

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The Influence of Dental Orthopedic Rehabilitation Procedures on Manifestations of Obstructive Sleep Apnea in Patients With Temporomandibular Disorder

Михайлова

Chikunov

Dzalaeva³

et al. 2020

Actual Problems in Dentistry

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Subject ― is a temporomandibular joint dysfunction. Goal ― to evaluate clinical effectiveness of an interdisciplinary approach towards dental orthopedic treatment of patients with obstructive sleep apnea and a need for a full mouth reconstruction. Methodology. A total of 95 patients (52 males and 43 females) with adentia, obstructive sleep apnea syndrome and temporomandibular disorder were assigned to comprehensive examination and treatment. All patients were in need for a full mouth reconstruction. Patients were divided into 3 groups. Group 1 (n = 32) was exposed to standard treatment procedures. Group 2 (n = 29) received certain elements of an interdisciplinary approach to dental orthopedic rehabilitation. Group 3 (n = 34) was exposed to multidisciplinary approach towards dental orthopedic rehabilitation. The follow-up period was 7 years. A key step in the treatment of group 3 patients was to conduct full patient examinations sequentially. The corresponding procedures were supplemented with a study of OSA manifestation patterns. Results. It was found that the use of the present proposal contributes to the normalization of the OSA picture in patients with temporomandibular disorder. For instance, the apnea-hypopnea index dropped, the basal nocturnal saturation increased, and the minimum saturation level decreased. Overall, the proportion of patients with better to favorable sleep increased. The revealed changes were persistent, and a positive effect was observed throughout the 5―7 years of follow-up. Conclusion. Performing restoration of the anatomical shape of the tooth with the interdisciplinary approach, the dentist should assess and relieve the manifestations of OSA while correcting the temporomandibular joint disturbances.

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Models of anatomically based oropharyngeal rehabilitation with a multilevel approach for patients with obstructive sleep apnea: a meta-synthesis and meta-analysis

Cited by 2 publications

References 67 publications

STOP-Bang questionnaire should be used in all adults with Down Syndrome to screen for moderate to severe obstructive sleep apnea

STOP-Bang questionnaire should be used in all adults with Down Syndrome to screen for moderate to severe obstructive sleep apnea

The Influence of Dental Orthopedic Rehabilitation Procedures on Manifestations of Obstructive Sleep Apnea in Patients With Temporomandibular Disorder

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