Validation of a Novel Trial Oral Appliance Protocol Versus a Conventional Custom Oral Appliance Protocol for the Treatment of Obstructive Sleep Apnea

Levendowski, Daniel J.; Sall, Edward; Morgan, Todd; Beine, Bretton; Odom, William E.; Arista, Dorian Cruz; Munafo, Dominic

doi:10.15331/jdsm.7190

Cited by 2 publications

(1 citation statement)

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“…Another approach that uses a combination of tongue size and sex to select phenotypical features that achieve treatment outcomes superior to the conventional fitting of custom oral appliances is available but warrants careful implementation and evaluation in new settings (ApneaGuard). The ApneaGuard trial device (Advanced Brain Monitoring, Carlsbad CA) was developed to predict both efficacy and optimum mandibular position, including the degree of vertical opening [ 92 ]. A better understanding of other treatment response predictors such as the identification of phenotypes that confer greater responsiveness to OAT or HNS needs to be considered.…”

Section: Multidisciplinary Care Modelmentioning

confidence: 99%

Oral appliance therapy and hypoglossal nerve stimulation as non-positive airway pressure treatment alternatives for obstructive sleep apnea: a narrative expert review

Parthasarathy,

Ayas,

Bogan

et al. 2024

Sleep Advances

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This perspective on alternatives to positive airway pressure (PAP) therapy for the treatment of obstructive sleep apnea (OSA) summarizes the proceedings of a focus group that was conducted by the Sleep Research Society Foundation. This perspective is from a multidisciplinary panel of experts from sleep medicine, dental sleep medicine, and otolaryngology that aims to identify the current role of oral appliance therapy and hypoglossal nerve stimulation for the treatment of OSA with emphasis on the US practice arena. A secondary aim is to identify—from an implementation science standpoint—the various barriers and facilitators for adoption of non-PAP treatment that includes access to care, multidisciplinary expertise, reimbursement, regulatory aspects, current treatment guidelines, health policies, and other factors related to the delivery of care. The panel has contextualized the review with recent events—such as a large-scale PAP device recall compounded by supply chain woes of the pandemic—and emerging science in the field of OSA and offers solutions for multidisciplinary approaches while identifying knowledge gaps and future research opportunities.

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Section: Multidisciplinary Care Modelmentioning

confidence: 99%

Oral appliance therapy and hypoglossal nerve stimulation as non-positive airway pressure treatment alternatives for obstructive sleep apnea: a narrative expert review

Parthasarathy,

Ayas,

Bogan

et al. 2024

Sleep Advances

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Criteria for oral appliance and/or supine avoidance therapy selection based on outcome optimization and cost-effectiveness

Levendowski

Olmstead

Sall³

et al. 2021

Journal of Medical Economics

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Author ContributionsDL and BB designed the study. DL and RO performed that statistical analyses. All authors were involved in the interpretation of the results and preparation of the manuscript. AcknowledgementsWith their permission, the authors wish to thank Dorian Cruz Arista, DA and Teresa Fregoso RDA for their assistance in fitting the Apnea Guards and extracting data from the patient records, Todd Morgan DMD and William Odom DDS for their oversight of the cost-containment protocol, Samuel Clark MD for assistance in interpreting the home sleep studies, and William Hevener, RPSGT for his assistance in identifying and referring patients intolerant of positive airway pressure for this study.

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Validation of a Novel Trial Oral Appliance Protocol Versus a Conventional Custom Oral Appliance Protocol for the Treatment of Obstructive Sleep Apnea

Cited by 2 publications

References 0 publications

Oral appliance therapy and hypoglossal nerve stimulation as non-positive airway pressure treatment alternatives for obstructive sleep apnea: a narrative expert review

Oral appliance therapy and hypoglossal nerve stimulation as non-positive airway pressure treatment alternatives for obstructive sleep apnea: a narrative expert review

Criteria for oral appliance and/or supine avoidance therapy selection based on outcome optimization and cost-effectiveness

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