Patient-Perceived Success of Three Common Oral Appliances in Oral Appliance Therapy of Obstructive Sleep Apnea
Abstract
Introduction: : Obstructive sleep apnea (OSA) is a highly prevalent sleep-related breathing disorder characterized by periods of recurrent cessation of breathing caused by partial or complete collapse of the upper airway. The dental role in treatment of OSA most commonly involves fabrication of mandibular advancement appliances (MAA). Objective: To evaluate the relationship between three common obstructive sleep apnea oral appliances and patient-perceived success in the Active Duty Army population. The study attempts to determine if patients observe an improvement in their snoring, OSA, and daytime wakefulness after the initiation of oral appliance therapy and the effect on patient compliance with appliance wear. Methods: A secured and anonymous, 13-question, web-based survey was fabricated and uploaded to surveymonkey.com available for all Active Duty Army Service Members treated for mild or moderate OSA with oral appliance therapy using a Herbst, TAP3, or Prosomnus appliance. The survey was distributed to subjects via email or during postinsertion appointments by Army dentists at multiple locations. Results: Kruskal Wallis tests showed significant differences in patient responses between the appliances regarding the questions of Has reduced how often I snore, Has reduced how loud I snore, Is comfortable, and I am happy with my OSA apnea oral appliance (p < 0.001) with subjects preferring the Prosomnus appliance much more than the other two appliances. Subjects using the Prosomnus appliance wore the appliance most nights or every night of the week 87% of the time (p < 0.001), significantly higher than the other two appliances. Conclusion: In this study, the far more preferred appliance is the Prosomnus appliance.
Document Details
- Document Type
- Technical Report
- Publication Date
- Apr 30, 2020
- Accession Number
- AD1182652
Entities
People
- Brandon M. Gage
- Gamal A. Baker
- Lisa N. Yarbrough
- M. B. Lustik
Organizations
- Tripler Army Medical Center
- Uniformed Services University of the Health Sciences
- United States Army