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A prospective 10-year follow-up polygraphic study of patients treated with a mandibular protruding device

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Abstract

Purpose

This 10-year follow-up prospective study aimed to evaluate the effects of treatment with a mandibular protruding device (MPD) on respiratory parameters and subjective symptoms in patients with obstructive sleep apnea (OSA) or snoring.

Methods

Seventy-seven consecutive patients diagnosed with OSA or snoring were treated with an MPD. At baseline and the 10-year follow-up, a polygraphic examination and questionnaires on sleep quality were administrated and weight, and neck size was measured.

Results

At the 10-year follow-up, we examined 64 of the 77 patients and recorded their current treatment (45 MPD, 9 continuous positive airway pressure (CPAP), and 10 no treatment). For MPD patients, 89 % reported MPD use every night and 9 % several nights a week. Compared to baseline, MPD users with OSA had a significantly decreased oxygen desaturation index (ODI) (p = 0.006) and increased lowest arterial oxygen saturation, SaO2 nadir (p = 0.007) after 10 years. MPD treatment was successful for 70 % of OSA patients, yet 89 % subjectively considered themselves cured, indicating overestimation of the treatment effect. OSA patients who responded to treatment maintained baseline weight and neck size, while these increased for non-responders. Of the baseline snorers still using an MPD, 93 % maintained an ODI value of <5. All CPAP users had an ODI value of <5. Both OSA and snorers using an MPD had significantly fewer self- and relative reports of snoring, apnea, daytime tiredness, and poor night sleep quality (p < 0.001).

Conclusions

MPD treatment is well tolerated and effective in a long-term, 10-year perspective. Weight gain may jeopardize MPD effects. Both patients and relatives reported significantly less snoring and fewer periods of apnea.

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Authors and Affiliations

  1. Department of Dental Sleep Medicine, Postgraduate Dental Education Center, Örebro, Sweden

    Eva Wiman Eriksson

  2. Sleep Unit, Department of Neurology, Örebro University Hospital, Örebro, Sweden

    Lena Leissner

  3. Department of Orofacial Pain, Västmanland County Hospital, Västerås, Sweden

    Göran Isacsson

  4. Department of Orthodontics and Dental Sleep Medicine Clinic, Postgraduate Dental Education Center, P.O. Box 1126, SE 701 11, Örebro, Sweden

    Anette Fransson

Authors
  1. Eva Wiman Eriksson
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  2. Lena Leissner
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  3. Göran Isacsson
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  4. Anette Fransson
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Correspondence to Anette Fransson.

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Wiman Eriksson, E., Leissner, L., Isacsson, G. et al. A prospective 10-year follow-up polygraphic study of patients treated with a mandibular protruding device. Sleep Breath 19, 393–401 (2015). https://doi.org/10.1007/s11325-014-1034-5

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  • DOI: https://doi.org/10.1007/s11325-014-1034-5

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