Effect of Different Maxillary Oral Appliance Designs on Respiratory Variables during Sleep.
Effect of Different Maxillary Oral Appliance Designs on Respiratory Variables during Sleep.
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DOI：
10.3390/ijerph19116714
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发表时间：
2022-05-31
影响因子：
--
通讯作者：
Maeda, Shigeru
中科院分区：
文献类型：
--
作者：
Soe, Kay Thwe Ye Min;Ishiyama, Hiroyuki;Nishiyama, Akira;Shimada, Masahiko;Maeda, Shigeru
本研究旨在分析上颌口腔矫治器（MOA）设计对睡眠时呼吸变量的影响。在基线时，23名参与者用便携式设备进行了为期两晚的睡眠测试，并被分为轻度阻塞性睡眠呼吸暂停（mild-OSA） （n = 13）和无OSA (w/o-OSA) （n = 10）。分别佩戴标准oa （S-OA）、腭覆盖oa （PC-OA）和垂直增加oa （VI-OA）三种MOA三晚，并在便携式设备上对每种MOA进行两晚的睡眠测试。根据每个MOA的两晚呼吸事件指数（REI）值的平均值，将REI≥5.0的w/o-OSA参与者定义为加重组，REI < 5.0的为非加重组。在轻度osa参与者中，REI≥15.0或REI≥基线REI × 1.5被定义为加重组，REI < 15.0和REI <基线REI × 1.5被定义为非加重组。在无/无osa和轻度osa参与者中评估MOA加重组和非加重组的百分比。采用牙列模型分析比较上颌和下颌牙弓尺寸。w/o-OSA患者加重组（n = 10）包括10.0% (n = 1) S-OA, 40.0% (n = 4) PC-OA, 30.0% (n = 3) VI-OA。轻度osa加重组（n = 13）中，15.4% （n = 2）为S-OA， 23.1% （n = 3）为PC-OA， 23.1% （n = 3）为VI-OA。在w/o-OSA模型分析中，佩戴S-OA加重组后牙弓宽度明显大于非加重组（p < 0.05）。PC-OA和VI-OA加重组上颌与下颌牙弓宽度（前牙弓宽度）之比均显著大于非加重组（p < 0.05）。在轻度osa中，S-OA加重组上颌、下颌牙弓长度和上颌与下颌牙弓宽度（后牙弓宽度）之比明显小于非加重组（p < 0.05）。本研究证实，重/无osa和轻度osa受试者在睡眠期间佩戴MOA可增加REI， PC-OA和VI-OA比S-OA更能增加REI。当使用MOA时，上颌和下颌牙弓的尺寸可能会影响REI。
This study aimed to analyze the efficacy of maxillary oral appliance (MOA) designs on respiratory variables during sleep. At baseline, 23 participants underwent a sleep test with a portable device for two nights and were categorized as participants with mild obstructive sleep apnea (mild-OSA) (n = 13) and without OSA (w/o-OSA) (n = 10). Three types of MOAs, standard-OA (S-OA), palatal covering-OA (PC-OA), and vertically increasing-OA (VI-OA), were each worn for three nights, and sleep tests with each MOA were performed with a portable device for two nights. Based on the average of the respiratory event index (REI) values for the two nights for each MOA, w/o-OSA participants with an REI ≥ 5.0 were defined as the exacerbation group and those with an REI < 5.0 as the non-exacerbation group. In mild-OSA participants, an REI ≥ 15.0 or REI ≥ baseline REI × 1.5 were defined as the exacerbation group and those with an REI < 15.0 and REI < baseline REI × 1.5 were defined as the non-exacerbation group. The percentage of the exacerbation and non-exacerbation groups with MOA was evaluated in the w/o-OSA and mild-OSA participants. The maxillary and mandibular dental-arch dimension was compared by dentition model analysis. The exacerbation group in w/o-OSA participants (n = 10) comprised 10.0% participants (n = 1) with S-OA, 40.0% (n = 4) with PC-OA, and 30.0% (n = 3) with VI-OA. The exacerbation group in the mild-OSA participants (n = 13) comprised 15.4% subjects (n = 2) with S-OA, 23.1% (n = 3) with PC-OA, and 23.1% (n = 3) in VI-OA. In the model analysis for w/o-OSA, the posterior dental arch width was significantly greater in the exacerbation group than in the non-exacerbation group wearing S-OA (p < 0.05). In addition, the ratio of the maxillary to mandibular dental arch width (anterior dental arch width) was significantly greater in the exacerbation group than in the non-exacerbation group for both PC-OA and VI-OA (p < 0.05). In mild-OSA, the maxillary and mandibular dental arch lengths and the ratio of maxillary to mandibular dental arch width (posterior dental arch width) were significantly smaller in the exacerbation group than in the non-exacerbation group for S-OA (p < 0.05). This study confirmed that wearing an MOA by w/o-OSA and mild-OSA participants may increase the REI during sleep and that PC-OA and VI-OA may increase the REI more than S-OA. The maxillary and mandibular dental-arch dimensions may affect the REI when using an MOA.
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DOI：
10.1016/j.jdsr.2022.02.004
发表时间：
2022-11
期刊：
The Japanese dental science review
影响因子：
--
作者：
Minakuchi H;Fujisawa M;Abe Y;Iida T;Oki K;Okura K;Tanabe N;Nishiyama A
通讯作者：
Nishiyama A
影响因子：
3.9
作者：
Ishiyama H;Hideshima M;Inukai S;Tamaoka M;Nishiyama A;Miyazaki Y
通讯作者：
Miyazaki Y
影响因子：
1.8
作者：
Al-Zubair, Nabil Muhsen
通讯作者：
Al-Zubair, Nabil Muhsen
影响因子：
4.4
作者：
Kaynak, H;Kaynak, D;Oztura, I
通讯作者：
Oztura, I
影响因子：
9.6
作者：
Marklund, M;Persson, M;Franklin, KA
通讯作者：
Franklin, KA