Treatment Outcomes of Mandibular Advancement Devices between Rapid-Eye-Movement (REM)-Related and Not-REM-Related OSA Patients
Oh Jae-Tak, 장지희, 정진우,
소속 상세정보
( Oh Jae-Tak ) - Seoul National University School of Dentistry Department of Oral Medicine and Oral Diagnosis
장지희 ( Jang Ji-Hee ) - Seoul National University School of Dentistry Department of Oral Medicine and Oral Diagnosis
정진우 ( Chung Jin-Woo ) - Seoul National University School of Dentistry Department of Oral Medicine and Oral Diagnosis
KMID : 0355220160410020054
Abstract
Purpose: Mandibular advancement devices (MAD) are used effectively and widely for the treatment of obstructive sleep apnea (OSA) and rapid-eye-movement (REM) dependency of the patients can affect the treatment outcome of OSA. The aim of this study was to compare treatment outcomes of MAD between REM-related and not-REM-related OSA patients.
Methods: Fifty-six consecutive patients with OSA who received MAD therapy were evaluated using full night polysomnography before and after insertion of the MADs. The patients were divided into REM-related (REM apnea-hypopnea index [AHI] at least two times higher than their non-REM AHI) and not-REM-related (REM AHI less than two times higher than their non- REM AHI) OSA groups.
Results: MAD is used for the treatment of OSA effectively. In respect of AHI, MAD therapy were effective both in REM-related OSA and not-REM-related OSA, but MAD therapy was more effective in not-REM-related OSA than REM-related OSA in overall sleep and non-REM sleep. SpO2 saturations were improved after MAD therapy, but were not different between two groups. Epworth sleepiness scale scores were not improved after MAD therapy. Percentage of REM sleep was increased after MAD therapy but was not different between two groups.
Conclusions: MAD therapy was more effective in not-REM-related OSA than REM-related OSA and REM dependency can be a predictive factor of treatment outcome of oral appliance for OSA patients.
키워드
Oral appliance; Polysomnography; Sleep apnea; Sleep; REM; Treatment outcome
원문 및 링크아웃 정보
등재저널 정보