Abstract | OBJECTIVES: MATERIALS AND METHODS: Data from 14 OSA patients using MAD and 17 OSA patients using CPAP therapy were evaluated at baseline, 2-year and 10-year follow-up. Changes in dental occlusion were analyzed from dental plaster casts with a digital sliding caliper. RESULTS: At 2-year follow-up, MAD therapy resulted in significant dental changes when compared with baseline values. In MAD therapy, overjet and overbite decreased with 1.1 ± 1.8 mm and 1.1 ± 1.2 mm respectively. With CPAP therapy overjet and overbite decreased significantly with 0.2 ± 0.5 mm and 0.3 ± 0.5 mm, respectively. Both groups also showed significant changes in molar occlusion. After a 10-year follow-up, significant and more pronounced changes were seen in overjet and overbite. In MAD therapy, overjet and overbite decreased with 3.5 ± 1.5 mm and 2.9 ± 1.5 mm respectively when compared with baseline values. In CPAP therapy, overjet and overbite decreased with 0.7 ± 1.5 mm and 0.8 ± 1.4 mm respectively when compared with baseline values. CONCLUSIONS: This study demonstrates that MAD and CPAP therapy result in significant changes in dental occlusion. These changes appear progressive and more pronounced with MAD compared to CPAP therapy. CLINICAL RELEVANCE: Long-term OSA treatment results in significant dental side effects that may progress over time. Informed consent is fundamental before starting MAD treatment and individualized long-term follow-up is of eminent importance.
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Authors | Julia Anne Margarethe Uniken Venema, Michiel H J Doff, Dilyana S Joffe-Sokolova, Peter J Wijkstra, Johannes H van der Hoeven, Boudewijn Stegenga, Aarnoud Hoekema |
Journal | Clinical oral investigations
(Clin Oral Investig)
Vol. 24
Issue 9
Pg. 3069-3076
(Sep 2020)
ISSN: 1436-3771 [Electronic] Germany |
PMID | 31863188
(Publication Type: Journal Article)
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Topics |
- Continuous Positive Airway Pressure
- Follow-Up Studies
- Humans
- Mandibular Advancement
- Occlusal Splints
- Sleep Apnea, Obstructive
(therapy)
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