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Obstructive sleep apnoea: patients' experiences of oral appliance treatment
Malmo Univ, Fac Odontol, Malmo, Sweden..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Clinical Research, County of Västmanland.
Malmo Univ, Fac Odontol, Malmo, Sweden.;Uppsala Univ, Clin Res Ctr, Vasteras, Sweden.;Publ Dent Hlth Serv, Postgrad Dent Educ Ctr, POB 1126, SE-70111 Orebro, Sweden..
2016 (English)In: Journal of Oral Rehabilitation, ISSN 0305-182X, E-ISSN 1365-2842, Vol. 43, no 6, 435-442 p.Article in journal (Refereed) PublishedText
Abstract [en]

Over the past few decades, there has been a pronounced increase in the number of patients being treated by general dental practitioners for obstructive sleep apnoea (OSA). The purpose of this study was to survey the care and patient experiences and the self-reported effectiveness of OSA treatment with an oral appliance (OA) incorporating mandibular advancement. The design was a retrospective, cross-sectional study, with follow-up between 6 months to 1 year after commencement of treatment. A survey form was posted to 1150 subjects, identified in the regional register over a 1-year period as having been treated with an OA for OSA. The questionnaire comprised 70 questions and assertions in various domains, such as general health/lifestyle, changes in symptoms/quality of life and sleep-related experiences, daytime sleepiness, changes in life situation, evaluation of treatment and the value of treatment. The overall response rate was 64% (n = 738). Treatment with OA gave relief of symptoms in 83% of the respondents. Quality of life, somatic and cognitive symptoms improved significantly in patients who used the appliance frequently (P < 0.001). Daytime sleepiness decreased significantly (P < 0.001). Treatment satisfaction and willingness to recommend the similar treatment to a friend were high (>85%). OA treatment of OSA by general dental practitioners is a safe procedure. Most of the survey respondents experienced relief of symptoms. Those who used their appliance frequently reported improvement in quality of life, somatic and cognitive symptoms. Excessive daytime sleepiness was reduced in the majority of the patients under treatment.

Place, publisher, year, edition, pages
2016. Vol. 43, no 6, 435-442 p.
Keyword [en]
dentistry, effectiveness, follow-up, PROM, questionnaire, treatment
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-298071DOI: 10.1111/joor.12385ISI: 000375941300005PubMedID: 26969447OAI: oai:DiVA.org:uu-298071DiVA: diva2:944851
Region Skåne
Available from: 2016-06-30 Created: 2016-06-29 Last updated: 2016-06-30Bibliographically approved

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