CPAP and oral appliance equally effective
https://onlinelibrary.wiley.com/doi/abs/10.1111/resp.12140 ACCORDING TO THIS STUDY, BOTH CPAP AND ORAL APPLIANCES ARE EQUALLY EFFECTIVE IN REDUCING THE RISK OF FATAL CARDIOVASCULAR EVENTS IN PATIENTS WITH SEVERE OBSTRUCTIVE SLEEP APNEA Abstract Background and objective The objective of this study was to evaluate the long‐term cardiovascular mortality in patients with severe obstructive sleep apnoea (OSA) treated with either continuous positive airway pressure (CPAP) or mandib
Cardiovascular Benefits and Oral Appliance Therapy
www.apneupagina.nl/Haesendonck.pdf ORAL APPLIANCE THERAPY SHOWN TO BE IN THE SAME ORDER OF MAGNITUDE AS EFFECTIVE AS CPAP THERAPY Cardiovascular Benefits of Oral Appliance Therapy in Obstructive Sleep Apnea: A Systematic Review Gilles Van Haesendonck, BSc1; Marijke Dieltjens, MBS1,2; Chloé Kastoer, MD3; Bharati Shivalkar, MD, PhD1,4; Christiaan Vrints, MD, PhD1,4; Caroline M. Van De Heyning, MD, PhD1,4; Marc J. Braem, DDS, PhD1,2; Olivier M. Vanderveken, MD, PhD1,3 1Universit
Cardiovascular Benefits of Oral Appliance Therapy in Obstructive Sleep Apnea: A Systematic Review
www.apneupagina.nl/Haesendonck.pdf Study Objectives: To perform a systematic review of the current evidence regarding the cardiovascular benefits of oral appliance (OA) therapy in obstructive sleep apnea (OSA) patients. Methods: A systematic review of relevant articles retrieved from online databases (PubMed, Web of Science, Medline, OvidSP) was conducted. All relevant studies published prior to January 20, 2013 that examined the effects of OA on any of the cardiovascular par
Screening and assessment for obstructive sleep apnea in primary care
http://www.smrv-journal.com/article/S1087-0792(15)00125-2/abstract Obstructive sleep apnea is the most common sleep related breathing disorder. Regular stopping of breathing during sleep results in activation of oxygen free radicals and an oxidative stress response. This results in damage to blood vessels and arterial plaque formation, predisposing the patient to "throwing of clots" resulting in embolism or stroke. Sleep disorders are common, but rarely addressed by family do
Screening and assessment for obstructive sleep apnea in primary care
http://www.smrv-journal.com/article/S1087-0792(15)00125-2/abstract Summary Obstructive sleep apnea (OSA) is the most common sleep-related breathing disorder and contributes to increased morbidity and compromised cardiovascular outcomes. Sleep disorders are common but rarely reported and addressed by primary health providers. An American Academy of Sleep Medicine task force (2015) released quality measures for the care of adult patients with OSA; the first outcome is improved
Assessing the likelihood of obstructive sleep apnea: a comparison of nine screening questionnaires
https://link.springer.com/article/10.1007/s11325-017-1495-4 Abstract Purpose Several questionnaires are available for the screening of obstructive sleep apnea (OSA). Herein, we compare the performance characteristics of nine available questionnaires for assessing the likelihood of OSA. Methods Consecutive subjects who underwent polysomnography at the sleep laboratory of the unit were included. Subjects with obstructive events and apnea hypopnea index (AHI) ≥5 were considered
Sleep Apnea and Insomnia
https://docslide.us/documents/comorbidity-between-sleep-apnea-and-insomnia.html There are a high number of insomnia complaints in patients suffering from Obstructive Sleep Apnea (OSA). Insomnia is defined as trouble falling asleep, trouble stating asleep and early morning awakening (for example 4am). Studies show a range of 42-54.9% of patients have both OSA and insomnia. It seems to be especially marjed amongst elderly patients. #OSAandinsomnia
Comorbidity between sleep apnea and insomnia
https://docslide.us/documents/comorbidity-between-sleep-apnea-and-insomnia.html The association between insomnia and sleep apnea has received little attention from health professionals in the past few decades. However, recent studies have shown a high prevalence of insomnia complaints in patients with objectively diagnosed obstructive sleep apnea (OSA) syndrome. In this paper we have reviewed data published on different aspects of this association: the clinical profile of slee
Physiology in Medicine: Obstructive sleep apnea pathogenesis and treatment—considerations beyond air
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3921364/ We review evidence in support of significant contributions to the pathogenesis of obstructive sleep apnea (OSA) from pathophysiological factors beyond the well-accepted importance of airway anatomy. Emphasis is placed on contributions from neurochemical control of central respiratory motor output through its effects on output stability, upper airway dilator muscle activation, and arousability. In turn, we consider the evid
Policy Statement on a Dentist’s Role in Treating Sleep-Related Breathing Disorders
The American Academy of Dental Sleep Medicine (AADSM) is the only non-profit national professional society dedi- cated exclusively to the practice of dental sleep medicine and firmly believes that by screening and providing oral appliance therapy, dentists, with appropriate training and in collabora- tion with physicians, help reduce the number of undiagnosed and untreated patients with sleep-disordered breathing, which includes snoring and obstructive sleep apnea. It is the
