A pilot study to compare patient perception of obstructive sleep apnea treatment with CPAP or appliance therapy
Statement of problem The continuous positive airway pressure (CPAP) device yields optimum results in treating mild to moderate obstructive sleep apnea (OSA). However it may be bulky, noisy, and difficult to sleep with for the patient. Mandibular advancement devices (MAD) have shown better compliance...
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| Veröffentlicht in: | The Journal of prosthetic dentistry 2014-11, Vol.112 (5), p.1188-1193 |
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| container_title | The Journal of prosthetic dentistry |
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| creator | Arya, Deeksha, MDS Singh, Saumyendra Vikram, MDS Tripathi, Arvind, MDS Tripathi, Surya Kant, MD |
| description | Statement of problem The continuous positive airway pressure (CPAP) device yields optimum results in treating mild to moderate obstructive sleep apnea (OSA). However it may be bulky, noisy, and difficult to sleep with for the patient. Mandibular advancement devices (MAD) have shown better compliance but at the expense of lesser efficiency. Purpose The purpose of this study was to evaluate the patient's posttreatment subjective perception of the effectiveness of 2 common treatments of OSA. Material and methods Thirty-two patients diagnosed with OSA filled out the Epworth Sleepiness Scale and Berlin Sleep Quality Questionnaire before treatment and again at 4 to 6 weeks after treatment. Two groups were formed (n=16 each); one group was treated with MAD and the other with CPAP. The data obtained were recorded and compared with the Mann Whitney U test (between groups) and the Wilcoxon signed rank test (within groups) (α=.05). Results The analysis showed that the participants perceived significant posttreatment improvement ( P |
| doi_str_mv | 10.1016/j.prosdent.2014.05.007 |
| format | Article |
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However it may be bulky, noisy, and difficult to sleep with for the patient. Mandibular advancement devices (MAD) have shown better compliance but at the expense of lesser efficiency. Purpose The purpose of this study was to evaluate the patient's posttreatment subjective perception of the effectiveness of 2 common treatments of OSA. Material and methods Thirty-two patients diagnosed with OSA filled out the Epworth Sleepiness Scale and Berlin Sleep Quality Questionnaire before treatment and again at 4 to 6 weeks after treatment. Two groups were formed (n=16 each); one group was treated with MAD and the other with CPAP. The data obtained were recorded and compared with the Mann Whitney U test (between groups) and the Wilcoxon signed rank test (within groups) (α=.05). Results The analysis showed that the participants perceived significant posttreatment improvement ( P <.05) for all variables of the Berlin Sleep Quality Questionnaire and the Epworth Sleepiness Scale for both the MAD and CPAP groups. Conclusions According to the questionnaires, participants perceived significant improvement in OSA symptoms after treatment in both the MAD and CPAP groups. The study was inconclusive as to whether improvement of perceived symptoms was higher with MAD or CPAP.</description><identifier>ISSN: 0022-3913</identifier><identifier>EISSN: 1097-6841</identifier><identifier>DOI: 10.1016/j.prosdent.2014.05.007</identifier><identifier>PMID: 24969408</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Body Mass Index ; Continuous Positive Airway Pressure - methods ; Dentistry ; Female ; Follow-Up Studies ; Humans ; Hypertension - complications ; Male ; Mandibular Advancement - instrumentation ; Middle Aged ; Obesity - complications ; Orthodontic Appliances ; Overweight - complications ; Patient Satisfaction ; Pilot Projects ; Polysomnography - methods ; Sleep Apnea, Obstructive - therapy ; Sleep Stages - physiology ; Smoking ; Snoring - complications ; Surveys and Questionnaires ; Treatment Outcome</subject><ispartof>The Journal of prosthetic dentistry, 2014-11, Vol.112 (5), p.1188-1193</ispartof><rights>Editorial Council for the Journal of Prosthetic Dentistry</rights><rights>2014 Editorial Council for the Journal of Prosthetic Dentistry</rights><rights>Copyright © 2014 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c423t-b258a8440cf1d2f518a61d95fcb783586b924fdce14ccd78ba1df1a2fdc694dc3</citedby><cites>FETCH-LOGICAL-c423t-b258a8440cf1d2f518a61d95fcb783586b924fdce14ccd78ba1df1a2fdc694dc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022391314002510$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24969408$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arya, Deeksha, MDS</creatorcontrib><creatorcontrib>Singh, Saumyendra Vikram, MDS</creatorcontrib><creatorcontrib>Tripathi, Arvind, MDS</creatorcontrib><creatorcontrib>Tripathi, Surya Kant, MD</creatorcontrib><title>A pilot study to compare patient perception of obstructive sleep apnea treatment with CPAP or appliance therapy</title><title>The Journal of prosthetic dentistry</title><addtitle>J Prosthet Dent</addtitle><description>Statement of problem The continuous positive airway pressure (CPAP) device yields optimum results in treating mild to moderate obstructive sleep apnea (OSA). However it may be bulky, noisy, and difficult to sleep with for the patient. Mandibular advancement devices (MAD) have shown better compliance but at the expense of lesser efficiency. Purpose The purpose of this study was to evaluate the patient's posttreatment subjective perception of the effectiveness of 2 common treatments of OSA. Material and methods Thirty-two patients diagnosed with OSA filled out the Epworth Sleepiness Scale and Berlin Sleep Quality Questionnaire before treatment and again at 4 to 6 weeks after treatment. Two groups were formed (n=16 each); one group was treated with MAD and the other with CPAP. The data obtained were recorded and compared with the Mann Whitney U test (between groups) and the Wilcoxon signed rank test (within groups) (α=.05). Results The analysis showed that the participants perceived significant posttreatment improvement ( P <.05) for all variables of the Berlin Sleep Quality Questionnaire and the Epworth Sleepiness Scale for both the MAD and CPAP groups. Conclusions According to the questionnaires, participants perceived significant improvement in OSA symptoms after treatment in both the MAD and CPAP groups. The study was inconclusive as to whether improvement of perceived symptoms was higher with MAD or CPAP.</description><subject>Body Mass Index</subject><subject>Continuous Positive Airway Pressure - methods</subject><subject>Dentistry</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Hypertension - complications</subject><subject>Male</subject><subject>Mandibular Advancement - instrumentation</subject><subject>Middle Aged</subject><subject>Obesity - complications</subject><subject>Orthodontic Appliances</subject><subject>Overweight - complications</subject><subject>Patient Satisfaction</subject><subject>Pilot Projects</subject><subject>Polysomnography - methods</subject><subject>Sleep Apnea, Obstructive - therapy</subject><subject>Sleep Stages - physiology</subject><subject>Smoking</subject><subject>Snoring - complications</subject><subject>Surveys and Questionnaires</subject><subject>Treatment Outcome</subject><issn>0022-3913</issn><issn>1097-6841</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1v1DAQhi0EokvhL1Q-ckk6dpyvC2K1Kh9SJSoBZ8uxJ6qXJDa202r_PY625cCFky37mXc0zxByxaBkwJrrY-mDiwaXVHJgooS6BGhfkB2Dvi2aTrCXZAfAeVH1rLogb2I8AkBXt-w1ueCib3oB3Y64PfV2conGtJoTTY5qN3sVkHqVbI6nHoNGn6xbqBupG2IKq072AWmcED1VfkFFU0CV5o1_tOmeHu72d9SF_OknqxaNNN1jUP70lrwa1RTx3dN5SX5-uvlx-FLcfvv89bC_LbTgVSoGXneqEwL0yAwfa9aphpm-HvXQdlXdNUPPxWg0MqG1abtBMTMyxfNTHszo6pK8P-dmTb9XjEnONmqcJrWgW6NkDe_7BgTwjDZnVGejMeAofbCzCifJQG6y5VE-y5abbAm1zLJz4dVTj3WY0fwte7abgY9nAPOkDxaDjDo71WhsQJ2kcfb_PT78E6Enu1itpl94wnh0a1iyR8lk5BLk923l28aZyLeaQfUHXsurQQ</recordid><startdate>20141101</startdate><enddate>20141101</enddate><creator>Arya, Deeksha, MDS</creator><creator>Singh, Saumyendra Vikram, MDS</creator><creator>Tripathi, Arvind, MDS</creator><creator>Tripathi, Surya Kant, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20141101</creationdate><title>A pilot study to compare patient perception of obstructive sleep apnea treatment with CPAP or appliance therapy</title><author>Arya, Deeksha, MDS ; Singh, Saumyendra Vikram, MDS ; Tripathi, Arvind, MDS ; Tripathi, Surya Kant, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c423t-b258a8440cf1d2f518a61d95fcb783586b924fdce14ccd78ba1df1a2fdc694dc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Body Mass Index</topic><topic>Continuous Positive Airway Pressure - methods</topic><topic>Dentistry</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Hypertension - complications</topic><topic>Male</topic><topic>Mandibular Advancement - instrumentation</topic><topic>Middle Aged</topic><topic>Obesity - complications</topic><topic>Orthodontic Appliances</topic><topic>Overweight - complications</topic><topic>Patient Satisfaction</topic><topic>Pilot Projects</topic><topic>Polysomnography - methods</topic><topic>Sleep Apnea, Obstructive - therapy</topic><topic>Sleep Stages - physiology</topic><topic>Smoking</topic><topic>Snoring - complications</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arya, Deeksha, MDS</creatorcontrib><creatorcontrib>Singh, Saumyendra Vikram, MDS</creatorcontrib><creatorcontrib>Tripathi, Arvind, MDS</creatorcontrib><creatorcontrib>Tripathi, Surya Kant, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of prosthetic dentistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arya, Deeksha, MDS</au><au>Singh, Saumyendra Vikram, MDS</au><au>Tripathi, Arvind, MDS</au><au>Tripathi, Surya Kant, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A pilot study to compare patient perception of obstructive sleep apnea treatment with CPAP or appliance therapy</atitle><jtitle>The Journal of prosthetic dentistry</jtitle><addtitle>J Prosthet Dent</addtitle><date>2014-11-01</date><risdate>2014</risdate><volume>112</volume><issue>5</issue><spage>1188</spage><epage>1193</epage><pages>1188-1193</pages><issn>0022-3913</issn><eissn>1097-6841</eissn><abstract>Statement of problem The continuous positive airway pressure (CPAP) device yields optimum results in treating mild to moderate obstructive sleep apnea (OSA). However it may be bulky, noisy, and difficult to sleep with for the patient. Mandibular advancement devices (MAD) have shown better compliance but at the expense of lesser efficiency. Purpose The purpose of this study was to evaluate the patient's posttreatment subjective perception of the effectiveness of 2 common treatments of OSA. Material and methods Thirty-two patients diagnosed with OSA filled out the Epworth Sleepiness Scale and Berlin Sleep Quality Questionnaire before treatment and again at 4 to 6 weeks after treatment. Two groups were formed (n=16 each); one group was treated with MAD and the other with CPAP. The data obtained were recorded and compared with the Mann Whitney U test (between groups) and the Wilcoxon signed rank test (within groups) (α=.05). Results The analysis showed that the participants perceived significant posttreatment improvement ( P <.05) for all variables of the Berlin Sleep Quality Questionnaire and the Epworth Sleepiness Scale for both the MAD and CPAP groups. Conclusions According to the questionnaires, participants perceived significant improvement in OSA symptoms after treatment in both the MAD and CPAP groups. The study was inconclusive as to whether improvement of perceived symptoms was higher with MAD or CPAP.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>24969408</pmid><doi>10.1016/j.prosdent.2014.05.007</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Body Mass Index Continuous Positive Airway Pressure - methods Dentistry Female Follow-Up Studies Humans Hypertension - complications Male Mandibular Advancement - instrumentation Middle Aged Obesity - complications Orthodontic Appliances Overweight - complications Patient Satisfaction Pilot Projects Polysomnography - methods Sleep Apnea, Obstructive - therapy Sleep Stages - physiology Smoking Snoring - complications Surveys and Questionnaires Treatment Outcome |
| title | A pilot study to compare patient perception of obstructive sleep apnea treatment with CPAP or appliance therapy |
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