The Success of Oral Appliance Therapy Based on Symptom-Driven Titration

The Success of Oral Appliance Therapy Based on Symptom-Driven Titration

ABSTRACT Study Objective Obstructive sleep apnea (OSA) is a chronic condition that could lead to debilitating and sometimes life-threatening consequences. Oral appliance therapy (OAT) is effective in providing a conservative, nonsurgical treatment option for patients diagnosed with mild-to-moderate...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Military medicine 2024-02, Vol.189 (3-4), p.620-626
Hauptverfasser: Kang, Cpt Ryan S, Knowles, Shelley, Dekow, Matthew
Format: Artikel
Sprache:eng
Schlagworte:
Body Mass Index
Humans
Polysomnography - methods
Retrospective Studies
Sleep Apnea, Obstructive - diagnosis
Treatment Outcome
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 626
container_issue 3-4
container_start_page 620
container_title Military medicine
container_volume 189
creator Kang, Cpt Ryan S
Knowles, Shelley
Dekow, Matthew
description ABSTRACT Study Objective Obstructive sleep apnea (OSA) is a chronic condition that could lead to debilitating and sometimes life-threatening consequences. Oral appliance therapy (OAT) is effective in providing a conservative, nonsurgical treatment option for patients diagnosed with mild-to-moderate OSA. The primary goal of this study is to describe a symptom-based titration protocol and determine if the patients can be effectively managed with oral appliances (OAs). Method A retrospective chart review of patients who were treated with OAs was analyzed for the management of OSA. Patients were self-titrated for symptomatic improvement before posttreatment titration sleep studies were conducted. Results Our study has found that 87.5% of the test population was successfully managed with OAs after overnight titration. Seventy-five percentage of the patients were titrated to Apnea–Hypopnea Index (AHI) 
doi_str_mv 10.1093/milmed/usac248
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2704866935</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/milmed/usac248</oup_id><sourcerecordid>2704866935</sourcerecordid><originalsourceid>FETCH-LOGICAL-c369t-b5310e7dd2110431326280a513f1631ca0bf5d8c1771aa897862fa9c19fb489a3</originalsourceid><addsrcrecordid>eNqFkD1PwzAQhi0EoqWwMiKPMKT1xYljj6V8SpU6tEhs0cVxRFASBztB6r8nVdqZ6aS7532lewi5BTYHpviiLqva5Iveow4jeUamoDgLBPDPczJlLBRBxJJ4Qq68_2YMIiXhkkx4rKQQLJ6S192Xodtea-M9tQXdOKzosm2rEhtt6HB12O7pI3qTU9vQ7b5uO1sHT678NQ3dlZ3DrrTNNbkosPLm5jhn5OPlebd6C9ab1_fVch1oLlQXZDEHZpI8DwFYxIGHIpQMY-AFCA4aWVbEudSQJIAoVSJFWKDSoIoskgr5jNyPva2zP73xXVqXXpuqwsbY3qdhwqLhNcXjAZ2PqHbWe2eKtHVljW6fAksP8tJRXnqUNwTujt19dtif8JOtAXgYAdu3_5X9ASE_efg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2704866935</pqid></control><display><type>article</type><title>The Success of Oral Appliance Therapy Based on Symptom-Driven Titration</title><source>Oxford University Press Journals All Titles (1996-Current)</source><source>MEDLINE</source><creator>Kang, Cpt Ryan S ; Knowles, Shelley ; Dekow, Matthew</creator><creatorcontrib>Kang, Cpt Ryan S ; Knowles, Shelley ; Dekow, Matthew</creatorcontrib><description>ABSTRACT Study Objective Obstructive sleep apnea (OSA) is a chronic condition that could lead to debilitating and sometimes life-threatening consequences. Oral appliance therapy (OAT) is effective in providing a conservative, nonsurgical treatment option for patients diagnosed with mild-to-moderate OSA. The primary goal of this study is to describe a symptom-based titration protocol and determine if the patients can be effectively managed with oral appliances (OAs). Method A retrospective chart review of patients who were treated with OAs was analyzed for the management of OSA. Patients were self-titrated for symptomatic improvement before posttreatment titration sleep studies were conducted. Results Our study has found that 87.5% of the test population was successfully managed with OAs after overnight titration. Seventy-five percentage of the patients were titrated to Apnea–Hypopnea Index (AHI) &lt; 5 with an average of 79.6% reduction from the baseline. Statistical studies showed that patients’ body mass index and age at baseline polysomnogram studies significantly influenced the reduction in AHI achieved, whereas the baseline AHI did not show any significant correlation. Conclusion Oral appliance therapy (OAT) can be a reliable treatment modality to treat OSA, and performing a separate overnight posttreatment titration study further ensures its effectiveness. Furthermore, OAT can be an effective treatment modality even for moderate-to-severe OSA with posttreatment titration.</description><identifier>ISSN: 0026-4075</identifier><identifier>EISSN: 1930-613X</identifier><identifier>DOI: 10.1093/milmed/usac248</identifier><identifier>PMID: 35986605</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Body Mass Index ; Humans ; Polysomnography - methods ; Retrospective Studies ; Sleep Apnea, Obstructive - diagnosis ; Treatment Outcome</subject><ispartof>Military medicine, 2024-02, Vol.189 (3-4), p.620-626</ispartof><rights>Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2022. This work is written by (a) US Government employee(s) and is in the public domain in the US. 2022</rights><rights>Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2022. This work is written by (a) US Government employee(s) and is in the public domain in the US.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c369t-b5310e7dd2110431326280a513f1631ca0bf5d8c1771aa897862fa9c19fb489a3</citedby><cites>FETCH-LOGICAL-c369t-b5310e7dd2110431326280a513f1631ca0bf5d8c1771aa897862fa9c19fb489a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1578,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35986605$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kang, Cpt Ryan S</creatorcontrib><creatorcontrib>Knowles, Shelley</creatorcontrib><creatorcontrib>Dekow, Matthew</creatorcontrib><title>The Success of Oral Appliance Therapy Based on Symptom-Driven Titration</title><title>Military medicine</title><addtitle>Mil Med</addtitle><description>ABSTRACT Study Objective Obstructive sleep apnea (OSA) is a chronic condition that could lead to debilitating and sometimes life-threatening consequences. Oral appliance therapy (OAT) is effective in providing a conservative, nonsurgical treatment option for patients diagnosed with mild-to-moderate OSA. The primary goal of this study is to describe a symptom-based titration protocol and determine if the patients can be effectively managed with oral appliances (OAs). Method A retrospective chart review of patients who were treated with OAs was analyzed for the management of OSA. Patients were self-titrated for symptomatic improvement before posttreatment titration sleep studies were conducted. Results Our study has found that 87.5% of the test population was successfully managed with OAs after overnight titration. Seventy-five percentage of the patients were titrated to Apnea–Hypopnea Index (AHI) &lt; 5 with an average of 79.6% reduction from the baseline. Statistical studies showed that patients’ body mass index and age at baseline polysomnogram studies significantly influenced the reduction in AHI achieved, whereas the baseline AHI did not show any significant correlation. Conclusion Oral appliance therapy (OAT) can be a reliable treatment modality to treat OSA, and performing a separate overnight posttreatment titration study further ensures its effectiveness. Furthermore, OAT can be an effective treatment modality even for moderate-to-severe OSA with posttreatment titration.</description><subject>Body Mass Index</subject><subject>Humans</subject><subject>Polysomnography - methods</subject><subject>Retrospective Studies</subject><subject>Sleep Apnea, Obstructive - diagnosis</subject><subject>Treatment Outcome</subject><issn>0026-4075</issn><issn>1930-613X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkD1PwzAQhi0EoqWwMiKPMKT1xYljj6V8SpU6tEhs0cVxRFASBztB6r8nVdqZ6aS7532lewi5BTYHpviiLqva5Iveow4jeUamoDgLBPDPczJlLBRBxJJ4Qq68_2YMIiXhkkx4rKQQLJ6S192Xodtea-M9tQXdOKzosm2rEhtt6HB12O7pI3qTU9vQ7b5uO1sHT678NQ3dlZ3DrrTNNbkosPLm5jhn5OPlebd6C9ab1_fVch1oLlQXZDEHZpI8DwFYxIGHIpQMY-AFCA4aWVbEudSQJIAoVSJFWKDSoIoskgr5jNyPva2zP73xXVqXXpuqwsbY3qdhwqLhNcXjAZ2PqHbWe2eKtHVljW6fAksP8tJRXnqUNwTujt19dtif8JOtAXgYAdu3_5X9ASE_efg</recordid><startdate>20240227</startdate><enddate>20240227</enddate><creator>Kang, Cpt Ryan S</creator><creator>Knowles, Shelley</creator><creator>Dekow, Matthew</creator><general>Oxford University Press</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>20240227</creationdate><title>The Success of Oral Appliance Therapy Based on Symptom-Driven Titration</title><author>Kang, Cpt Ryan S ; Knowles, Shelley ; Dekow, Matthew</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c369t-b5310e7dd2110431326280a513f1631ca0bf5d8c1771aa897862fa9c19fb489a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Body Mass Index</topic><topic>Humans</topic><topic>Polysomnography - methods</topic><topic>Retrospective Studies</topic><topic>Sleep Apnea, Obstructive - diagnosis</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kang, Cpt Ryan S</creatorcontrib><creatorcontrib>Knowles, Shelley</creatorcontrib><creatorcontrib>Dekow, Matthew</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>Military medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kang, Cpt Ryan S</au><au>Knowles, Shelley</au><au>Dekow, Matthew</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Success of Oral Appliance Therapy Based on Symptom-Driven Titration</atitle><jtitle>Military medicine</jtitle><addtitle>Mil Med</addtitle><date>2024-02-27</date><risdate>2024</risdate><volume>189</volume><issue>3-4</issue><spage>620</spage><epage>626</epage><pages>620-626</pages><issn>0026-4075</issn><eissn>1930-613X</eissn><abstract>ABSTRACT Study Objective Obstructive sleep apnea (OSA) is a chronic condition that could lead to debilitating and sometimes life-threatening consequences. Oral appliance therapy (OAT) is effective in providing a conservative, nonsurgical treatment option for patients diagnosed with mild-to-moderate OSA. The primary goal of this study is to describe a symptom-based titration protocol and determine if the patients can be effectively managed with oral appliances (OAs). Method A retrospective chart review of patients who were treated with OAs was analyzed for the management of OSA. Patients were self-titrated for symptomatic improvement before posttreatment titration sleep studies were conducted. Results Our study has found that 87.5% of the test population was successfully managed with OAs after overnight titration. Seventy-five percentage of the patients were titrated to Apnea–Hypopnea Index (AHI) &lt; 5 with an average of 79.6% reduction from the baseline. Statistical studies showed that patients’ body mass index and age at baseline polysomnogram studies significantly influenced the reduction in AHI achieved, whereas the baseline AHI did not show any significant correlation. Conclusion Oral appliance therapy (OAT) can be a reliable treatment modality to treat OSA, and performing a separate overnight posttreatment titration study further ensures its effectiveness. Furthermore, OAT can be an effective treatment modality even for moderate-to-severe OSA with posttreatment titration.</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>35986605</pmid><doi>10.1093/milmed/usac248</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0026-4075
ispartof Military medicine, 2024-02, Vol.189 (3-4), p.620-626
issn 0026-4075
1930-613X
language eng
recordid cdi_proquest_miscellaneous_2704866935
source Oxford University Press Journals All Titles (1996-Current); MEDLINE
subjects Body Mass Index
Humans
Polysomnography - methods
Retrospective Studies
Sleep Apnea, Obstructive - diagnosis
Treatment Outcome
title The Success of Oral Appliance Therapy Based on Symptom-Driven Titration
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-30T14%3A25%3A50IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Success%20of%20Oral%20Appliance%20Therapy%20Based%20on%20Symptom-Driven%20Titration&rft.jtitle=Military%20medicine&rft.au=Kang,%20Cpt%20Ryan%20S&rft.date=2024-02-27&rft.volume=189&rft.issue=3-4&rft.spage=620&rft.epage=626&rft.pages=620-626&rft.issn=0026-4075&rft.eissn=1930-613X&rft_id=info:doi/10.1093/milmed/usac248&rft_dat=%3Cproquest_cross%3E2704866935%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2704866935&rft_id=info:pmid/35986605&rft_oup_id=10.1093/milmed/usac248&rfr_iscdi=true