A pilot study to evaluate posttreatment cephalometric changes in subjects with OSA
Statement of problem Obstructive sleep apnea (OSA) is a life-threatening condition that is diagnosed and evaluated primarily by polysomnography (PSG). The procedure is time consuming, expensive, and inconvenient for the patient, and may not be universally available. Purpose The purpose of this pilot...
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| Veröffentlicht in: | The Journal of prosthetic dentistry 2010-03, Vol.103 (3), p.170-177 |
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| container_title | The Journal of prosthetic dentistry |
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| creator | Arya, Deeksha, BDS, MDS Tripathi, Arvind, MDS Singh, Saumyendra Vikram, MDS Tripathi, Suryakant, MD Nagar, Amit, MDS Mishra, Anupam, MD |
| description | Statement of problem Obstructive sleep apnea (OSA) is a life-threatening condition that is diagnosed and evaluated primarily by polysomnography (PSG). The procedure is time consuming, expensive, and inconvenient for the patient, and may not be universally available. Purpose The purpose of this pilot study was to evaluate posttreatment results on lateral cephalograms in patients with OSA. Material and methods Lateral cephalograms of 16 patients diagnosed with OSA were made at the beginning of treatment and 4-6 weeks following treatment. Treatment modalities used in the study were the mandibular advancement device (MAD) and continuous positive airway pressure (CPAP) therapy (n=8). Pharyngeal dimensions, soft palate area and angle, and hyoid bone position were recorded for the comparisons. The data were analyzed using Student's t test for the parametric analysis (α=.05). Results A significant increase in the pharyngeal area ( P |
| doi_str_mv | 10.1016/S0022-3913(10)60024-8 |
| format | Article |
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The procedure is time consuming, expensive, and inconvenient for the patient, and may not be universally available. Purpose The purpose of this pilot study was to evaluate posttreatment results on lateral cephalograms in patients with OSA. Material and methods Lateral cephalograms of 16 patients diagnosed with OSA were made at the beginning of treatment and 4-6 weeks following treatment. Treatment modalities used in the study were the mandibular advancement device (MAD) and continuous positive airway pressure (CPAP) therapy (n=8). Pharyngeal dimensions, soft palate area and angle, and hyoid bone position were recorded for the comparisons. The data were analyzed using Student's t test for the parametric analysis (α=.05). Results A significant increase in the pharyngeal area ( P <.001), a significant decrease in the soft palate area ( P <.001), and vertical changes in the hyoid position were observed, with no significant change in the anteroposterior position of the hyoid bone. Conclusions Within the limitations of this pilot study, lateral cephalograms were shown to be useful in evaluating treatment efficacy in subjects with OSA. (J Prosthet Dent 2010;103:170-177)</description><identifier>ISSN: 0022-3913</identifier><identifier>EISSN: 1097-6841</identifier><identifier>DOI: 10.1016/S0022-3913(10)60024-8</identifier><identifier>PMID: 20188239</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Adult ; Aged ; Body Mass Index ; Cephalometry - statistics & numerical data ; Continuous Positive Airway Pressure ; Dentistry ; Female ; Humans ; Hyoid Bone - physiology ; Male ; Mandibular Advancement - instrumentation ; Middle Aged ; Occlusal Splints ; Outcome Assessment (Health Care) ; Palate, Soft - anatomy & histology ; Pharynx - anatomy & histology ; Pilot Projects ; Sleep Apnea, Obstructive - therapy ; Young Adult</subject><ispartof>The Journal of prosthetic dentistry, 2010-03, Vol.103 (3), p.170-177</ispartof><rights>The Editorial Council of the Journal of Prosthetic Dentistry</rights><rights>2010 The Editorial Council of the Journal of Prosthetic Dentistry</rights><rights>(c) 2010 The Editorial Council of the Journal of Prosthetic Dentistry. Published by Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c419t-5940e905c8617561d5b90b60432f5e0f60e3b19e745f6fcbb69438dea2d957453</citedby><cites>FETCH-LOGICAL-c419t-5940e905c8617561d5b90b60432f5e0f60e3b19e745f6fcbb69438dea2d957453</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022391310600248$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20188239$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arya, Deeksha, BDS, MDS</creatorcontrib><creatorcontrib>Tripathi, Arvind, MDS</creatorcontrib><creatorcontrib>Singh, Saumyendra Vikram, MDS</creatorcontrib><creatorcontrib>Tripathi, Suryakant, MD</creatorcontrib><creatorcontrib>Nagar, Amit, MDS</creatorcontrib><creatorcontrib>Mishra, Anupam, MD</creatorcontrib><title>A pilot study to evaluate posttreatment cephalometric changes in subjects with OSA</title><title>The Journal of prosthetic dentistry</title><addtitle>J Prosthet Dent</addtitle><description>Statement of problem Obstructive sleep apnea (OSA) is a life-threatening condition that is diagnosed and evaluated primarily by polysomnography (PSG). The procedure is time consuming, expensive, and inconvenient for the patient, and may not be universally available. Purpose The purpose of this pilot study was to evaluate posttreatment results on lateral cephalograms in patients with OSA. Material and methods Lateral cephalograms of 16 patients diagnosed with OSA were made at the beginning of treatment and 4-6 weeks following treatment. Treatment modalities used in the study were the mandibular advancement device (MAD) and continuous positive airway pressure (CPAP) therapy (n=8). Pharyngeal dimensions, soft palate area and angle, and hyoid bone position were recorded for the comparisons. The data were analyzed using Student's t test for the parametric analysis (α=.05). Results A significant increase in the pharyngeal area ( P <.001), a significant decrease in the soft palate area ( P <.001), and vertical changes in the hyoid position were observed, with no significant change in the anteroposterior position of the hyoid bone. Conclusions Within the limitations of this pilot study, lateral cephalograms were shown to be useful in evaluating treatment efficacy in subjects with OSA. (J Prosthet Dent 2010;103:170-177)</description><subject>Adult</subject><subject>Aged</subject><subject>Body Mass Index</subject><subject>Cephalometry - statistics & numerical data</subject><subject>Continuous Positive Airway Pressure</subject><subject>Dentistry</subject><subject>Female</subject><subject>Humans</subject><subject>Hyoid Bone - physiology</subject><subject>Male</subject><subject>Mandibular Advancement - instrumentation</subject><subject>Middle Aged</subject><subject>Occlusal Splints</subject><subject>Outcome Assessment (Health Care)</subject><subject>Palate, Soft - anatomy & histology</subject><subject>Pharynx - anatomy & histology</subject><subject>Pilot Projects</subject><subject>Sleep Apnea, Obstructive - therapy</subject><subject>Young Adult</subject><issn>0022-3913</issn><issn>1097-6841</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1v1DAQhi0EotvCTwD5Bj0ExnHs2BfQquJLqlSJwtlynAnrJYmD7RTtvyfZLT1w4TSa0TPvaB5CXjB4w4DJt7cAZVlwzfhrBpdy6apCPSIbBroupKrYY7J5QM7IeUp7AFCiZk_JWQlMqZLrDfm6pZPvQ6Ypz-2B5kDxzvazzUinkHKOaPOAY6YOp53tw4A5ekfdzo4_MFE_0jQ3e3Q50d8-7-jN7fYZedLZPuHz-3pBvn_88O3qc3F98-nL1fa6cBXTuRC6AtQgnJKsFpK1otHQSKh42QmETgLyhmmsK9HJzjWN1BVXLdqy1WIZ8gvy6pQ7xfBrxpTN4JPDvrcjhjmZmnOpNOdqIcWJdDGkFLEzU_SDjQfDwKw2zdGmWVWto6NNs-69vL8wNwO2D1t_9S3A-xOAy593HqNJzuPosPVxcWLa4P974t0_Ca73o3e2_4kHTPswx3GRaJhJpYFTyJrB4Jig-B8C9ZhK</recordid><startdate>20100301</startdate><enddate>20100301</enddate><creator>Arya, Deeksha, BDS, MDS</creator><creator>Tripathi, Arvind, MDS</creator><creator>Singh, Saumyendra Vikram, MDS</creator><creator>Tripathi, Suryakant, MD</creator><creator>Nagar, Amit, MDS</creator><creator>Mishra, Anupam, MD</creator><general>Mosby, 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>20100301</creationdate><title>A pilot study to evaluate posttreatment cephalometric changes in subjects with OSA</title><author>Arya, Deeksha, BDS, MDS ; Tripathi, Arvind, MDS ; Singh, Saumyendra Vikram, MDS ; Tripathi, Suryakant, MD ; Nagar, Amit, MDS ; Mishra, Anupam, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-5940e905c8617561d5b90b60432f5e0f60e3b19e745f6fcbb69438dea2d957453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Body Mass Index</topic><topic>Cephalometry - statistics & numerical data</topic><topic>Continuous Positive Airway Pressure</topic><topic>Dentistry</topic><topic>Female</topic><topic>Humans</topic><topic>Hyoid Bone - physiology</topic><topic>Male</topic><topic>Mandibular Advancement - instrumentation</topic><topic>Middle Aged</topic><topic>Occlusal Splints</topic><topic>Outcome Assessment (Health Care)</topic><topic>Palate, Soft - anatomy & histology</topic><topic>Pharynx - anatomy & histology</topic><topic>Pilot Projects</topic><topic>Sleep Apnea, Obstructive - therapy</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arya, Deeksha, BDS, MDS</creatorcontrib><creatorcontrib>Tripathi, Arvind, MDS</creatorcontrib><creatorcontrib>Singh, Saumyendra Vikram, MDS</creatorcontrib><creatorcontrib>Tripathi, Suryakant, MD</creatorcontrib><creatorcontrib>Nagar, Amit, MDS</creatorcontrib><creatorcontrib>Mishra, Anupam, 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, BDS, MDS</au><au>Tripathi, Arvind, MDS</au><au>Singh, Saumyendra Vikram, MDS</au><au>Tripathi, Suryakant, MD</au><au>Nagar, Amit, MDS</au><au>Mishra, Anupam, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A pilot study to evaluate posttreatment cephalometric changes in subjects with OSA</atitle><jtitle>The Journal of prosthetic dentistry</jtitle><addtitle>J Prosthet Dent</addtitle><date>2010-03-01</date><risdate>2010</risdate><volume>103</volume><issue>3</issue><spage>170</spage><epage>177</epage><pages>170-177</pages><issn>0022-3913</issn><eissn>1097-6841</eissn><abstract>Statement of problem Obstructive sleep apnea (OSA) is a life-threatening condition that is diagnosed and evaluated primarily by polysomnography (PSG). The procedure is time consuming, expensive, and inconvenient for the patient, and may not be universally available. Purpose The purpose of this pilot study was to evaluate posttreatment results on lateral cephalograms in patients with OSA. Material and methods Lateral cephalograms of 16 patients diagnosed with OSA were made at the beginning of treatment and 4-6 weeks following treatment. Treatment modalities used in the study were the mandibular advancement device (MAD) and continuous positive airway pressure (CPAP) therapy (n=8). Pharyngeal dimensions, soft palate area and angle, and hyoid bone position were recorded for the comparisons. The data were analyzed using Student's t test for the parametric analysis (α=.05). Results A significant increase in the pharyngeal area ( P <.001), a significant decrease in the soft palate area ( P <.001), and vertical changes in the hyoid position were observed, with no significant change in the anteroposterior position of the hyoid bone. Conclusions Within the limitations of this pilot study, lateral cephalograms were shown to be useful in evaluating treatment efficacy in subjects with OSA. (J Prosthet Dent 2010;103:170-177)</abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>20188239</pmid><doi>10.1016/S0022-3913(10)60024-8</doi><tpages>8</tpages></addata></record> |
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| ispartof | The Journal of prosthetic dentistry, 2010-03, Vol.103 (3), p.170-177 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Aged Body Mass Index Cephalometry - statistics & numerical data Continuous Positive Airway Pressure Dentistry Female Humans Hyoid Bone - physiology Male Mandibular Advancement - instrumentation Middle Aged Occlusal Splints Outcome Assessment (Health Care) Palate, Soft - anatomy & histology Pharynx - anatomy & histology Pilot Projects Sleep Apnea, Obstructive - therapy Young Adult |
| title | A pilot study to evaluate posttreatment cephalometric changes in subjects with OSA |
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