Long Term Therapeutic Efficacy of a Soft Monobloc Mandibular Advancement Device in Adults with Obstructive Sleep Apnea

Aim. To evaluate the long term (48 months) therapeutic efficacy of a soft monobloc mandibular advancement device in adult patients with mild or moderate obstructive sleep apnea. Methods. The study population comprised 28 patients (6 female and 22 male, mean age 52.2±6.8 years) affected by obstructiv...

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Main Authors: Fabiana Ballanti, Salvatore Ranieri, Alberto Baldini, Paola Cozza
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2015/408469
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author Fabiana Ballanti
Salvatore Ranieri
Alberto Baldini
Paola Cozza
author_facet Fabiana Ballanti
Salvatore Ranieri
Alberto Baldini
Paola Cozza
author_sort Fabiana Ballanti
collection DOAJ
description Aim. To evaluate the long term (48 months) therapeutic efficacy of a soft monobloc mandibular advancement device in adult patients with mild or moderate obstructive sleep apnea. Methods. The study population comprised 28 patients (6 female and 22 male, mean age 52.2±6.8 years) affected by obstructive sleep apnea. After a baseline medical and somnographic examination, a functional examination of the stomatognathic system, and a questionnaire focused on sleep-related qualities and a daytime somnolence, each patient received an individual device. Two follow-ups were made 6 months (T1) and 48 months (T2) after soft monobloc mandibular advancement device treatment had been initiated, and all initial examinations were repeated. Results. The statistical analysis showed a significant decrease in body mass index value between T1 and T2 (ρ = 0,012), an increase of Epworth sleepiness scale value between T1 and T2 (ρ = 0,012), and a significant improvement and decrease of apnea/hypopnea index between T0 and T1 (ρ = 0,010) and between T0 and T2 (ρ = 0,013). Conclusion. Treatment with the soft monobloc mandibular advancement device is a therapeutic solution with long term and stable effects (48 months) for patients suffering from mild or moderate obstructive sleep apnea.
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spelling doaj-art-1e57895c2e084e379dd30dfbde74480f2025-08-20T03:54:43ZengWileyThe Scientific World Journal2356-61401537-744X2015-01-01201510.1155/2015/408469408469Long Term Therapeutic Efficacy of a Soft Monobloc Mandibular Advancement Device in Adults with Obstructive Sleep ApneaFabiana Ballanti0Salvatore Ranieri1Alberto Baldini2Paola Cozza3Department of Clinical Science and Translational Medicine, Orthodontics, University of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, ItalyDepartment of Clinical Science and Translational Medicine, Orthodontics, University of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, ItalyDepartment of Clinical Science and Translational Medicine, Orthodontics, University of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, ItalyDepartment of Clinical Science and Translational Medicine, Orthodontics, University of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, ItalyAim. To evaluate the long term (48 months) therapeutic efficacy of a soft monobloc mandibular advancement device in adult patients with mild or moderate obstructive sleep apnea. Methods. The study population comprised 28 patients (6 female and 22 male, mean age 52.2±6.8 years) affected by obstructive sleep apnea. After a baseline medical and somnographic examination, a functional examination of the stomatognathic system, and a questionnaire focused on sleep-related qualities and a daytime somnolence, each patient received an individual device. Two follow-ups were made 6 months (T1) and 48 months (T2) after soft monobloc mandibular advancement device treatment had been initiated, and all initial examinations were repeated. Results. The statistical analysis showed a significant decrease in body mass index value between T1 and T2 (ρ = 0,012), an increase of Epworth sleepiness scale value between T1 and T2 (ρ = 0,012), and a significant improvement and decrease of apnea/hypopnea index between T0 and T1 (ρ = 0,010) and between T0 and T2 (ρ = 0,013). Conclusion. Treatment with the soft monobloc mandibular advancement device is a therapeutic solution with long term and stable effects (48 months) for patients suffering from mild or moderate obstructive sleep apnea.http://dx.doi.org/10.1155/2015/408469
spellingShingle Fabiana Ballanti
Salvatore Ranieri
Alberto Baldini
Paola Cozza
Long Term Therapeutic Efficacy of a Soft Monobloc Mandibular Advancement Device in Adults with Obstructive Sleep Apnea
The Scientific World Journal
title Long Term Therapeutic Efficacy of a Soft Monobloc Mandibular Advancement Device in Adults with Obstructive Sleep Apnea
title_full Long Term Therapeutic Efficacy of a Soft Monobloc Mandibular Advancement Device in Adults with Obstructive Sleep Apnea
title_fullStr Long Term Therapeutic Efficacy of a Soft Monobloc Mandibular Advancement Device in Adults with Obstructive Sleep Apnea
title_full_unstemmed Long Term Therapeutic Efficacy of a Soft Monobloc Mandibular Advancement Device in Adults with Obstructive Sleep Apnea
title_short Long Term Therapeutic Efficacy of a Soft Monobloc Mandibular Advancement Device in Adults with Obstructive Sleep Apnea
title_sort long term therapeutic efficacy of a soft monobloc mandibular advancement device in adults with obstructive sleep apnea
url http://dx.doi.org/10.1155/2015/408469
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