Efficacy of a mandibular advancement intraoral appliance (MOA) for the treatment of obstructive sleep apnea syndrome (OSAS) in pediatric patients: A pilot-study
Open accessAbstract
BACKGROUND: To evaluate the treatment efficacy of a mandibular advancement intraoral appliance (MOA) for treatment of obstructive sleep apnea syndrome (OSAS) in pediatric patients. MATERIAL AND METHODS: Eighteen patients (mean=8.39 years old, women=44.4%) were selected. Sleep disorders, sleep bruxism, and temporomandibular disorders were assessed by the Sleep Disturbance Scale for Children (SDSC), the BiteStrip® (portable SB device), and the Research Diagnostic Criteria for Temporomandibular Disorders, respectively. The clinical diagnosis of OSAS was confirmed with a type 3 portable monitor device (ApneaLinkTM Plus). A silicon-based material MOA was used by patients for 60 days, and the results were compared to baseline. RESULTS: The median RDI was significantly reduced from 10 to 4.5 events/hour. Nadir SpO2 significantly increased from 82.6% to 88.9%. Total snoring events/hour have also significantly decreased from 205.5 to 91.5. Signs and symptoms of TMD remained unaltered. There was also a reduction from moderate to absence of SB in 12 patients. Similarly, all variables measured by the SDSC have had very significant reductions: disorders of initiating and maintaining sleep, sleep disordered breathing, disorders of arousal, nightmares, sleep wake transition disorders, disorders of excessive somnolence, and sleep hyperhidrosis. CONCLUSIONS: In selected cases, OA maybe considered as an alternative for the OSAS treatment.
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Modesti-Vedolin et al. treated children in the Otolaryngology Service who were on the waiting list for amygdalectomy and observed a reduction in the respiratory disturbance index from 10 to 4.5 per hour.
“Modesti-Vedolin et al, 34 treated children in the Otolaryngology Service who were in the waiting list for amygdalectomy, and they observed a reduction in the respiratory disturbance index from 10 to 4.5/h.”
From Mandibular Advancement Appliances in Pediatric Obstructive Sleep Apnea: An Umbrella Review (2023) · cites this paper as [34]
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- Authors
- Modesti-Vedolin, G., Chies, C., Chaves-Fagondes, S., Piza-Pelizzer, E., & Lima-Grossi, M.
- Affiliations
- Pontifícia Universidade Católica do Rio Grande do Sul (BR)
- Universidade Estadual Paulista (Unesp) (BR)
- Venue
- Medicina oral, patología oral y cirugía bucal
- Publisher
- Medicina Oral, S.L.
- Published
- 2018
- Volume
- 23
- Issue
- 6
- Pages
- 0-0
- ISSN
- 1698-4447 (ISSN-L)
- 1698-6946
- PMC
- PMC6260994
- OpenAlex
- W2896040244
- Cited by
- 22
- References
- 34
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 5 · 2022: 5 · 2021: 2 · 2020: 4 · 2019: 1
- FWCI
- 1.20
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Medicina oral, patología oral y cirugía bucal (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- UNESP Institutional Repository (São Paulo State University) (submittedVersion)
- Repository of Digital Objects for Teaching Research and Culture (University of Valencia) (submittedVersion, cc-by-nc)
- Topics
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
- Health Sciences › Dentistry › Orthodontics › Orthodontics and Dentofacial Orthopedics
- Keywords
- mandibular advancement device, obstructive sleep apnea, pediatric sleep apnea, sleep bruxism, temporomandibular disorders, sleep-disordered breathing, oxygen saturation, snoring, Sleep Disturbance Scale for Children
- MeSH terms
- Child, Child, Preschool, Female, Humans, Male, Pilot Projects, Temporomandibular Joint Disorders, Treatment Outcome, Mandibular Advancement, Sleep Apnea, Obstructive, Sleep Bruxism
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