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Oral Appliance for the Treatment of Severe Obstructive Sleep Apnea in Edentulous Patient

  • Clinical Report
  • Published:
The Journal of Indian Prosthodontic Society

Abstract

Oral appliances have attracted interest for the treatment of mild and moderate obstructive sleep apnea (OSA) and the mandibular repositioning device (MRD) or a tongue-retainer device (TRD) is usually indicated to increase the upper air space. Describes a combination of MRD (with 60 % maximum mandibular protrusion) and TRD to treat severe OSA. Polysomnography (PSG) and two questionnaires: the Epworth Sleepiness Scale (ESS) and the Pittsburgh Sleep Quality Index (PSQI) evaluated the sleep pattern in two times (after and before the use of oral appliance). The initial PSG exam was compatible with diagnoses severe OSA and the Apnea–Hypopnea Index was 40.4, and 54 % oxygen saturation −spO2. The ESS and PSQI scores were 11 and 6, respectively. After she began wearing the device she stopped snoring, her Apnea–Hypopnea Index decreased to 17.6, presented a sleep efficiency of 81.6 % and had a 77 % spO2. The ESS and PSQI scores dropped to three. MRD in association with the tongue-retainer was effective in reducing the severity of the apnea for this edentulous patient.

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Acknowledgments

Lab technician’s prosthesis at Dental School of Piracicaba: Reinaldo José Casagrande e Márcia Luzia Broglio.

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Authors and Affiliations

  1. Department of Periodontology and Prosthodontics, Piracicaba Dental School, State University of Campinas (UNICAMP), Av. Limeira, 901, Caixa Postal 52, Piracicaba, SP, 13414-903, Brazil

    Marcele Jardim Pimentel, Ataís Bacchi, Gabriela Cassaro de Castro & Célia Marisa Rizzatti-Barbosa

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  1. Marcele Jardim Pimentel
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  2. Ataís Bacchi
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  3. Gabriela Cassaro de Castro
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  4. Célia Marisa Rizzatti-Barbosa
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Correspondence to Marcele Jardim Pimentel.

Additional information

Marcele Jardim Pimentel—MSc, PhD Student of State University of Campinas (UNICAMP) and Specialist in Dental Prosthesis of University of Sao Paulo (USP), Bauru, SP, Brazil.

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Pimentel, M.J., Bacchi, A., de Castro, G.C. et al. Oral Appliance for the Treatment of Severe Obstructive Sleep Apnea in Edentulous Patient. J Indian Prosthodont Soc 14 (Suppl 1), 255–259 (2014). https://doi.org/10.1007/s13191-013-0312-4

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  • DOI: https://doi.org/10.1007/s13191-013-0312-4

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