Oral appliance therapy in obstructive sleep apnea : long-term adherence and patients? experiences
NAGIOS: RODERIC FUNCIONANDO

Oral appliance therapy in obstructive sleep apnea : long-term adherence and patients? experiences

DSpace Repository

Oral appliance therapy in obstructive sleep apnea : long-term adherence and patients? experiences

Show simple item record

dc.contributor.author Saglam-Aydinatay, Banu es
dc.contributor.author Taner, Tülin es
dc.date.accessioned 2018-05-02T12:37:42Z
dc.date.available 2018-05-02T12:37:42Z
dc.date.issued 2018 es
dc.identifier.uri http://hdl.handle.net/10550/65964
dc.description.abstract Despite the advances in the treatment of obstructive sleep apnea (OSA) with mandibular advancement appliances (MAA), their effectiveness is dependent on the patients? compliance. Our aims were to evaluate the long-term adherence to MAA therapy and patients? experiences of the treatment in OSA. Sixty-nine patients (52 males, 17 females; Mean age: 54.4±10.8 years) were included in the study. The subjects were mild (56%) and moderate (44%) OSA patients who had been treated using MAA at least 4 years prior to the study. A phone survey was used to determine the demographic characteristics of the patients, as well as to assess self-reported adherence to therapy, subjective long-term effectiveness, and patient experiences with the appliance. Descriptive statistics, Pearson Chi-square test, and independent samples t-test were used for data analysis. Only 22 (32%) patients reported using the appliance regularly. Most of the non-adherent patients had stopped using their appliances in the first year (55%). The mean duration of appliance use was 33.5 months (Median: 12 months). No significant differences in appliance type, OSA severity, educational level, gender, marital status, income status, employment status or place of residence existed between adherent and non-adherent subjects. Adherent subjects were significantly younger than non-adherent subjects (Age: 50.6 ± 11.9 versus 56.1 ± 9.9, p<0.05). The most common reasons reported by patients were inability to adapt to the appliance (62%) and pain in the temporomandibular joint (38%). The most common factors associated with continued usage were effectiveness (100%) and ease of use (64%). The overall long-term nonadherence to MAA therapy in mild-to moderate OSA patients was high suggesting that barriers to MAA therapy adherence should be prevented to increase the efficiency of oral appliance treatment in OSA and achieve better outcomes for this disease. es
dc.source Saglam-Aydinatay, Banu ; Taner, Tülin. Oral appliance therapy in obstructive sleep apnea : long-term adherence and patients? experiences. En: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, 23 1 2018: 12- es
dc.title Oral appliance therapy in obstructive sleep apnea : long-term adherence and patients? experiences es
dc.type info:eu-repo/semantics/article en
dc.type info:eu-repo/semantics/publishedVersion en
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/medoral.22158 es

View       (374.3Kb)

This item appears in the following Collection(s)

Show simple item record

Search DSpace

Advanced Search

Browse

Statistics