In this issue - The American Academy of Dental Sleep Medicine
In this issue - The American Academy of Dental Sleep Medicine
In this issue - The American Academy of Dental Sleep Medicine
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22<br />
ISSUE 4 | 2013<br />
Patient’s Progress and Outcome<br />
Comparing her diagnostic OCST baseline with the patient’s later OCST after using her Elastic Mandibular Appliance, the patient’s condition<br />
improved as follows:<br />
Summary<br />
This case describes a patient that needed a quick and effective treatment <strong>of</strong> her severe sleep apnea. <strong>The</strong> patient presented with an unusual<br />
lateral excursive movement habit, which could’ve possibly limited the success <strong>of</strong> a mandibular advancement device (MAD). We successfully<br />
accommodated her oral parafunction with an EMA with a greater than 50 percent reduction <strong>of</strong> her original severe AHI with a final AHI <strong>of</strong><br />
less than 10. <strong>In</strong> addition, she feels alert during the day now; her Epworth <strong>Sleep</strong>iness Scale score was reduced from 15 to 5. Since treating her<br />
OSA with OAT, she hasn’t been involved in any more car accidents.<br />
References<br />
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Med. 2009 Dec 15;5(6):573-81.<br />
2. Howard ME, Desai AV, Grunstein RR, Hukins C, Armstrong JG, J<strong>of</strong>fe D, Swann P, Campbell DA, Pierce RJ. <strong>Sleep</strong>iness, sleep-disordered breathing, and<br />
accident risk factors in commercial vehicle drivers. Am J Respir Crit Care Med. 2004 Nov 1;170(9):1014-21. Epub 2004 Aug 18.<br />
3. de Mello MT, Narciso FV, Tufik S, Paiva T, Spence DW, Bahammam AS, Verster JC, Pandi-Perumal SR. <strong>Sleep</strong> disorders as a cause <strong>of</strong> motor vehicle<br />
collisions. <strong>In</strong>t J Prev Med. 2013 Mar;4(3):246-57.<br />
4. Cunali PA, Almeida FR, Santos CD, et al. Prevalence <strong>of</strong> temporomandibular disorders in obstructive sleep apnea patients referred for oral appliance<br />
therapy. J Or<strong>of</strong>ac Pain. Fall 2009;23(4):339-344.<br />
5. AADSM, Consent Form, 2009<br />
6. Katz S, Pancer J, Dort L. Treatment Complications: Notes from the Fall 2009 Advanced Course in Oral Appliance <strong>The</strong>rapy. AADSM Dialogue Issue 2,<br />
2010 20-22<br />
7.Ferguson KA, Cartwright R, Rogers R, Schmidt-Nowara W. Oral appliances for snoring and obstructive sleep apnea: a review. <strong>Sleep</strong>. Feb 1 2006;29(2):244-<br />
262<br />
8. de Almeida FR, Bittencourt LR, de Almeida CI, Tsuiki S, Lowe AA, Tufik S. Effects <strong>of</strong> mandibular posture on obstructive sleep apnea severity and the<br />
temporomandibular joint in patients fitted with an oral appliance. <strong>Sleep</strong>. Aug 1 2002;25(5):507-513<br />
9. de Almeida FR, Lowe AA, Tsuiki S, et al. Long-term compliance and side effects <strong>of</strong> oral appliances used for the treatment <strong>of</strong> snoring and obstructive<br />
sleep apnea syndrome. J Clin <strong>Sleep</strong> Med. Apr 15 2005;1(2):143-152<br />
10. Giannasi LC, Almeida FR, Magini M, et al. Systematic assessment <strong>of</strong> the impact <strong>of</strong> oral appliance therapy on the temporomandibular joint during<br />
treatment <strong>of</strong> obstructive sleep apnea: long-term evaluation. <strong>Sleep</strong> Breath. Nov 2009;13(4):375-381
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