Continuous Positive Airway Pressure and Oral Appliance Hybrid Therapy in Obstructive Sleep Apnea: Patient Comfort, Compliance, and Preference: A Pilot Study

@inproceedings{Vries2016ContinuousPA,
  title={Continuous Positive Airway Pressure and Oral Appliance Hybrid Therapy in Obstructive Sleep Apnea: Patient Comfort, Compliance, and Preference: A Pilot Study},
  author={Grietje E. de Vries and Michiel H. J. Doff and Aarnoud Hoekema and Huib A. M. Kerstjens and Peter Jan Wijkstra},
  year={2016}
}

Figures, Tables, and Topics from this paper

CPAP combined with oral appliance therapy reduces CPAP requirements and pharyngeal pressure swings in obstructive sleep apnea.
TLDR
Combination CPAP and OA therapy reduces therapeutic CPAP requirements by 35-45% and minimizes epiglottic pressure swings, and may be a therapeutic alternative for patients with incomplete responses to OA Therapy alone and those who cannot tolerate high CPAP levels. Expand
Oral Appliances in the Management of Obstructive Sleep Apnea.
TLDR
Although effective, oral appliances are less predictable in managing OSA compared with CPAP therapy, and measures can be taken to improve predictability of oral appliance treatment. Expand
Combination therapy with mandibular advancement and expiratory positive airway pressure valves reduces obstructive sleep apnea severity.
TLDR
Combination therapy with a novel MAS device and simple oral or oro-nasal EPAP valves reduces OSA severity to therapeutic levels for a substantial proportion of incomplete/nonresponders to MAS therapy alone. Expand
Oral Appliance Therapy for Obstructive Sleep Apnoea: State of the Art
TLDR
Emergent health outcome data suggest that equivalent apnoea–hypopnea index reduction may not be necessary to produce the same health benefits of PAP, and this may be related to the more favourable adherence to OA therapy, which can now be objectively verified. Expand
Oral Appliances in the Management of Obstructive Sleep Apnea.
TLDR
Although effective, oral appliances are less predictable in managing OSA compared with CPAP therapy, and measures can be taken to improve predictability of oral appliance treatment. Expand
Oral Appliances for the Management of OSA: An Updated Review of the Literature
TLDR
Compared with CPAP, the gold standard therapy, OAs are less efficacious but are more accepted and tolerated by patients, which, in turn, may lead to a comparable level of therapeutic effectiveness. Expand
Combining MAD and CPAP as an effective strategy for treating patients with severe sleep apnea intolerant to high-pressure PAP and unresponsive to MAD
TLDR
Combining MAD and CPAP showed additive effects on reducing AHI and ODI, and lowered the therapeutic pressures. Expand

References

SHOWING 1-10 OF 18 REFERENCES
Management of severe obstructive sleep apnea using mandibular advancement devices with auto continuous positive airway pressures
TLDR
Mandibular advancement devices along with CPAP may show better treatment outcome in specific situations and should be looked for so as to ascertain better management. Expand
Oral appliance to assist non-invasive ventilation in a patient with amyotrophic lateral sclerosis
TLDR
A chin lift is performed to assess whether the obstructions in the upper airway obstructions can be overcome by a more anterior jaw position and, if so, NIV may be combined with MAD to establish effective ventilation and avoid the use of TV. Expand
Depression, physical activity, energy consumption, and quality of life in OSA patients before and after CPAP treatment
TLDR
CPAP therapy improves QoL and lessens depressive symptoms in the authors' group of well-treated OSA patients, however, physical activity and energy expenditure did not present statistically significant improvement in the same group of Osa patients. Expand
Long-term oral appliance therapy in obstructive sleep apnea syndrome: a controlled study on dental side effects
TLDR
Long-term use of an oral appliance resulted in small but significant dental changes compared with CPAP, and there is a risk of dental side effects to occur. Expand
Long-term oral appliance therapy in obstructive sleep apnea syndrome: a controlled study on temporomandibular side effects
TLDR
TMDs and the risk of developing pain and function impairment of the temporomandibular complex in obstructive sleep apnea syndrome patients treated with either an oral appliance or continuous positive airway pressure in a 2-year follow-up study appear limited with long-term oral appliance use. Expand
Combined oral appliance and positive airway pressure therapy for obstructive sleep apnea: a pilot study
TLDR
Combination therapy of MAD and nasal CPAP is effective in normalizing respiratory disturbances of sleep apnea in selected OSA patients who are intolerant to CPAP. Expand
Obstructive Sleep apnea Therapy
TLDR
Subgroup analysis revealed that oral-appliance therapy was less effective in individuals with severe disease (apnea-hypopnea index > 30), which appears to be supported only for those with non-severe apnea. Expand
Continuous positive airways pressure for obstructive sleep apnoea in adults.
TLDR
CPAP is effective in reducing symptoms of sleepiness and improving quality of life measures in people with moderate and severe obstructive sleep apnoea (OSA). Expand
Epworth sleepiness scale?
...
1
2
...