Mandibular torus as a new index of success for mandibular advancement devices

Background: In obstructive sleep apnoea (OSA), treatment with mandibular advancement devices (MADs) reduces patients' Apnoea-Hypopnoea index (AHI) scores and improves their sleepiness and quality of life. MADs are non-invasive alternatives for patients who cannot tolerate traditional continuous...

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Autores: Díaz de Terán López, Teresa, Muñoz Cacho, Pedro, Félix, Carlos de, Macías, Emilio, Cabello Najera, Marta, Cantalejo Martín, Olga, Banfi, Paolo, Nicolini, Antonello, Solidoro, Paolo, González Martínez, Mónica|||0000-0003-1516-0181
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universidad de Cantabria (UC)
Repositorio:UCrea Repositorio Abierto de la Universidad de Cantabria
Idioma:inglés
OAI Identifier:oai:repositorio.unican.es:10902/29228
Acceso en línea:https://hdl.handle.net/10902/29228
Access Level:acceso abierto
Palabra clave:Obstructive sleep apnoea
Mandibular advancement devices
Cephalometry
Mandibular torus
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spelling Mandibular torus as a new index of success for mandibular advancement devicesDíaz de Terán López, TeresaMuñoz Cacho, PedroFélix, Carlos deMacías, EmilioCabello Najera, MartaCantalejo Martín, OlgaBanfi, PaoloNicolini, AntonelloSolidoro, PaoloGonzález Martínez, Mónica|||0000-0003-1516-0181Obstructive sleep apnoeaMandibular advancement devicesCephalometryMandibular torusBackground: In obstructive sleep apnoea (OSA), treatment with mandibular advancement devices (MADs) reduces patients' Apnoea-Hypopnoea index (AHI) scores and improves their sleepiness and quality of life. MADs are non-invasive alternatives for patients who cannot tolerate traditional continuous positive airway pressure (CPAP) therapy. The variability of responses to these devices makes it necessary to search for predictors of success. The aim of our study was to evaluate the presence of mandibular torus as a predictor of MAD efficacy in OSA and to identify other potential cephalometric factors that could influence the response to treatment. Methods: This was a retrospective cohort study. The study included 103 patients diagnosed of OSA who met the criteria for initiation of treatment with MAD. Structural variables were collected (cephalometric and the presence or absence of mandibular torus). Statistical analysis was performed to evaluate the existence of predictive factors for the efficacy of MADs. Results: A total of 103 patients who were consecutively referred for treatment with MAD were included (89.3% men); the mean age of the participants was 46.3 years, and the mean AHI before MAD was 31.4 (SD 16.2) and post- MAD 11.3 (SD 9.2). Thirty-three percent of patients had mandibular torus. Torus was associated with a better response (odds ratio (OR) = 2.854 (p = 0.035)) after adjustment for sex, age, body mass index (BMI; kg/m2), the angle formed by the occlusal plane to the sella?nasion plane (OCC plane to SN), overinjection, and smoking. No cephalometric predictors of efficacy were found that were predictive of MAD treatment success. Conclusions: The presence of a mandibular torus practically triples the probability of MAD success. This is the simplest examination with the greatest benefits in terms of the efficacy of MAD treatment for OSA.MDPIUniversidad de Cantabria20222022-01-01journal articlehttp://purl.org/coar/resource_type/c_6501NAhttp://purl.org/coar/version/c_be7fb7dd8ff6fe43info:eu-repo/semantics/articlehttps://hdl.handle.net/10902/29228International Journal of Environmental Research and Public Health 2022, 19, 14154reponame:UCrea Repositorio Abierto de la Universidad de Cantabriainstname:Universidad de Cantabria (UC)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repositorio.unican.es:10902/292282026-06-02T12:39:31Z
dc.title.none.fl_str_mv Mandibular torus as a new index of success for mandibular advancement devices
title Mandibular torus as a new index of success for mandibular advancement devices
spellingShingle Mandibular torus as a new index of success for mandibular advancement devices
Díaz de Terán López, Teresa
Obstructive sleep apnoea
Mandibular advancement devices
Cephalometry
Mandibular torus
title_short Mandibular torus as a new index of success for mandibular advancement devices
title_full Mandibular torus as a new index of success for mandibular advancement devices
title_fullStr Mandibular torus as a new index of success for mandibular advancement devices
title_full_unstemmed Mandibular torus as a new index of success for mandibular advancement devices
title_sort Mandibular torus as a new index of success for mandibular advancement devices
dc.creator.none.fl_str_mv Díaz de Terán López, Teresa
Muñoz Cacho, Pedro
Félix, Carlos de
Macías, Emilio
Cabello Najera, Marta
Cantalejo Martín, Olga
Banfi, Paolo
Nicolini, Antonello
Solidoro, Paolo
González Martínez, Mónica|||0000-0003-1516-0181
author Díaz de Terán López, Teresa
author_facet Díaz de Terán López, Teresa
Muñoz Cacho, Pedro
Félix, Carlos de
Macías, Emilio
Cabello Najera, Marta
Cantalejo Martín, Olga
Banfi, Paolo
Nicolini, Antonello
Solidoro, Paolo
González Martínez, Mónica|||0000-0003-1516-0181
author_role author
author2 Muñoz Cacho, Pedro
Félix, Carlos de
Macías, Emilio
Cabello Najera, Marta
Cantalejo Martín, Olga
Banfi, Paolo
Nicolini, Antonello
Solidoro, Paolo
González Martínez, Mónica|||0000-0003-1516-0181
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidad de Cantabria
dc.subject.none.fl_str_mv Obstructive sleep apnoea
Mandibular advancement devices
Cephalometry
Mandibular torus
topic Obstructive sleep apnoea
Mandibular advancement devices
Cephalometry
Mandibular torus
description Background: In obstructive sleep apnoea (OSA), treatment with mandibular advancement devices (MADs) reduces patients' Apnoea-Hypopnoea index (AHI) scores and improves their sleepiness and quality of life. MADs are non-invasive alternatives for patients who cannot tolerate traditional continuous positive airway pressure (CPAP) therapy. The variability of responses to these devices makes it necessary to search for predictors of success. The aim of our study was to evaluate the presence of mandibular torus as a predictor of MAD efficacy in OSA and to identify other potential cephalometric factors that could influence the response to treatment. Methods: This was a retrospective cohort study. The study included 103 patients diagnosed of OSA who met the criteria for initiation of treatment with MAD. Structural variables were collected (cephalometric and the presence or absence of mandibular torus). Statistical analysis was performed to evaluate the existence of predictive factors for the efficacy of MADs. Results: A total of 103 patients who were consecutively referred for treatment with MAD were included (89.3% men); the mean age of the participants was 46.3 years, and the mean AHI before MAD was 31.4 (SD 16.2) and post- MAD 11.3 (SD 9.2). Thirty-three percent of patients had mandibular torus. Torus was associated with a better response (odds ratio (OR) = 2.854 (p = 0.035)) after adjustment for sex, age, body mass index (BMI; kg/m2), the angle formed by the occlusal plane to the sella?nasion plane (OCC plane to SN), overinjection, and smoking. No cephalometric predictors of efficacy were found that were predictive of MAD treatment success. Conclusions: The presence of a mandibular torus practically triples the probability of MAD success. This is the simplest examination with the greatest benefits in terms of the efficacy of MAD treatment for OSA.
publishDate 2022
dc.date.none.fl_str_mv 2022
2022-01-01
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
NA
http://purl.org/coar/version/c_be7fb7dd8ff6fe43
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/10902/29228
url https://hdl.handle.net/10902/29228
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv International Journal of Environmental Research and Public Health 2022, 19, 14154
reponame:UCrea Repositorio Abierto de la Universidad de Cantabria
instname:Universidad de Cantabria (UC)
instname_str Universidad de Cantabria (UC)
reponame_str UCrea Repositorio Abierto de la Universidad de Cantabria
collection UCrea Repositorio Abierto de la Universidad de Cantabria
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.298079

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