What Do We Know About Adherence to Oral Appliances?
- PMID: 33485526
- DOI: 10.1016/j.jsmc.2020.10.004
What Do We Know About Adherence to Oral Appliances?
Abstract
Long-term effective therapy is essential for obstructive sleep apnea (OSA) control and preventing comorbidity. OSA patients are often reported to be more receptive to oral appliance therapy over positive airway pressure (PAP). Oral appliance usage can now be objectively recorded by temperature microsensors. Studies using commercially available microsensor chips have reported data out to 1 year, with high rates of adherence (>80%), albeit in small samples. There is opportunity to further use this technology to understand individual adherence factors and patterns and in obtaining objective measures of treatment effectiveness, particularly for longer-term health outcomes and allowing comparison to PAP.
Keywords: Compliance monitoring; Mandibular advancement device; Obstructive sleep apnea; Oral appliance; Treatment adherence.
Copyright © 2020 Elsevier Inc. All rights reserved.
Conflict of interest statement
Disclosure K. Sutherland has received in kind support from SomnoMed Australia in the form of donation of oral appliances for investigator-initiated research. P.A. Cistulli holds an endowed academic Chair at the University of Sydney, established through funding from ResMed. P.A. Cistulli has received research support from ResMed, SomnoMed, Zephyr Sleep Technologies, and Bayer. He is a consultant/adviser to Zephyr Sleep Technologies, ResMed, and SomnoMed. He has a pecuniary interest in SomnoMed related to a previous role in R&D (2004). He has received speaker fees from Nox Medical and ResMed. O. Dalci has no conflicts to disclose.
Similar articles
-
Advances in Oral Appliances for Obstructive Sleep Apnea.Adv Otorhinolaryngol. 2017;80:57-65. doi: 10.1159/000470865. Epub 2017 Jul 17. Adv Otorhinolaryngol. 2017. PMID: 28738372
-
Oral appliance therapy in obstructive sleep apnea: Long-term adherence and patients experiences.Med Oral Patol Oral Cir Bucal. 2018 Jan 1;23(1):e72-e77. doi: 10.4317/medoral.22158. Med Oral Patol Oral Cir Bucal. 2018. PMID: 29274155 Free PMC article.
-
Oral Appliances for Snoring and Obstructive Sleep Apnea.Otolaryngol Clin North Am. 2020 Jun;53(3):397-407. doi: 10.1016/j.otc.2020.02.004. Epub 2020 Mar 26. Otolaryngol Clin North Am. 2020. PMID: 32223982 Review.
-
Oral appliance therapy for obstructive sleep apnea.Treat Respir Med. 2005;4(6):409-22. doi: 10.2165/00151829-200504060-00005. Treat Respir Med. 2005. PMID: 16336026 Review.
-
Oral Appliances in the Management of Obstructive Sleep Apnea.Sleep Med Clin. 2020 Jun;15(2):241-250. doi: 10.1016/j.jsmc.2020.02.010. Sleep Med Clin. 2020. PMID: 32386698 Review.
Cited by
-
Objective adherence to oral appliance therapy in patients with obstructive sleep apnea: a one-year longitudinal analysis.Eur J Orthod. 2025 Jun 12;47(4):cjaf037. doi: 10.1093/ejo/cjaf037. Eur J Orthod. 2025. PMID: 40556466 Free PMC article.
-
Mandibular Advancement Splint Therapy.Adv Exp Med Biol. 2022;1384:373-385. doi: 10.1007/978-3-031-06413-5_22. Adv Exp Med Biol. 2022. PMID: 36217096
-
Impact of occlusal stabilization splints on global body posture: a prospective clinical trial.Clin Oral Investig. 2024 Aug 29;28(9):505. doi: 10.1007/s00784-024-05888-9. Clin Oral Investig. 2024. PMID: 39207547 Free PMC article. Clinical Trial.
-
Factors associated with treatment adherence to mandibular advancement devices: a scoping review.Sleep Breath. 2023 Dec;27(6):2527-2544. doi: 10.1007/s11325-023-02862-9. Epub 2023 Jun 29. Sleep Breath. 2023. PMID: 37386300 Free PMC article.
-
The role of orthodontics in management of obstructive sleep apnea.Saudi Dent J. 2022 Mar;34(3):194-201. doi: 10.1016/j.sdentj.2022.02.001. Epub 2022 Feb 11. Saudi Dent J. 2022. PMID: 35935723 Free PMC article. Review.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Research Materials
