Original article
Oral Interventions for Obstructive Sleep Apnea
Dtsch Arztebl Int 2018; 115: 200-7. DOI: 10.3238/arztebl.2018.0200
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| 1. | Park JG, Ramar K, Olson EJ: Updates on definition, consequences, and management of obstructive sleep apnea. Mayo Clin Proc 2011; 86: 549–54 CrossRef MEDLINE PubMed Central |
| 2. | Lumeng JC, Chervin RD: Epidemiology of pediatric obstructive sleep apnea. Proc Am Thorac Soc 2008; 5: 242–52 CrossRef MEDLINE PubMed Central |
| 3. | Punjabi NM: The epidemiology of adult obstructive sleep apnea. Proc Am Thorac Soc 2008; 5: 136–43 CrossRef MEDLINE PubMed Central |
| 4. | Dobrowolska-Zarzycka M, Dunin-Wilczyńska I, Szymańska J: Craniofacial structure in patients with obstructive sleep apnoea. Folia Morphol (Warsz) 2016; 75: 311–5 CrossRef MEDLINE |
| 5. | Lee RWW, Vasudavan S, Hui DS, et al.: Differences in craniofacial structures and obesity in caucasian and chinese patients with obstructive sleep apnea. Sleep 2010; 33: 1075–80 CrossRef MEDLINE PubMed Central |
| 6. | Peppard PE, Young T, Palta M, Dempsey J, Skatrud J: Longitudinal study of moderate weight change and sleep-disordered breathing. JAMA 2000; 284: 3015–21 CrossRef |
| 7. | Young T, Peppard PE, Taheri S: Excess weight and sleep-disordered breathing. J Appl Physiol 2005; 99: 1592–9 CrossRef MEDLINE |
| 8. | Shahar E, Redline S, Young T, et al.: Hormone replacement therapy and sleep-disordered breathing. Am J Respir Crit Care Med 2003; 167: 1186–92 CrossRef MEDLINE |
| 9. | Young T, Finn L, Austin D, Peterson A: Menopausal status and sleep-disordered breathing in the Wisconsin Sleep Cohort Study. Am J Respir Crit Care Med 2003; 167: 1181–5 CrossRef MEDLINE |
| 10. | Carskadon MA, Bearpark HM, Sharkey KM, et al.: Effects of menopause and nasal occlusion on breathing during sleep. Am J Respir Crit Care Med 1997; 155: 205–10 CrossRef MEDLINE |
| 11. | McNicholas WT, Tarlo S, Cole P, et al.: Obstructive apneas during sleep in patients with seasonal allergic rhinitis. Am Rev Respir Dis 1982; 126: 625–8 MEDLINE |
| 12. | Kashyap R, Hock LM, Bowman TJ: Higher prevalence of smoking in patients diagnosed as having obstructive sleep apnea. Sleep Breath 2001; 5: 167–72 CrossRef |
| 13. | Wetter DW, Young TB, Bidwell TR, Badr MS, Palta M: Smoking as a risk factor for sleep-disordered breathing. Arch Intern Med 1994; 154: 2219–24 CrossRef CrossRef |
| 14. | Jordan AS, McSharry DG, Malhotra A: Adult obstructive sleep apnoea. Lancet 2014; 383: 736–47 CrossRef |
| 15. | Mathur R, Douglas NJ: Family studies in patients with the sleep apnea-hypopnea syndrome. Ann Intern Med 1995; 122: 174–8 CrossRef |
| 16. | Carmelli D, Colrain IM, Swan GE, Bliwise DL: Genetic and environmental influences in sleep-disordered breathing in older male twins. Sleep 2004; 27: 917–22 CrossRef |
| 17. | Patel SR, Larkin EK, Redline S: Shared genetic basis for obstructive sleep apnea and adiposity measures. Int J Obes (Lond) 2008; 32: 795–800 CrossRef MEDLINE PubMed Central |
| 18. | Chervin RD: Sleepiness, fatigue, tiredness, and lack of energy in obstructive sleep apnea. Chest 2000; 118: 372–9 CrossRef |
| 19. | Kapur VK, Baldwin CM, Resnick HE, Gottlieb DJ, Nieto FJ: Sleepiness in patients with moderate to severe sleep-disordered breathing. Sleep 2005; 28: 472–7 CrossRef |
| 20. | George CF: Sleep apnea, alertness, and motor vehicle crashes. Am J Respir Crit Care Med 2007; 176: 954–6 CrossRef MEDLINE |
| 21. | Cheshire K, Engleman H, Deary I, Shapiro C, Douglas NJ: Factors impairing daytime performance in patients with sleep apnea/hypopnea syndrome. Arch Intern Med 1992; 152: 538–41 CrossRef CrossRef |
| 22. | Naëgelé B, Thouvard V, Pépin JL, et al.: Deficits of cognitive executive functions in patients with sleep apnea syndrome. Sleep 1995; 18: 43–52 MEDLINE |
| 23. | Baldwin CM, Griffith KA, Nieto FJ, O’Connor GT, Walsleben JA, Redline S: The association of sleep-disordered breathing and sleep symptoms with quality of life in the Sleep Heart Health Study. Sleep 2001; 24: 96–105 CrossRef |
| 24. | Deacon NL, Jen R, Li Y, Malhotra A: Treatment of obstructive sleep apnea. Prospects for personalized combined modality therapy. Ann Am Thorac Soc 2016; 13: 101–8 CrossRef MEDLINE PubMed Central |
| 25. | Sommer JU, Heiser C, Gahleitner C, et al.: Tonsillectomy with uvulopalatopharyngoplasty in obstructive sleep apnea. Dtsch Arztebl Int 2016; 113: 1–8 VOLLTEXT |
| 26. | Eichenberger M, Baumgartner S: The impact of rapid palatal expansion on children’s general health: a literature review. Eur J Paediatr Dent 2014; 15: 67–71 MEDLINE |
| 27. | Bratton DJ, Gaisl T, Wons AM, Kohler M: CPAP vs mandibular advancement devices and blood pressure in patients with obstructive sleep apnea: a systematic review and meta-analysis. JAMA 2015; 314: 2280–93 CrossRef MEDLINE |
| 28. | Iftikhar IH, Bittencourt L, Youngstedt SD, et al.: Comparative efficacy of CPAP, MADs, exercise-training, and dietary weight loss for sleep apnea: a network meta-analysis. Sleep Med 2017; 30: 7–14 CrossRef MEDLINE |
| 29. | Hochban W, Brandenburg U, Peter JH: Surgical treatment of obstructive sleep apnea by maxillomandibular advancement. Sleep 1994; 17: 624–9 CrossRef |
| 30. | Deutsche Gesellschaft für Schlafforschung und Schlafmedizin (DGSM). S3-Leitlinie Nicht erholsamer Schlaf/Schlafstörungen – Kapitel „Schlafbezogene Atmungsstörungen“. Somnologie 2017; 20: 97–180 CrossRef |
| 31. | Higgins JPT, Green S, Cochrane Colloboration: Cochrane handbook for systematic reviews of interventions. www.handbook.cochrane.org/ (last accessed on 30 March 2017). |
| 32. | Liberati A, Altman DG, Tetzlaff J, et al.: The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. J Clin Epidemiol 2009; 62: e1–34 CrossRef MEDLINE |
| 33. | Aromataris E, Fernandez R, Godfrey CM, Holly C, Khalil H, Tungpunkom P: Summarizing systematic reviews: methodological development, conduct and reporting of an umbrella review approach. Int J Evid Based Healthc 2015; 13: 132–40 CrossRef MEDLINE |
| 34. | Flemons WW, Buysse D, Redline S, et al.: Sleep-related breathing disorders in adults. Sleep 1999; 22: 667–89 CrossRef |
| 35. | Beck SE, Marcus CL: Pediatric polysomnography. Sleep Med Clin 2009; 4: 393–406 CrossRef MEDLINE PubMed Central |
| 36. | Uliel S, Tauman R, Greenfeld M, Sivan Y: Normal polysomnographic respiratory values in children and adolescents. Chest 2004; 125: 872–8 CrossRef |
| 37. | Papageorgiou SN, Xavier GM, Cobourne MT: Basic study design influences the results of orthodontic clinical investigations. J Clin Epidemiol 2015; 68: 1512–22 CrossRef MEDLINE |
| 38. | Papageorgiou SN, Koretsi V, Jäger A: Bias from historical control groups used in orthodontic research: a meta-epidemiological study. Eur J Orthod 2017; 39: 98–105 CrossRef MEDLINE |
| 39. | Guyatt GH, Oxman AD, Schünemann HJ, Tugwell P, Knottnerus A: GRADE guidelines: a new series of articles in the Journal of Clinical Epidemiology. J Clin Epidemiol 2011; 64: 380–2 CrossRef MEDLINE |
| 40. | Shea BJ, Grimshaw JM, Wells GA, et al.: Development of AMSTAR: a measurement tool to assess the methodological quality of systematic reviews. BMC Med Res Methodol 2007; 7: 10 CrossRef MEDLINE PubMed Central |
| e1. | Elbourne DR, Altman DG, Higgins JPT, Curtin F, Worthington HV, Vail A: Meta-analyses involving cross-over trials: methodological issues. Int J Epidemiol 2002; 31: 140–9 CrossRef |
| e2. | de Britto Teixeira AO, Abi-Ramia LBP, de Oliveira Almeida MA: Treatment of obstructive sleep apnea with oral appliances. Prog Orthod 2013; 14: 10 CrossRef MEDLINE PubMed Central |
| e3. | Papageorgiou SN: Meta-analysis for orthodontists: part I—how to choose effect measure and statistical model. J Orthod 2014; 41: 317–26 CrossRef MEDLINE |
| e4. | Veroniki AA, Jackson D, Viechtbauer W, et al.: Methods to estimate the between-study variance and its uncertainty in meta-analysis. Res Synth Methods 2016; 7: 55–79 CrossRef MEDLINE PubMed Central |
| e5. | Higgins J, Thompson SG: Quantifying heterogeneity in a meta-analysis. Stat Med 2002; 21: 1539–58 CrossRef MEDLINE |
| e6. | Papageorgiou SN: Meta-analysis for orthodontists: part II—is all that glitters gold? J Orthod 2014; 41: 327–36 CrossRef MEDLINE |
| e7. | IntHout J, Ioannidis JPA, Rovers MM, Goeman JJ: Plea for routinely presenting prediction intervals in meta-analysis. BMJ Open 2016; 6: e010247 CrossRef MEDLINE PubMed Central |
| e8. | Sterne JAC, Sutton AJ, Ioannidis JPA, et al.: Recommendations for examining and interpreting funnel plot asymmetry in meta-analyses of randomised controlled trials. BMJ 2011; 343: d4002 CrossRef MEDLINE |
| e9. | Egger M, Davey Smith G, Schneider M, Minder C: Bias in meta-analysis detected by a simple, graphical test. BMJ 1997; 315: 629–34 CrossRef |
| e10. | Johnson VE: Revised standards for statistical evidence. Proc Natl Acad Sci U S A 2013; 110: 19313–7 CrossRef MEDLINE PubMed Central |
| e11. | Abdullatif J, Certal V, Zaghi S, et al.: Maxillary expansion and maxillomandibular expansion for adult OSA: a systematic review and meta-analysis. J Craniomaxillofac Surg 2016; 44: 574–8 CrossRef MEDLINE |
| e12. | Ahrens A, McGrath C, Hägg U: A systematic review of the efficacy of oral appliance design in the management of obstructive sleep apnoea. Eur J Orthod 2011; 33: 318–24 CrossRef MEDLINE |
| e13. | Bartolucci ML, Bortolotti F, Raffaelli E, D’Antò V, Michelotti A, Alessandri Bonetti G: The effectiveness of different mandibular advancement amounts in OSA patients: a systematic review and meta-regression analysis. Sleep Breath 2016; 20: 911–9 CrossRef MEDLINE |
| e14. | Bratton DJ, Gaisl T, Schlatzer C, Kohler M: Comparison of the effects of continuous positive airway pressure and mandibular advancement devices on sleepiness in patients with obstructive sleep apnoea: a network meta-analysis. Lancet Respir Med 2015; 3: 869–78 CrossRef |
| e15. | Bridgman S, Dunn K: Systematic review of the surgical treatment of obstructive sleep apnoea. J Clin Excell 2000; 1: 223–6. |
| e16. | Caldas SGFR, Ribeiro AA, Santos-Pinto LAM dos, Martins LP, Matoso RM: Efetividade dos aparelhos intrabucais de avanço mandibular no tratamento do ronco e da síndrome da apneia e hipopneia obstrutiva do sono (SAHOS): revisão sistemática. Rev Dent Press Ortodon Ortop Facial 2009; 14: 74–82 CrossRef |
| e17. | Camacho M, Teixeira J, Abdullatif J, et al.: Maxillomandibular advancement and tracheostomy for morbidly obese obstructive sleep apnea: a systematic review and meta-analysis. Otolaryngol Head Neck Surg 2015; 152: 619–30 CrossRef MEDLINE |
| e18. | Caples SM, Rowley JA, Prinsell JR, et al.: Surgical modifications of the upper airway for obstructive sleep apnea in adults: a systematic review and meta-analysis. Sleep 2010; 33: 1396–407 CrossRef MEDLINE PubMed Central |
| e19. | Carvalho FR, Lentini-Oliveira D, Machado M a. C, Prado GF, Prado LBF, Saconato H: Oral appliances and functional orthopaedic appliances for obstructive sleep apnoea in children. Cochrane Database Syst Rev 2007; 10: CD005520. |
| e20. | Carvalho FR, Lentini-Oliveira DA, Prado LB, Prado GF, Carvalho LB: Oral appliances and functional orthopaedic appliances for obstructive sleep apnoea in children. Cochrane Database Syst Rev 2016; 10: CD005520 MEDLINE |
| e21. | Health Quality Ontario: Oral appliances for obstructive sleep apnea: an evidence-based analysis. Ont Health Technol Assess Ser 2009; 9: 1–51. |
| e22. | Hoekema A, Stegenga B, De Bont LGM: Efficacy and co-morbidity of oral appliances in the treatment of obstructive sleep apnea-hypopnea: a systematic review. Crit Rev Oral Biol Med 2004; 15: 137–55 CrossRef |
| e23. | Holty JEC, Guilleminault C: Maxillomandibular advancement for the treatment of obstructive sleep apnea: a systematic review and meta-analysis. Sleep Med Rev 2010; 14: 287–97 CrossRef MEDLINE |
| e24. | Hsieh YJ, Liao YF: Effects of maxillomandibular advancement on the upper airway and surrounding structures in patients with obstructive sleep apnoea: a systematic review. Br J Oral Maxillofac Surg 2013; 51: 834–40 CrossRef MEDLINE |
| e25. | Huynh NT, Desplats E, Almeida FR: Orthodontics treatments for managing obstructive sleep apnea syndrome in children: a systematic review and meta-analysis. Sleep Med Rev 2016; 25: 84–94 CrossRef MEDLINE |
| e26. | Knudsen TB, Laulund AS, Ingerslev J, Homøe P, Pinholt EM: Improved apnea-hypopnea index and lowest oxygen saturation after maxillomandibular advancement with or without counterclockwise rotation in patients with obstructive sleep apnea: a meta-analysis. J Oral Maxillofac Surg 2015; 73: 719–26 CrossRef MEDLINE |
| e27. | Li W, Xiao L, Hu J: The comparison of CPAP and oral appliances in treatment of patients with OSA: a systematic review and meta-analysis. Respir Care 2013; 58: 1184–95 CrossRef MEDLINE |
| e28. | Lim J, Lasserson TJ, Fleetham J, Wright J: Oral appliances for obstructive sleep apnoea. Cochrane Database Syst Rev 2004; 4: CD004435. |
| e29. | Machado-Júnior AJ, Zancanella E, Crespo AN: Rapid maxillary expansion and obstructive sleep apnea: a review and meta-analysis. Med Oral Patol Oral Cir Bucal 2016; 21: e465–9 MEDLINE PubMed Central |
| e30. | Marcus CL, Brooks LJ, Draper KA, et al.: Diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics 2012; 130: e714–55. |
| e31. | Marklund M, Verbraecken J, Randerath W: Non-CPAP therapies in obstructive sleep apnoea: mandibular advancement device therapy. Eur Respir J 2012; 39: 1241–7 CrossRef MEDLINE |
| e32. | Nazarali N, Altalibi M, Nazarali S, Major MP, Flores-Mir C, Major PW: Mandibular advancement appliances for the treatment of paediatric obstructive sleep apnea: a systematic review. Eur J Orthod 2015; 37: 618–26 CrossRef MEDLINE |
| e33. | Okuno K, Sato K, Arisaka T, et al.: The effect of oral appliances that advanced the mandible forward and limited mouth opening in patients with obstructive sleep apnea: a systematic review and meta-analysis of randomised controlled trials. J Oral Rehabil 2014; 41: 542–54 CrossRef MEDLINE |
| e34. | Pirklbauer K, Russmueller G, Stiebellehner L, et al.: Maxilloman-dibular advancement for treatment of obstructive sleep apnea syndrome: a systematic review. J Oral Maxillofac Surg 2011; 69: e165–76 CrossRef MEDLINE |
| e35. | Ramar K, Dort LC, Katz SG, et al.: Clinical practice guideline for the treatment of obstructive sleep apnea and snoring with oral appliance therapy: an update for 2015. J Clin Sleep Med 2015; 11: 773–827 CrossRef CrossRef |
| e36. | Serra-Torres S, Bellot-Arcís C, Montiel-Company JM, Marco-Algarra J, Almerich-Silla JM: Effectiveness of mandibular advancement appliances in treating obstructive sleep apnea syndrome: a systematic review. Laryngoscope 2016; 126: 507–14 CrossRef MEDLINE |
| e37. | Sharples LD, Clutterbuck-James AL, Glover MJ, et al.: Meta-analysis of randomised controlled trials of oral mandibular advancement devices and continuous positive airway pressure for obstructive sleep apnoea-hypopnoea. Sleep Med Rev 2016; 27: 108–24 CrossRef CrossRef MEDLINE PubMed Central |
| e38. | Sher AE, Schechtman KB, Piccirillo JF: The efficacy of surgical modifications of the upper airway in adults with obstructive sleep apnea syndrome. Sleep 1996; 19: 156–77 CrossRef |
| e39. | Zaghi S, Holty JEC, Certal V, et al.: Maxillomandibular advancement for treatment of obstructive sleep apnea: a meta-analysis. JAMA Otolaryngol Head Neck Surg 2016; 142: 58–66 CrossRef MEDLINE |
| e40. | Zhu Y, Long H, Jian F, et al.: The effectiveness of oral appliances for obstructive sleep apnea syndrome: a meta-analysis. J Dent 2015; 43: 1394–402 CrossRef MEDLINE |
| e41. | Sindhu F, Carpenter L, Seers K: Development of a tool to rate the quality assessment of randomized controlled trials using a delphi technique. J Adv Nurs 1997; 25: 1262–8 CrossRef |
| e42. | Belbasis L, Bellou V, Evangelou E, Ioannidis JPA, Tzoulaki I: Environmental risk factors and multiple sclerosis: an umbrella review of systematic reviews and meta-analyses. Lancet Neurol 2015; 14: 263–73 CrossRef |
| e43. | Ryan CF, Love LL, Peat D, Fleetham JA, Lowe AA: Mandibular advancement oral appliance therapy for obstructive sleep apnoea: effect on awake calibre of the velopharynx. Thorax 1999; 54: 972–7 CrossRef |
| e44. | Villa MP, Bernkopf E, Pagani J, Broia V, Montesano M, Ronchetti R: Randomized controlled study of an oral jaw-positioning appliance for the treatment of obstructive sleep apnea in children with malocclu-sion. Am J Respir Crit Care Med 2002; 165: 123–7 CrossRef MEDLINE |
| e45. | Cozza P, Gatto R, Ballanti F, Prete L: Management of obstructive sleep apnoea in children with modified monobloc appliances. Eur J Paediatr Den 2004; 5: 24– MEDLINE |
| e46. | Tsilidis KK, Kasimis JC, Lopez DS, Ntzani EE, Ioannidis JPA: Type 2 diabetes and cancer: umbrella review of meta-analyses of observational studies. BMJ 2015; 350: g7607 CrossRef MEDLINE |
| e47. | Randerath WJ, Heise M, Hinz R, Ruehle KH: An individually adjustable oral appliance vs continuous positive airway pressure in mild-to-moderate obstructive sleep apnea syndrome. Chest 2002; 122: 569–75 CrossRef |
| e48. | Tan YK, L’Estrange PR, Luo YM, et al.: Mandibular advancement splints and continuous positive airway pressure in patients with obstructive sleep apnoea: a randomized cross-over trial. Eur J Orthod 2002; 24: 239–49 CrossRef MEDLINE |
| e49. | Almeida FR, Henrich N, Marra C, et al.: Patient preferences and experiences of CPAP and oral appliances for the treatment of obstructive sleep apnea: a qualitative analysis. Sleep Breath 2013; 17: 659–66 CrossRef MEDLINE |
| e50. | Guilleminault C, Monteyrol PJ, Huynh NT, Pirelli P, Quo S, Li K: Adeno-tonsillectomy and rapid maxillary distraction in pre-pubertal children, a pilot study. Sleep Breath 2011; 15: 173–7 CrossRef MEDLINE |
| e51. | Villa MP, Rizzoli A, Miano S, Malagola C: Efficacy of rapid maxillary expansion in children with obstructive sleep apnea syndrome: 36 months of follow-up. Sleep Breath 2011; 15: 179–84 CrossRef MEDLINE |
| e52. | Liu SY, Guilleminault C, Huon LK, Yoon A: Distraction Osteogenesis Maxillary Expansion (DOME) for adult obstructive sleep apnea patients with high arched palate. Otolaryngol Head Neck Surg 2017; 157: 345–8 CrossRef MEDLINE |
| e53. | Vicini C, Dallan I, Campanini A, et al.: Surgery vs ventilation in adult severe obstructive sleep apnea syndrome. Am J Otolaryngol 2010; 31: 14–20 CrossRef MEDLINE |
| e54. | Stewart L, Moher D, Shekelle P: Why prospective registration of systematic reviews makes sense. Syst Rev 2012; 1: 7 CrossRef MEDLINE PubMed Central |
| e55. | Papageorgiou PN, Deschner J, Papageorgiou SN: Effectiveness and adverse effects of deep brain stimulation: umbrella review of meta-analyses. J Neurol Surg A Cent Eur Neurosurg 2017; 78: 180–90 MEDLINE |
