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Adjunctive Therapies for Dental Sleep Appliances

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Dental Sleep Medicine

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Abstract

Dental sleep appliances achieve a 50% response in around 65% of patients with obstructive sleep apnea and a complete response in 35–40%. This means that all practitioners will need to augment the effect of a dental sleep appliance at some stage. There are many ways in which adjunctive therapies can be used to augment both the objective and subjective outcomes of DSA therapy. This chapter discusses the use of multiple adjunct therapies including positional therapies, positive airway pressure therapies, therapies aimed at stabilizing or improving compromised anatomy in the upper airway, and therapies aimed at improving the subjective outcomes of sleep.

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Change history

  • 17 November 2022

    In chapter 12, an author’s name has been changed from Charolte de Coursey to Charlotte de Courcey-Bayley.

Abbreviations

AHI:

Apnea-hypopnea index

APAP:

Auto-adjusting positive airway pressure

BLT:

Bright light therapy

CBT-I:

Cognitive behavioral therapy for insomnia

CPAP:

Continuous positive airway pressure

CRD:

Circadian rhythm disorders

DISE:

Drug-induced sleep endoscopy

DSA:

Dental sleep appliance

EPAP:

Expiratory positive airway pressure

FRC:

Functional residual capacity

nEPAP:

Nasal EPAP

ODI:

Oxygen desaturation index

oEPAP:

Oral EPAP

OSA:

Obstructive sleep apnea

PAP:

Positive airway pressure

POSA:

Positional obstructive sleep apnea

PT:

Positional therapy

QOL:

Quality of life

SCT:

Stimulus control therapy

SRT:

Sleep restriction therapy

SWS:

Slow wave sleep

TST:

Total sleep time

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Authors and Affiliations

  1. Private Practice St Leonard’s, St Leonards, NSW, Australia

    Charlotte de Courcey-Bayley

  2. Clinical Senior Lecturer University of Sydney, Sydney, NSW, Australia

    Karen McCloy

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  1. Charlotte de Courcey-Bayley
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Editors and Affiliations

  1. Center For TMJ & Sleep Therapy, Glendora, CA, USA

    G. Gary Demerjian

  2. Craniofacial Pain & Dental Sleep Center, Atlanta, GA, USA

    Mayoor Patel

  3. Dental Group of Sherman Oaks, Los Angeles, CA, USA

    Francesco Chiappelli

  4. Department of Oral Biology and Medicine, UCLA School of Dentistry, Los Angeles, CA, USA

    André Barkhordarian

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de Courcey-Bayley, C., McCloy, K. (2022). Adjunctive Therapies for Dental Sleep Appliances. In: Demerjian, G.G., Patel, M., Chiappelli, F., Barkhordarian, A. (eds) Dental Sleep Medicine. Springer, Cham. https://doi.org/10.1007/978-3-031-10646-0_12

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