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Tuomilehto, H., Peltonen, M., Partinen, M., Lavigne, G., Eriksson, J.G., Herder, C., et al. (Finnish Diabetes Prevention Study Group) (2009) Sleep duration, lifestyle intervention, and incidence of type 2 diabetes in impaired glucose tolerance: The finnish diabetes prevention study. Diabetes Care, 32, 1965-1971. doi:10.2337/dc08-1980

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• TITLE: Mandibular advancement devices in the treatment of obstructive sleep apnea and snoring in community dental care: A pilot study on self-reported sleep quality

  AUTHORS: Tiina-Riitta Vuorjoki-Ranta, Frank Lobbezoo, Henri Tuomilehto, Mauno Könönen, Antti Pihakari, Jari Ahlberg

  KEYWORDS: Obstructive Sleep Apnea; Oral Appliance; Compliance; Daytime Sleepiness; Snoring; Community Dental Care

  JOURNAL NAME: Health, Vol.5 No.8B, August 12, 2013

  ABSTRACT: Background: The high efficacy of continuous positive airway pressure (CPAP) in treating obstructive sleep apnea (OSA) patients is sometimes limited because of intolerance. Mandibular advancement devices (MAD) are proven to be efficient in treating mild to moderate sleep apnea and snoring. We examined patients who had been treated in Community Dental Care with a titrable Herbst-type MAD. The aim of the study was to evaluate the quality of sleep based on self report. Methods: A questionnaire was mailed to patients (n = 184) who had received treatment for OSA or snoring between 2007 and2010 inthe Helsinki Health Centre Oral Care Unit. The patients were referred to the clinic for primary treatment, or because another treatment modality had failed. Results: Of the respondents (n = 142, 78.4%), OSA had been diagnosed in 74%, while the MAD was applied for snoring to the remaining. Among all respondents, 78.4% had worn the MAD at least three nights per week. With the MAD in situ, sleep was felt significantly less disrupted (p