The primary OSA therapies\u2014CPAP and oral appliances\u2014require continuous use during sleep. Studies highlight that oral appliances are often the preferred option. Over the years, significant advancements in this treatment have led to several positive outcomes, such as a reduction in arterial blood pressure and improvements in energy levels, attention, and memory, among others.<\/p>\n\n\n\n
This article analyzes the adherence of 58 patients diagnosed with moderate to severe OSA. The\nauthors measured the number of hours of use over 60 days using a thermal sensor in an oral\nappliance.<\/p>\n\n\n\n
More than 80% of patients demonstrated positive adherence. The leading cause of withdrawal in\nthe remaining group was a lack of perceived improvement. Participants who maintained good\nadherence during the first 20 days continued to use the device consistently for 60 days.<\/p>\n\n\n\n
What strategies can optimize higher adherence?<\/p>\n\n\n\n
The process begins with an individualized analysis of each case. The patient\u2019s profile, specific\nchallenges, and the severity of the condition are key factors in determining whether an oral\nappliance is appropriate.<\/p>\n\n\n\n
However, which model should we choose? A sleep dentist has access to a wide range of devices,\neach designed to meet the specific needs of different patient groups.<\/p>\n\n\n\n
Addressing the patient\u2019s difficulties is crucial. During the first few days, follow-up via WhatsApp is recommended to help manage potential discomfort, such as poor appliance\nretention, muscle soreness, and difficulty falling asleep. This type of support can make a\nsignificant difference. Additionally, evaluating objective results\u2014such as oxygen saturation,\nhypoxic burden, and snoring\u2014using a validated Type IV polysomnography (high-resolution\noximetry) is essential. In some cases, switching models or incorporating another therapy method can be an effective strategy. Furthermore, implementing sleep hygiene measures is always highly recommended.<\/p>\n\n\n\n
Objective and subjective monitoring allows for necessary adjustments to treatment.<\/p>\n\n\n\n
Obstructive sleep apnea is a chronic and progressive disease that requires long-term follow-up. In some cases, combining or modifying therapies may be necessary to achieve optimal results.<\/p>\n\n\n\n
REFERENCE:<\/em> Treatment usage patterns of oral appliances for obstructive sleep apnea over the first 60 days: a cluster analysis.<\/em> <\/p>\n\n\n\n The Biologix\u00ae Sleep Test<\/strong><\/p>\n\n\n\n Diagnosing obstructive sleep apnea is both simple and essential. The Biologix Sleep Test\u00ae is a\nremote polysomnography that monitors oxygen saturation, heart rate, actigraphy, and snoring\nusing a smartphone microphone.<\/p>\n\n\n\n Designed for at-home use, this test offers a simple yet effective method for healthcare practitioners to diagnose and monitor sleep apnea.\u00a0 <\/p>\n\n\n\n At bedtime, the patient only needs to place the sensor on their finger and start the test in the\nBiologix app. Upon waking up the next morning, after finishing the test, the result will be available at the exam portal in a matter of seconds.<\/p>","protected":false},"excerpt":{"rendered":" The primary OSA therapies\u2014CPAP and oral appliances\u2014require continuous use during sleep. Studies highlight that (...)<\/p>","protected":false},"author":11,"featured_media":13166,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13],"tags":[],"class_list":["post-13165","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-odontologia"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.biologix.com.br\/en\/wp-json\/wp\/v2\/posts\/13165","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.biologix.com.br\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.biologix.com.br\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.biologix.com.br\/en\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/www.biologix.com.br\/en\/wp-json\/wp\/v2\/comments?post=13165"}],"version-history":[{"count":2,"href":"https:\/\/www.biologix.com.br\/en\/wp-json\/wp\/v2\/posts\/13165\/revisions"}],"predecessor-version":[{"id":13168,"href":"https:\/\/www.biologix.com.br\/en\/wp-json\/wp\/v2\/posts\/13165\/revisions\/13168"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.biologix.com.br\/en\/wp-json\/wp\/v2\/media\/13166"}],"wp:attachment":[{"href":"https:\/\/www.biologix.com.br\/en\/wp-json\/wp\/v2\/media?parent=13165"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.biologix.com.br\/en\/wp-json\/wp\/v2\/categories?post=13165"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.biologix.com.br\/en\/wp-json\/wp\/v2\/tags?post=13165"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
By Dr. Walter Silva J\u00fanior<\/strong>
Sleep dentist certified by the American Board of Dental Sleep Medicine (ABDSM).
Ph.D. in Sleep Medicine at the Hospital for Rehabilitation of Craniofacial Anomalies\/University of S\u00e3o Paulo \u2013 Bauru, S\u00e3o Paulo.
Website:<\/strong> http:\/\/www.institutowaltersilva.com.br\/
Instagram:<\/strong> @walter_silva_odontologiadosono<\/p>\n\n\n\n
Sutherland K, Almeida FR, Kim T, et al.<\/em>
J Clin Sleep Med. 2021;17(9):1785\u20131792<\/em><\/p>\n\n\n\n