Clinical Outcomes

Since the systematic review of 1995 (4), there has been a substantial increase in the quantity and quality of research evaluating oral appliances (5,18). Whilst the early focus was on polysomnographic outcomes, there has been a necessary shift toward the evaluation of the impact of oral appliances on a range of important health outcomes, including daytime symptoms, neurocognitive function, and cardiovascular outcomes. The more recent studies have tended to employ rigorous randomized controlled trial methodologies and have advocated stringent, clinically relevant, definitions of treatment outcome. Comparisons with CPAP, other active and inactive oral devices, and oral tablet placebo have been published, assessing a range of important outcome measures. Despite this progress, there remain challenges in drawing definitive recommendations for clinical practice because of uncertainties about the generalizability of research findings to all types of oral appliances and patient subgroups. A contemporary systematic review, commissioned by the AASM, has formed the basis of revisions to the AASM practice parameters (19,20).

Sleep Apnea

Sleep Apnea

Have You Been Told Over And Over Again That You Snore A Lot, But You Choose To Ignore It? Have you been experiencing lack of sleep at night and find yourself waking up in the wee hours of the morning to find yourself gasping for air?

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