The efficacy of occlusal appliance with a moisturizing gel pocket on sleep quality in patients with nocturnal xerostomia: A case series.

IF 3.2 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Kentaro Okuno, Ayako Masago, Akio Himejima, Kazuya Takahashi
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引用次数: 0

Abstract

Patients: A case series of five patients (mean age, 77.0 years) with complaints of nocturnal xerostomia were subjected to occlusal appliance treatment with a reservoir of moisturizing gel during the night. An occlusal appliance covers the dental arch and hard palate, providing space in the midline of the hard palate to hold the moisturizing gel. Sleepiness was assessed using the Epworth Sleepiness Scale (ESS), and sleep quality was assessed using the Japanese version of the Pittsburgh Sleep Questionnaire (PSQI-J) before and after treatment. The total PSQI-J scores decreased in all patients after treatment. The ESS score, sleep time, and sleep efficiency improved or remained unchanged and none of the patients' symptoms worsened.

Discussion: This study demonstrated the efficacy of occlusal appliance treatment in patients with dry mouth in improving self-reported sleep quality. Patients included those with nocturnal xerostomia and poor sleep quality on the PSQI-J. Treatment with xerostomia resulted in improved sleep quality, as assessed by the decrease in PSQI-J scores.

Conclusions: This case series suggests that sleep quality may be worse in patients with xerostomia, and that treatment for nocturnal xerostomia using occlusal appliances may improve sleep quality.

带保湿凝胶袋的咬合矫治器对夜间口腔干燥症患者睡眠质量的疗效:病例系列。
患者:五名夜间口腔干燥症患者(平均年龄 77.0 岁)接受了咬合矫治器治疗,并在夜间使用保湿凝胶。咬合矫治器覆盖牙弓和硬腭,在硬腭中线提供空间以容纳保湿凝胶。在治疗前后,嗜睡程度采用埃普沃思嗜睡量表(ESS)进行评估,睡眠质量采用日语版匹兹堡睡眠问卷(PSQI-J)进行评估。治疗后,所有患者的 PSQI-J 总分均有所下降。ESS评分、睡眠时间和睡眠效率有所改善或保持不变,患者的症状无一恶化:本研究证明了口干患者使用咬合矫治器治疗对改善自述睡眠质量的疗效。患者包括夜间口腔干燥症患者和 PSQI-J 睡眠质量差的患者。通过降低 PSQI-J 评分来评估,治疗口干症可改善睡眠质量:本系列病例表明,口腔异味患者的睡眠质量可能较差,而使用咬合矫治器治疗夜间口腔异味可改善睡眠质量。
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来源期刊
Journal of prosthodontic research
Journal of prosthodontic research DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
6.90
自引率
11.10%
发文量
161
期刊介绍: Journal of Prosthodontic Research is published 4 times annually, in January, April, July, and October, under supervision by the Editorial Board of Japan Prosthodontic Society, which selects all materials submitted for publication. Journal of Prosthodontic Research originated as an official journal of Japan Prosthodontic Society. It has recently developed a long-range plan to become the most prestigious Asian journal of dental research regarding all aspects of oral and occlusal rehabilitation, fixed/removable prosthodontics, oral implantology and applied oral biology and physiology. The Journal will cover all diagnostic and clinical management aspects necessary to reestablish subjective and objective harmonious oral aesthetics and function. The most-targeted topics: 1) Clinical Epidemiology and Prosthodontics 2) Fixed/Removable Prosthodontics 3) Oral Implantology 4) Prosthodontics-Related Biosciences (Regenerative Medicine, Bone Biology, Mechanobiology, Microbiology/Immunology) 5) Oral Physiology and Biomechanics (Masticating and Swallowing Function, Parafunction, e.g., bruxism) 6) Orofacial Pain and Temporomandibular Disorders (TMDs) 7) Adhesive Dentistry / Dental Materials / Aesthetic Dentistry 8) Maxillofacial Prosthodontics and Dysphagia Rehabilitation 9) Digital Dentistry Prosthodontic treatment may become necessary as a result of developmental or acquired disturbances in the orofacial region, of orofacial trauma, or of a variety of dental and oral diseases and orofacial pain conditions. Reviews, Original articles, technical procedure and case reports can be submitted. Letters to the Editor commenting on papers or any aspect of Journal of Prosthodontic Research are welcomed.
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