George Gauge™配位法与发声音素配位法在OSA口腔辅助器具构建中的回顾性比较

CRANIO® Pub Date : 2019-11-26 DOI:10.1080/08869634.2019.1694776

John Viviano, D. Klauer, S. Olmos, J. Viviano

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引用次数: 2

摘要

目的:比较使用George Gauge™注册(GGR)和Sibilant Phoneme注册(SPR)制造的器具的结果。假设结果不会有什么不同。方法:对两组患者进行回顾性分析。每组使用GGR和SPR分别制作口腔矫治器20个和20个。结果:两地数据的结果无差异(p = 0.24)。SPR方法需要较少的校准(p = 5.6 × 10−3)和较少的颌部运动(p = 3.33 × 10−4)。两种咬合方法的术后ahi评分变化相似(p = 0.52)。对于8个站点的数据，结果没有差异(p = 0.76)。SPR需要较少的颌部运动(p = 4.52 × 10−5);然而，SPR组的结果差异较大(p = 0.036)。结论:研究结果无差异的原假设得到支持。AHI:呼吸暂停低通气指数;GGR: George Gauge Registration;SPR:发音音位配准;OSA:阻塞性睡眠呼吸暂停;OA:口腔器械;OAT:口腔器械治疗;MA:下颌前移;VDO:垂直开口;美国牙科睡眠医学学会;ABDSM:美国牙科睡眠医学委员会;BMI:身体质量指数

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Retrospective comparison of the George Gauge™ registration and the sibilant phoneme registration for constructing OSA oral appliances

ABSTRACT Objective: To compare outcomes for appliances manufactured utilizing the George Gauge™ Registration (GGR) and the Sibilant Phoneme Registration (SPR). It was hypothesized that there would be no difference in outcomes. Methods: This study is a retrospective analysis of two groups. Each group consisted of 20 oral appliances manufactured utilizing the GGR and 20 utilizing the SPR. Results: For the two-site data, no difference in outcomes was demonstrated (p = .24). The SPR method required fewer calibrations (p = 5.6 × 10−3) and less jaw movement (p = 3.33 × 10−4). Both bite methods resulted in similarly variable post-AHI scores (p = .52). For the eight-site data, no difference in outcomes was demonstrated (p = .76). The SPR required less movement of the jaw (p = 4.52 × 10−5); however, outcome variance was larger for the SPR (p = .036). Conclusion: The study null hypothesis of no difference in outcomes was supported. Abbreviations: AHI: Apnea-Hypopnea Index; GGR: George Gauge Registration; SPR: Sibilant Phoneme Registration; OSA: Obstructive Sleep Apnea; OA: Oral Appliance; OAT: Oral Appliance Therapy; MA: Mandibular Advancement; VDO: Vertical Dimensional Opening; AADSM: American Academy of Dental Sleep Medicine; ABDSM: American Board of Dental Sleep Medicine; BMI: Body Mass Index

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