{"title":"齿槽切除术对强直性舌炎和阻塞性睡眠呼吸暂停患者口腔运动的影响：双盲随机对照临床试验。","authors":"Chanadda Preedeewong, Naricha Chirakalwasan, Boosana Kaboosaya","doi":"10.1007/s00784-024-05932-8","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study compares the efficacy of oral exercise alone to oral exercise with frenectomy in improving obstructive sleep apnea (OSA) symptoms and quality of life (QOL) in patients with ankyloglossia.</p><p><strong>Materials and methods: </strong>A prospective, controlled, double-blind clinical study enrolled fifteen adults (20-60 years) newly diagnosed with mild to moderate OSA and ankyloglossia. Participants were randomly assigned to either oral exercise alone (control group; n = 8) or oral exercise with frenectomy (intervention group; n = 7). Outcomes were assessed after a 3-month therapy period using polysomnography, the Epworth Sleepiness Scale (ESS), tongue strength (measured in kPa), and QOL questionnaires.</p><p><strong>Results: </strong>Both control (-2.88 ± 1.73; p = 0.02) and intervention (-4.00 ± 3.65; p = 0.03) groups showed a significant reduction in ESS scores, indicating both improved sleepiness. Although the apnea-hypopnea index (AHI) increased in both groups after treatment, these changes were not statistically significant (control 4.73 ± 15.55; p = 0.48, intervention 10.42 ± 14.66; p = 0.12). Tongue strength significantly increased in both groups: control group (p = 0.04) and intervention group (p = 0.03). Satisfaction rates with the overall treatment process were 100% in the control group and 57.1% in the intervention group. Furthermore, 75.0% and 57.1% of participants in the respective groups reported an improvement in QOL.</p><p><strong>Conclusion: </strong>Frenectomy improved tongue mobility and the ability to perform oral exercises in individuals with OSA and ankyloglossia. However, these exercises did not significantly improve OSA-related symptoms or QOL.</p><p><strong>Clinical relevance: </strong>While frenectomy enhances tongue mobility, thereby enabling better engagement in oral exercises. These exercises alone did not significantly improve OSA-related symptoms or QOL. This suggests that oral exercises focusing solely on tongue mobility may not be sufficient for managing OSA.</p><p><strong>Trial registration: </strong>The Thai Clinical Trials Registry was TCTR20220429002.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":"28 10","pages":"566"},"PeriodicalIF":3.1000,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Impact of frenectomy on the oral exercise in patients with ankyloglossia and obstructive sleep apnea: double-blind randomized controlled clinical trials.\",\"authors\":\"Chanadda Preedeewong, Naricha Chirakalwasan, Boosana Kaboosaya\",\"doi\":\"10.1007/s00784-024-05932-8\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This study compares the efficacy of oral exercise alone to oral exercise with frenectomy in improving obstructive sleep apnea (OSA) symptoms and quality of life (QOL) in patients with ankyloglossia.</p><p><strong>Materials and methods: </strong>A prospective, controlled, double-blind clinical study enrolled fifteen adults (20-60 years) newly diagnosed with mild to moderate OSA and ankyloglossia. Participants were randomly assigned to either oral exercise alone (control group; n = 8) or oral exercise with frenectomy (intervention group; n = 7). Outcomes were assessed after a 3-month therapy period using polysomnography, the Epworth Sleepiness Scale (ESS), tongue strength (measured in kPa), and QOL questionnaires.</p><p><strong>Results: </strong>Both control (-2.88 ± 1.73; p = 0.02) and intervention (-4.00 ± 3.65; p = 0.03) groups showed a significant reduction in ESS scores, indicating both improved sleepiness. Although the apnea-hypopnea index (AHI) increased in both groups after treatment, these changes were not statistically significant (control 4.73 ± 15.55; p = 0.48, intervention 10.42 ± 14.66; p = 0.12). Tongue strength significantly increased in both groups: control group (p = 0.04) and intervention group (p = 0.03). Satisfaction rates with the overall treatment process were 100% in the control group and 57.1% in the intervention group. Furthermore, 75.0% and 57.1% of participants in the respective groups reported an improvement in QOL.</p><p><strong>Conclusion: </strong>Frenectomy improved tongue mobility and the ability to perform oral exercises in individuals with OSA and ankyloglossia. However, these exercises did not significantly improve OSA-related symptoms or QOL.</p><p><strong>Clinical relevance: </strong>While frenectomy enhances tongue mobility, thereby enabling better engagement in oral exercises. These exercises alone did not significantly improve OSA-related symptoms or QOL. This suggests that oral exercises focusing solely on tongue mobility may not be sufficient for managing OSA.</p><p><strong>Trial registration: </strong>The Thai Clinical Trials Registry was TCTR20220429002.</p>\",\"PeriodicalId\":10461,\"journal\":{\"name\":\"Clinical Oral Investigations\",\"volume\":\"28 10\",\"pages\":\"566\"},\"PeriodicalIF\":3.1000,\"publicationDate\":\"2024-10-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Oral Investigations\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00784-024-05932-8\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Oral Investigations","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00784-024-05932-8","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
摘要
目的：本研究比较了单纯口腔锻炼与口腔锻炼配合舌骨切除术在改善强直性舌炎患者阻塞性睡眠呼吸暂停（OSA）症状和生活质量（QOL）方面的疗效：一项前瞻性、对照、双盲临床研究招募了15名新确诊患有轻度至中度OSA和强直性舌炎的成年人（20-60岁）。参与者被随机分配到单纯口腔锻炼组（对照组；n = 8）或口腔锻炼加舌根切除术组（干预组；n = 7）。在为期3个月的治疗后，使用多导睡眠图、埃普沃斯嗜睡量表（ESS）、舌强度（以kPa为单位）和QOL问卷对治疗结果进行评估：对照组（-2.88 ± 1.73；p = 0.02）和干预组（-4.00 ± 3.65；p = 0.03）的ESS 评分均显著下降，表明两组的嗜睡情况均有所改善。虽然两组的呼吸暂停-低通气指数（AHI）在治疗后都有所上升，但这些变化在统计学上并不显著（对照组为 4.73 ± 15.55；P = 0.48，干预组为 10.42 ± 14.66；P = 0.12）。对照组（p = 0.04）和干预组（p = 0.03）两组的舌头力量都有明显增加。对照组和干预组对整个治疗过程的满意度分别为 100%和 57.1%。此外，两组分别有 75.0% 和 57.1% 的参与者表示其 QOL 有所改善：结论：舌骨切除术改善了患有 OSA 和舌强直的患者舌头的活动度和进行口腔锻炼的能力。结论：舌骨切除术改善了患有 OSA 和舌强直的患者的舌头活动度和进行口腔锻炼的能力，但这些锻炼并没有明显改善 OSA 相关症状或 QOL：临床相关性：虽然舌前切除术增强了舌头的活动能力，从而能更好地进行口腔锻炼，但这些锻炼并不能明显改善 OSA 相关症状或 QOL。临床相关性：虽然舌前切除术增强了舌头的活动能力，从而能更好地参与口腔锻炼，但仅靠这些锻炼并不能明显改善 OSA 相关症状或 QOL。这表明，口腔锻炼只注重舌头的活动度可能不足以控制 OSA：泰国临床试验注册号为 TCTR20220429002。
Impact of frenectomy on the oral exercise in patients with ankyloglossia and obstructive sleep apnea: double-blind randomized controlled clinical trials.
Objective: This study compares the efficacy of oral exercise alone to oral exercise with frenectomy in improving obstructive sleep apnea (OSA) symptoms and quality of life (QOL) in patients with ankyloglossia.
Materials and methods: A prospective, controlled, double-blind clinical study enrolled fifteen adults (20-60 years) newly diagnosed with mild to moderate OSA and ankyloglossia. Participants were randomly assigned to either oral exercise alone (control group; n = 8) or oral exercise with frenectomy (intervention group; n = 7). Outcomes were assessed after a 3-month therapy period using polysomnography, the Epworth Sleepiness Scale (ESS), tongue strength (measured in kPa), and QOL questionnaires.
Results: Both control (-2.88 ± 1.73; p = 0.02) and intervention (-4.00 ± 3.65; p = 0.03) groups showed a significant reduction in ESS scores, indicating both improved sleepiness. Although the apnea-hypopnea index (AHI) increased in both groups after treatment, these changes were not statistically significant (control 4.73 ± 15.55; p = 0.48, intervention 10.42 ± 14.66; p = 0.12). Tongue strength significantly increased in both groups: control group (p = 0.04) and intervention group (p = 0.03). Satisfaction rates with the overall treatment process were 100% in the control group and 57.1% in the intervention group. Furthermore, 75.0% and 57.1% of participants in the respective groups reported an improvement in QOL.
Conclusion: Frenectomy improved tongue mobility and the ability to perform oral exercises in individuals with OSA and ankyloglossia. However, these exercises did not significantly improve OSA-related symptoms or QOL.
Clinical relevance: While frenectomy enhances tongue mobility, thereby enabling better engagement in oral exercises. These exercises alone did not significantly improve OSA-related symptoms or QOL. This suggests that oral exercises focusing solely on tongue mobility may not be sufficient for managing OSA.
Trial registration: The Thai Clinical Trials Registry was TCTR20220429002.
期刊介绍：
The journal Clinical Oral Investigations is a multidisciplinary, international forum for publication of research from all fields of oral medicine. The journal publishes original scientific articles and invited reviews which provide up-to-date results of basic and clinical studies in oral and maxillofacial science and medicine. The aim is to clarify the relevance of new results to modern practice, for an international readership. Coverage includes maxillofacial and oral surgery, prosthetics and restorative dentistry, operative dentistry, endodontics, periodontology, orthodontics, dental materials science, clinical trials, epidemiology, pedodontics, oral implant, preventive dentistiry, oral pathology, oral basic sciences and more.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
