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Mandibular exercises improve mandibular advancement device therapy for obstructive sleep apnea
Paulo Afonso Cunali1, Fernanda R Almeida, Camila D Santos
1Department of Dentistry, Universidade Federal do Parana, Curitiba, PR, Brazil. pacunali@onda.com.br
Sleep & Breathing = Schlaf & Atmung
|October 23, 2010
Summary
Mandibular exercises improve sleep quality and life quality for obstructive sleep apnea patients with temporomandibular disorder. These exercises also reduce pain and increase device compliance.
Area of Science:
- Sleep Medicine
- Dental Medicine
- Physical Therapy
Background:
- Temporomandibular disorder (TMD) is a common reason to avoid mandibular advancement devices (MAD) for obstructive sleep apnea syndrome (OSAS).
- Mandibular exercises are a recognized therapy for TMD.
Purpose of the Study:
- To evaluate if mandibular exercises improve pain control and quality of life in OSAS patients with TMD.
- To determine the effect of these exercises on MAD compliance.
Main Methods:
- A blind, randomized controlled trial involved 29 OSAS patients with TMD, split into exercise support therapy (ST) and placebo therapy (PT) groups.
- Evaluations occurred before and after 120 days of MAD treatment, using sleep questionnaires, sleepiness scales, quality of life inventories, polysomnography, and TMD criteria.
Main Results:
- The ST group showed significant improvements in sleep and life quality compared to the PT group (p < 0.05).
- Persistent pain was higher in the PT group (p = 0.01), with pain intensity reducing only in the ST group (p < 0.05).
- Higher MAD compliance was noted in the ST group (p < 0.05).
Conclusions:
- Mandibular exercises facilitate MAD use in patients with TMD.
- Exercises effectively reduce pain, enhance MAD compliance, and significantly improve quality of life and sleep.
- This therapy offers a viable solution for OSAS patients suffering from TMD.
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