Objektivt målbare resultater ved behandling med tandskinne vs. CPAP

I forhold til behandlingsmålet (dvs. den målbare sundhedstilstand), er resultaterne for tandskinner og CPAP sammenlignelige

References: 1. (Gotsopoulos et al.,2002), (Engleman et al., 2002), (Barnes et al., 2004), (Gagnadoux et al,, 2009), 2. (Naismith et al., 2005), 3. (Hoekema et al., 2007), 4. (Gotsopoulos, Kelly and Cistulli, 2004), (Barnes et al., 2004), 5. (Philips et al., 2013), 6. (Itzhaki et al, 2007), 7. (Marin et al., 2005), 8. (Anandam et al., 2013)

Sammenlignelig kardiovaskulær mortalitet ved OAT og CPAP.

  • I et forsøg fra 2013 fulgte forskerne 667 patienter i 96 måneder (dvs. 6,5 år). Anandam og kollegaerne fandt ingen forskel i den kardiovaskulære mortalitetsrate blandt patienterne som brugte hhv. CPAP og tandskinne.
  • Dette til trods for, at den tilbageværende AHI var højere hos patienterne med tandskinne end patienterne med CPAP (16 ± 5,1 vs. 4,5 ± 2,3).
  • Denne forskel blev udlignet af den højere anvendelsesgrad per nat hos tandskinne-brugerne – hvor CPAP blev brugt i 5,8 ± 1,6 timer per nat, blev tandskinnen brugt i 6,5 ± 1,2 timer per nat.
  • Manglende behandling af OSA gav en øget risiko for kardiovaskulær mortalitet på hele 6,5 gange! .
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Indvirkningen af hhv. CPAP og tandskinne på blodtrykket.

  • En netværksmetaanalyse udgivet af Bratton og kollegaer i 2015 fandt ingen forskel på blodtryksresultatet blandt patienter, som brugte hhv. CPAP og tandskinne.

  • Der var ingen forskel på hverken det systoliske eller diastoliske blodtryk (data ikke vist)

References: 1. (Schmidt-Nowara et al.,1995) 2. (Engleman et al.,2004), (Naismith et al., 2005), 3. (Gagnadoux et al., 2009)

Funktionelt målbare resultater ved behandling med tandskinne vs. CPAP

  • Hvad angår vigtige trivselsparametre for patienterne og deres partnere, har CPAP vist sig at være bedre til at forebygge snorken (ved at fremme den nasale vejrtrækning), mens tandskinnen til gengæld opnår bedre resultater hvad angår den overordnede livskvalitet (fordi patienterne ikke bryder sig om at bruge CPAP-maske).
  • “Behandlingen med tandskinne var meget effektiv i forhold til at reducere AHI, ligesom tandskinnerne bevirkede en højere grad af compliance end CPAP. Begge behandlinger bevirkede en tilsvarende forbedring af de funktionelle resultater” Gagnandoux et al, 2009.
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Patient stories

Michael’s story 

“I have been using my Somnomed® device for about two years now. It has completely improved the quality of sleep that I get and consequently certain aspects of my life for the better.

On the rare occasion that I forget to put it in the device my sleep deteriorates immediately. It’s invaluable.” Read more

Liz’s story

“Having suffered jaw and tooth pain over several months and following several appointments with my GP and regular dentist to no avail, I asked April (dentist) if she could give me a second opinion. After careful consultation April suggested that sleep apnoea and teeth grinding might be behind the issues and recommended a Somnomed® device to wear at night. Read more

Simon’s story

“My name is Simon Wilsdon I am a general dentist in York with a special interest in dental sleep medicine. Over several years I have experienced mild sleep apnoea and, unfortunately for my wife, loud snoring. I have tried several different mandibular advancement devices over the years. These have given initial improvement but nothing long lasting and were uncomfortable over time. After investigating different options, I decided to give the new SomnoMed® Avant™ appliance a try. Read more

Mohammed’s story

Mohammed was diagnosed with Severe Sleep Apnoea in 2018.

“For the first year after my diagnosis, I had a CPAP machine in the home, but I really struggled with it, due to the anxiety of the mask being on my face all night. When I saw my Sleep Consultant, I was advised that I should not drive, and my driving license has now been revoked for more than 2 years. I have a family at home, with four children, so having no driving license has really affected our day-to-day lives. Little things like food shopping and trips out are much more difficult. Read more

Roy’s story

Like many people, l became aware that l was snoring during the night and feeling tired in the morning. This led me down the route of seeing my GP who felt l may have obstructive sleep apnoea and referred me to the hospital for further tests. There, l was given the Epworth Sleep Study questionnaire to complete which indicated l had daytime sleepiness but not severely. However further investigation was necessary and an overnight hospital stay was arranged where l had a sleep study conducted. Read more

Find out what our patients faced

Stories of how sleep apnoea affected their lives. 

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