short-term change in occlusal function after using mandibular advancement appliance for snoring a pilot study短期变化使用下颌后牙功能的进步设备打鼾试点研究.pdfVIP

Hindawi Publishing Corporation Sleep Disorders Volume 2012, Article ID 652154, 7 pages doi:10.1155/2012/652154 Research Article Short-Term Change in Occlusal Function after Using Mandibular Advancement Appliance for Snoring: A Pilot Study Hiroshi Ueda, Genki Watanabe, Atsushi Horihata, Myongsun Koh, and Kazuo Tanne Department of Orthodontics and Craniofacial Developmental Biology, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima 734-8553, Japan Correspondence should be addressed to Hiroshi Ueda, milm@hiroshima-u.ac.jp Received 20 September 2011; Accepted 6 February 2012 Academic Editor: James MacFarlane Copyright © 2012 Hiroshi Ueda et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The main aim was to evaluate the influence on occlusal contact area (OCA), maximum bite force (MBF), center of occlusal load (COL), and tooth pain after the nocturnal use of different mandibular advance appliances (MAAs) for snoring. Subjects were consisted of ten adult volunteers with mild snoring in Hiroshima University Hospital. Recordings of occlusal function were performed six times for two hours, that is, immediately and 5, 15, 30, 60, and 120 minutes after the nocturnal use of MAA. The subjects continuously scored their pain intensity on a 10 cm visual analogue scale (VAS) when MBF was measured. Comparing two MAAs, OCA and MBF were significantly larger in two-piece MAA than in one-piece MAA five minutes after removing the appliance. Significant difference in COL and VAS score compared to baseline disappeared more quickly with two-piece MAA than with one-piece MAA.