One piece oral appliances
Your eyes are close but you’re not resting, explains Dr. Cynthia Concepción-Medina; so Research Assistant at the Department of Orthodontics at Hiroshima University Hospital who contribute to the study with her colleagues Associate Professor Hiroshi Ueda and Dr. Yu Matsumura.
Treatments include a continuous positive airway pressure (CPAP) machine or one-piece oral appliances. The Department of Orthodontics at Hiroshima University Hospital developed an oral appliance to help patients with mild to moderate sleep apnea. This appliance brings the jawbone forward to enlarge the air passageways at the back of their mouth.
Each appliance is custom made for each patient and allows jaw movement; so it doesn’t affect patient’s teeth or change the shape of their face. This is like when you have to use glasses; hence you have to wear them every time you want to see properly so [patients] have to wear this appliance every time want to sleep better. according to Dr. Ueda.
Mild to moderate sleep
To further investigate how well the appliance works the research team; hence led by Dr. Matsumura, scan a group of patients with mild-to-moderate sleep apnea using Multislice Compute Tomography (MSCT) a type of X-ray where the machine rotates around an object; also it takes a picture each time it rotates. This data is then combined to see a 3D object and is a fast and precise method of scanning.
Previous research usually measure patients standing up; which does not simulate sleeping conditions. This study measure the change in airway space of 13 patients lying flat. The team find that the appliance had a positive effect on patients: wearing it almost halved the number of times the patients had sleep apnea episodes during the night and widened their airways to allow easier breathing.
They think it’s unique research because we are dentists, but we can contribute to improve the [patient’s] sleep situation or breathing situation.” says Dr. Ueda. This study indicates promising effects of this treatment and the team hopes that they can continue this collaboration between the dental and the medical field.