Determinants of Tooth Movement in Oral Appliance Treatment of OSA.
NCT03341130 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 105
Last updated 2023-09-28
Summary
Obstructive sleep apnea (OSA) is a sleep related breathing disorder, affecting approximately 10% of adults. Mandibular advancement oral appliances (OAM) are an effective treatment for OSA, however, long term use has shown to lead to changes in teeth positioning and jaw alignment (bite changes), which has resulted in some patients stopping treatment.
It is becoming common clinical practice for doctors to prescribe the use of repositioning splints to help reduce the bite changes associated with using OAM. However, this has not been studied in a clinical trial.
This study will compare the bite changes between patients using OAM alone against patients using a morning repositioning splint in addition to OAM. Other variables, such as oral health, the size of mandibular advancement, and treatment adherence will also be measured to determine if they have an effect on the bite changes associated with OAM use.
By understanding the key the factors that influence the bite changes associated with OAM use and potentially validating a technique to reduce these changes, this study will improve the clinical practice of Dental Sleep Medicine, leading to improved health outcomes for OSA patients.
Conditions
Interventions
- DEVICE
-
Mandibular Repositioning Splint
The Morning Repositioner is a hands-free bite deprogrammer designed to help return the patient's jaw back to its pre-treatment centric position.
- DEVICE
-
Mandibular Advancement Oral Appliance
Mandibular Advancement Oral Appliances are dental splints used to keep the jaw in an advanced position, opening the upper airway during sleep.
Sponsors & Collaborators
-
Université de Montréal
collaborator OTHER -
Laval University
collaborator OTHER -
University of British Columbia
lead OTHER
Principal Investigators
-
Benjamin T Pliska, DDS · University British Columbia
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 25 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-08-22
- Primary Completion
- 2024-07-31
- Completion
- 2024-12-31
- FDA Device
- Yes
Countries
- Canada
Study Locations
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