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Effects of Different Treatment Modalities for Obstructive Sleep Apnea on Temporomandibular Joint

Not Applicable
Completed
Conditions
Obstructive Sleep Apnea
Interventions
Other: different treatment modalities for OSA
Registration Number
NCT05510882
Lead Sponsor
Mansoura University
Brief Summary

this study aims to evaluate the subjective symptoms, clinical and radiographic signs of temporomandibular disorders related to the use of CPAP, MAD and physical therapy in the treatment of patients with obstructive sleep apnea.

Detailed Description

The study will be conducted on thirty-nine patients with OSA attending to sleep disorders breathing Unit, Chest Department at Mansoura University Hospital confirmed by polysomnography in the period between July and September 2022. The patients will be divided equally into three therapy groups each compromise 13 patients:

Group I: patients will be treated with CPAP. Group II: patients will be treated with digitally fabricated MAD. Group II: patients will be treated with physical therapy.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
39
Inclusion Criteria
  • • All adult patients, diagnosed as having OSA after full night polysomnography.
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Exclusion Criteria
  • • Pregnant patients
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
three groups of different treatment modalities for OSAdifferent treatment modalities for OSAGroup I: patients were treated with CPAP. Group II: patients were treated with digitally fabricated MAD. Group iII: patients were treated with oral myofunctional therapy.
Primary Outcome Measures
NameTimeMethod
This study aims to assess signs of temporomandibular disorders related to the use of CPAP, MAD and physical therapy in the treatment of patients with OSA.up to four months

Pain scoring will be measured through a visual analogue scale (VAS) with 0 scores for no pain and 10 scores for worst pain experien Clicking was assessed as to its presence=1 or absence=0 The maximal unassisted, pain-free mouth opening will be measured in millimeters using a Vernier caliper Lateral movements: will be measured as the horizontal distance extending from maxillary midline to mandibular midline in millimeters using Vernier caliper All measurements record will be considered as a baseline to be used in comparison with 3 months post-treatment records

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Mansoura University

🇪🇬

Mansoura, Egypt

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