Restoration of sleep using a novel biomimetic protocol for adult OSA: Clinical case report.

Abstract

BACKGROUND:

A sleep study of a 56-year old male with excessive daytime sleepiness demonstrated an AHI of 16.4hr-1 with 13% of total sleep time in REM sleep and a mean oxygen desaturation (SpO2) of 86%.

CLINICAL PRESENTATION:

On intra-oral examination, it was found that the patient had maxillary hypoplasia and bilateral torus mandibularis. A 3D cone-beam CT (CBCT) scan was taken, and 28 craniofacial parameters were measured. Surgical reduction of the mandibular tori followed by biomimetic oral appliance therapy (BOAT) was initiated. After 14 months, a post-treatment CBCT scan revealed that 70% of parameters measured had improved. Therefore, another sleep study was performed with no device in the mouth. This follow-up home sleep test demonstrated that the AHI fell to 5.3hr-1hr; with 27% REM sleep, and a mean SpO2 of 93% without any device in the mouth.

CONCLUSION:

These findings suggest that BOAT might be able to restore sleep in certain adult cases.

• Authors: G Dave Singh, Mark Kraver, Oleg Chernyshev
• Journal: Cranio : the journal of craniomandibular practice (Cranio) Vol. 37 Issue 2 Pg. 136-139 (Mar 2019) ISSN: 2151-0903 [Electronic] England
• PMID: 29448905 (Publication Type: Case Reports, Journal Article)

Topics

• Cone-Beam Computed Tomography
• Craniofacial Abnormalities (complications, diagnostic imaging, surgery, therapy)
• Follow-Up Studies
• Humans
• Imaging, Three-Dimensional
• Male
• Mandible (abnormalities, diagnostic imaging, surgery)
• Maxilla (abnormalities, diagnostic imaging)
• Middle Aged
• Oral Surgical Procedures
• Orthodontic Appliances, Functional
• Oximetry
• Sleep
• Sleep Apnea, Obstructive (diagnostic imaging, etiology, rehabilitation, surgery)
• Sleep, REM
• Treatment Outcome