Evidence map›Paper›PMID 38286954›Full record

ArticleClinical oral investigations2024

Evaluation of condylar and mandibular movements on the upper airway during the use of mandibular advancement device for obstructive sleep apnea treatment.

Amanda Pereira, Marcela Gurgel, Rowdley Pereira, Cibele Dal Fabbro, Paulo de Barros Silva, Fabio Costa, Leonardo Leite, Alexandre Moro, Lucia Cevidanes, Cauby Maia Junior

Open access · greenAbstract read
In one paragraph

Article in Clinical oral investigations, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Automated artificial intelligence-driven 3-dimensional craniofacial superimposition for clinically useful treatment outcomes in growing patients: A multicenter study.American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics · 2026
    Article
  3. Mandibular advancement devices in obstructive sleep apnea: diagnostic predictors for treatment response and clinical implications : A retrospective pilot cohort study.Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie · 2025
    Article
  4. Article
  5. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 4 countries.

Amanda PereiraFederal University of Ceará, Fortaleza, Brazil.
Marcela GurgelUniversity of Michigan, Ann Arbor, MI, USA. marcela.gurgel@yahoo.com.br.
Rowdley PereiraFederal University of São Paulo, São Paulo, Brazil.
Cibele Dal FabbroUniversity of Montreal, Montreal, Canada.
Paulo de Barros SilvaFederal University of Ceará, Fortaleza, Brazil.
Fabio CostaFederal University of Ceará, Fortaleza, Brazil.
Leonardo LeiteFortaleza General Hospital, Fortaleza, Brazil.
Alexandre MoroFederal University of Paraná, Curitiba, Brazil.
Lucia CevidanesUniversity of Michigan, Ann Arbor, MI, USA.
Cauby Maia JuniorFederal University of Ceará, Fortaleza, Brazil.
Universidade Federal do Ceará · BRHospital Geral de Fortaleza · BRUniversidade Federal de São Paulo · BRUniversidade Federal do Paraná · BRUniversité de Montréal · CAUniversity of Michigan · USYahoo (Spain) · ES

Funding

Quantification of 3D Bony Changes in Temporomandibular Joint OsteoarthritisR01DE024450 · NIDCR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Lucia H Cevidanes · 2013 to 2026
$5.5M
NIDCR NIH HHS R01 DE024450
6 · The paper itself

Abstract

objectivesTo evaluate the temporomandibular joint (TMJ), condylar and mandibular movements in obstructive sleep apnea (OSA) patients treated with mandibular advancement device (MAD) and to identify the influence of these anatomic factors on upper airway (UA) volume and polysomnographic outcomes after treatment. MATERIALS AND

methodsTwenty OSA patients were prospectively treated with MAD. Clinical examinations, cone-beam computed tomography, and polysomnography were performed before MAD treatment and after achieving therapeutic protrusion. Polysomnographic variables and three-dimensional measurements of the TMJ, mandible, and upper airway were statistically analyzed.

resultsCondylar rotation, anterior translation, and anterior mandibular displacement were directly correlated with total UA volume, while vertical mandibular translation was inversely correlated with the volume of the inferior oropharynx. MAD treatment resulted in an increase in the volume and area of the superior oropharynx. There was no statistically significant correlation between condylar rotation and translation and polysomnographic variables. With MAD, there was a significant increase in vertical dimension, changes in condylar position (rotation and translation), and mandibular displacement. The central and medial lengths of the articular eminence were inversely correlated with condylar rotation and translation, respectively. The lateral length of the eminence was directly correlated with condylar translation, and the lateral height was directly correlated with condylar rotation and translation.

conclusionCondylar and mandibular movements influenced UA volume. The articular eminence played a role in the amount of condylar rotation and translation. CLINICAL RELEVANCE: Individualized anatomical evaluation of the TMJ proves to be important in the therapy of OSA with MAD.

Indexed as

Mandibular AdvancementSleep Apnea, ObstructiveCone-Beam Computed TomographyHumansMandibleOcclusal SplintsTemporomandibular JointTreatment OutcomeCone-beam computed tomographyMandibular advancement deviceMandibular condyleObstructive sleep apneaTemporomandibular jointUpper airway

Identifiers

PMID38286954
PMCPMC11066818
OpenAlexW4391304008

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.