Evidence map›Paper›PMID 39129005›Full record

Trial reportBMC oral health2024

Effects of different treatments for obstructive sleep apnea on temporomandibular joint: a randomized clinical trial.

Amira A M M Attia, Sally S Awad, Manar Mansour, Hemmat Baz, Khaled M Zahran, Abdelbaset M Saleh

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC oral health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05510882 (Effects of Different Treatment Modalities for Obstructive Sleep Apnea on Temporomandibular Joint), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT05510882 nacompletednot on this map

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

TypeinterventionalSponsorMansoura UniversityRan2022 to 2022Enrolled39ConditionsObstructive Sleep ApneaArmsdifferent treatment modalities for OSA
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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

6 authors.

Amira A M M AttiaOral and Maxillofacial Surgery, Faculty of Dentistry, Mansoura University, Mansoura, Egypt.
Sally S AwadOral and Maxillofacial Surgery, Faculty of Dentistry, Mansoura University, Mansoura, Egypt. sawad@mans.edu.eg.
Manar MansourDiagnostic and Interventional Radiology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Hemmat BazPhoniatrics Unit, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Khaled M ZahranFixed Prosthodontics, Faculty of Dentistry, Mansoura University, Mansoura, Egypt.
Abdelbaset M SalehChest Medicine, Sleep Disorder Breathing Unit, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn recent years, obstructive sleep apnea (OSA) has been increasingly recognized as a significant health concern. No previous studies assessed the effect of recommended treatment modalities of patients with OSA on the temporomandibular joint (TMJ). The current study aimed to evaluate the effect of different treatment modalities of OSA, such as continuous positive airway pressure (CPAP), mandibular advancement device (MAD), and oral myofunctional therapy (OMT) on subjective symptoms, clinical, and radiographic signs of temporomandibular disorders. PATIENTS &

methodsThis hospital-based prospective randomized controlled clinical trial study was approved by the institutional review board and formal patient consent, 39 OSA patients, ranging in age from 19 to 56 after confirmation with full night Polysomnography (PSG) with healthy TMJ confirmed clinically and radiographically with magnetic resonance imaging (MRI) were randomly allocated into three treatment groups. Group 1: 13 patients were managed with CPAP after titration, group 2: 13 patients were managed with digitally fabricated MAD, and group 3: 13 patients were managed with OMT. The following parameters were evaluated before and 3 months after the intervention. Pain using a visual analogue scale (VAS), maximum inter-incisal opening (MIO), lateral movements, and clicking sound of TMJ. MRI was done before and 3 months after the intervention.

resultsOut of the 83 patients enrolled, 39 patients completed the treatment. There were no statistically significant differences in lateral jaw movements or clicking, and no significant difference in MRI findings between the three studied groups before and after the intervention. The OMT group showed a statistically significant difference in pain (p = 0.001), and MIO (p = 0.043) where patients experienced mild pain and slight limitation in mouth opening after 3 months of follow-up in comparison to MAD and CPAP groups.

conclusionCPAP and MAD are better for preserving the health of TMJ in the treatment of OSA patients. While OMT showed mild pain and slight limitation of MIO (that is still within the normal range of mouth opening) compared to CPAP and MAD.

trial registrationThe study was listed on www. CLINICALTRIALS: gov with registration number (NCT05510882) on 22/08/2022.

Indexed as

Continuous Positive Airway PressureMandibular AdvancementSleep Apnea, ObstructiveTemporomandibular Joint DisordersAdultFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedMyofunctional TherapyPain MeasurementPolysomnographyProspective StudiesTemporomandibular JointTreatment OutcomeContinuous positive airway pressure, oral myofunctional therapyMandibular advancement deviceObstructive sleep apneaPainTemporomandibular disorder

Identifiers

PMID39129005
PMCPMC11317010

What OpenQuestion holds

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Registered trials

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.