Sleep Apnea Dentist Walnut Creek Could Solve Sleep Apnea Problem

Different definitions of treatment success for MRAs have been used by the Sleep Apnea Dentist Walnut Creek, such as a cut-off point of the total apnea/hypopnea index, with limits of below 5, 10 or 15. The percentage reduction of sleep apneas, with a cut-off point at 50 percent has also been used to define treatment success. The relief of pre- treatment symptoms, mainly daytime sleepiness is often added to the above criteria.

Treatment success defined in various ways has varied from 19 to over 80 percent of selected sleep apnea patients treated with MRAs. A recent review has stated that there are clear effects from MRAs on OSA with reductions of 11-15 apneas and hypopneas per hour of sleep compared with placebo treatment according to results from studies so far. Arousals are reduced, and there are also indications that minimum oxygen desaturation increases with an active device compared with a placebo treatment. CPAP has, however, a better effect on sleep apnea with further reductions of 8-13 apneas and hypopneas per hour of sleep compared with MRAs. There is also a larger increase in minimum oxygen desaturation and decrease in sleep arousals from CPAP compared with oral appliances. These comparisons have primarily been derived from samples of patients within the milder range of disease severity with apnea/hypopnea indices of 5-30 with only single cases above that level. Also among the mildest cases with an apnea/hypopnea index between 5 and 15, CPAP produced better effects on sleep apneas than MRA. Still, symptoms were equally reduced by both treatments and the patients preferred MRAs. Therefore consult the Sleep Apnea Dentist Walnut Creek.

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