Case Report
Management of Obstructive Sleep Apnea in an Edentulous Lower Jaw Patient with a Mandibular Advancement Device
Table 1
Polysomnographic parameters of the patient.
| | | Before treatment
(without device)
09/19/2012 | During
treatment
(with device)
02/21/2013 |
| | Total recording time (min) | 561 | 469.7 | | Total sleep time (min) | 499.0 | 438.5 | | Sleep latency (min) | 5.0 | 11.0 | | REM latency (min) | 124.5 | 72.5 | | Sleep efficiency (%) | 88.9 | 93.4 | | Total REM sleep time (min) | 84.5 (16.9%) | 109.5 (25%) | | Total stage N1 (min) | 19.5 (3.9%) | 11.0 (2.5%) | | Total stage N2 (min) | 239.5 (48.0%) | 226.0 (51.5%) | | Total stage N3 (min) | 155.5 (31.2%) | 92.0 (21.0) | | AHI REM (events/hour) | 34.1 | 2.2 | | AHI NREM (events/hour) | 9.1 | 3.3 | | AHI (events/hour) | 13.3 | 3.0 | | Obstructive apneas (number) | 14 | 0 | | Mixed apneas (number) | 5 | 0 | | Central apneas (number) | 9 | 3 | | Hypopnea (number) | 84 | 19 | | Longest duration of apnea (sec) | 31.5 | 16.5 | | Total respiratory event (number) | 112 | 22 | | Average SpO2 (%) | 95 | 93 | | Sleep lowest SpO2 (%) | 75 | 88 | | AHI supine (events/hour) | 16.7 | 4.6 | | AHI right side (events/hour) | 10.5 | 1.7 | | AHI left side (events/hour) | 1.8 | 3.3 | | Awake average SpO2 (%) | 95 | 94 | | Oxygen desaturation index | 16.0 | 3.4 |
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AHI: apnea-hypopnea index, SpO2: oxygen saturation by pulseoxymeter.
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