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Changes in work performances in obstructive sleep apnea patients after dental appliance therapy
Authors:HIDEKI ARAI  HISAKAZU FURUTA  KAZUTO KOSAKA  REIZO KANEDA  YOSHIFUMI KOSHINO  JO SANO  SHIGEHIRO KUMAGAI  ETSUHIDE YAMAMOTO
Affiliation:Department of Neuropsychiatry, Kanazawa University School of Medicine;Department of Neurology, National Hospital of Kanazawa;Department of Oral and Maxillofacial Surgery, Kanazawa University and School of Medicine, Kanazawa, Japan
Abstract:Abstract The effects of dental appliances on work performances of obstructive sleep apnea syndrome (OSAS) is not well examined. This study evaluated the polysomnographic and psychological findings before and after therapy. Nine patients were diagnosed OSAS by nocturnal polysomnography. The psychological battery was performed from 13:00 to 14:00, which consisted of Uchida-Kraepelin psychodiagnostic test (U-K's test) and Bourdon's cancellation test (Bourdon's test). Approximately 3 months after the treatment, the examinations were performed. Apnea and desaturation index decreased significantly after the therapy. In addition, sleep architecture improved after the therapy compared with that before the therapy. Dysfunction of task performances, such as mean level of work amounts in U-K's test, mean error, mean performance time and mean deviation in Bourdon's test improved after therapy. We conclude that dental appliances therapy is effective not only to apnea but also to work performance in OSAS.
Keywords:Bourdon's cancellation test    dental appliance    obstructive sleep apnea syndrome    Uchida-Kraepelin psycho-diagnostic test
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