Evidence map›Paper›PMID 34035815›Full record

ReviewInternational journal of dentistry2021

Clinical Evidence in the Treatment of Obstructive Sleep Apnoea with Oral Appliances: A Systematic Review.

Andrea Rossi, Antonino Lo Giudice, Camilla Di Pardo, Alberto Teodoro Valentini, Francesca Marradi, Nicola Vanacore, Cristina Grippaudo

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in International journal of dentistry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

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

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

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Review
  6. Effectiveness of Titratable Oral Appliance in Management of Moderate to Severe Obstructive Sleep Apnea-A Prospective Clinical Study with Acoustic Pharyngometry.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022
    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

7 authors.

Andrea RossiDepartment of Head and Neck Surgery, Fondazione Policlinico Gemelli IRCCS, Dental Institute, Catholic University of Sacred Heart, Rome, Italy.ORCID https://orcid.org/0000-0002-9969-4609
Antonino Lo GiudiceDepartment of General Surgery and Medical-Surgical Specialties, Section of Orthodontics, School of Dentistry, University of Catania, Catania, Italy.ORCID https://orcid.org/0000-0001-6086-2348
Camilla Di PardoDepartment of Medicine and Aging Sciences, "G. d'Annunzio" University of Chieti-Pescara, Chieti, Italy.ORCID https://orcid.org/0000-0003-0486-1839
Alberto Teodoro ValentiniDepartment of Head and Neck Surgery, Fondazione Policlinico Gemelli IRCCS, Dental Institute, Catholic University of Sacred Heart, Rome, Italy.ORCID https://orcid.org/0000-0001-5861-3713
Francesca MarradiDepartment of Head and Neck Surgery, Fondazione Policlinico Gemelli IRCCS, Dental Institute, Catholic University of Sacred Heart, Rome, Italy.ORCID https://orcid.org/0000-0002-2538-0607
Nicola VanacoreNational Center for Disease Prevention and Health Promotion, Italian National Institute of Health, Rome, Italy.ORCID https://orcid.org/0000-0003-2817-3758
Cristina GrippaudoDepartment of Head and Neck Surgery, Fondazione Policlinico Gemelli IRCCS, Dental Institute, Catholic University of Sacred Heart, Rome, Italy.ORCID https://orcid.org/0000-0002-9499-0556

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent clinical guidelines have extended indications for oral appliances to subjects affected by moderate-to-severe obstructive sleep apnoea (OSA). The aim of this systematic review covering this important issue for public health is twofold: updating and summarizing the best available scientific evidence by selecting RCTs of quality only, and identifying the therapeutic pathways that can be transferred to the current clinical practice.

methodsAll the abstracts which were published before February 18, 2019, have been identified in three electronic databases (PubMed, Web of Science, and Cochrane). The Cochrane Collaboration's tool for assessing risk of bias was used as an assessment tool in order to evaluate the quality of the selected studies.

resultsThe search strategy yielded 2,260 studies. After removing duplicates and studies that did not comply with the inclusion criteria, 32 full-text articles were assessed for eligibility, and 17 RCTs were finally included in the qualitative synthesis. The 17 selected studies were very heterogeneous in the type of included RCTs in terms of patient inclusion criteria, sample size, distribution of the two genders in the various groups, duration of treatment, and definition of primary and secondary outcomes, without any restriction on the definition of the control group. A common finding was the positive responsiveness of oral appliance treatment in subjects affected by mild-to-moderate OSA with some evidence for cases of severe OSA.

conclusionHigher-quality studies are needed in order to provide additional useful guidelines for dental clinicians for OSA management.

Identifiers

PMID34035815
PMCPMC8124002

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.