Adult patients with obstructive sleep apnea and ankyloglossia obstructive sleep apnea, myofunctional therapy, tongue exercise, ankyloglossia, tongue tie, frenectomy, tongue strength, tongue endurance
Conditions
Interventions
The patients in this group will receive myofunctional therapy and exercise instruction from one researcher. Then the patients will be instructed to do the exercise three times a day for 3 months.,The
Myofunctional therapy,Myofunctional therapy with frenectomy
Sponsors
Chulalongkorn University
Eligibility
Sex/Gender
All
Age
20 Years to 60 Years
Inclusion criteria
Inclusion criteria: 1. Patients age 20-60 years 2. Patients who can understand Thai language either reading or listening 3. ASA Class I, II 4. Patients diagnosed with OSA in mild or moderate severity and suggested by the sleep specialist to receive myofunctional therapy 5. The lingual frenum that have been categorized to TRMR grade 2 to 4
Exclusion criteria
Exclusion criteria: 1. Patients who undergo other OSA treatments 2. Patients who present with uncontrolled systemic diseases 3. Patients who present with mental retardation or psychiatric problem 4. Patients who present with connective tissue or muscular disorders 5. Patients who are diagnosed with severe obesity 6. Patients who have a history of frenectomy or myofunctional therapy 7. Patients who have a history of craniofacial trauma or oral and maxillofacial surgery (except extraction or surgical removal)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Obstructive sleep apnea severity At the beginning and 3 months after end of the intervention Apnea-hypopnea index ,Sleepiness At the beginning and 3 months after end of the intervention Epworth Sleepiness Scale | — |
Secondary
| Measure | Time frame |
|---|---|
| Tongue strength At the beginning, 1 month and 3 months after end of the intervention Iowa Oral Performance Instrument score,Tongue endurance At the beginning, 1 month and 3 months after end of the intervention Iowa Oral Performance Instrument score,CPAP adherance At the beginning and 3 months after end of the intervention Optimal CPAP pressure | — |
Countries
Thailand
Contacts
Public ContactChanadda Preedeewong
Faculty of dentistry, Chulalongkorn University
Outcome results
None listed