Comparing Two Mandibular Positioning Techniques for Dental Sleep Appliances

NCT ID: NCT05553860

Last Updated: 2025-01-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-12-05

Study Completion Date

2028-12-31

Brief Summary

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This is a prospective study that directly compares the use of speech vs an anterior protrusive technique for mandibular positioning.

Detailed Description

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Obstructive sleep apnea is a medical condition where a person has great difficulty with breathing, or stops breathing all together, while asleep. This is a medical condition for which one of the current standard treatments is the use of a custom-made dental appliance to help hold the person's airway open while asleep so that the person does not suffocate while sleeping. Current methodology within dentistry is to position the mandible based on the person's maximum ability to position their mandible forward as the starting point and then slowly move the bottom jaw forward as necessary. Recent literature has shown that different mandibular positioning techniques may require less protrusion, less titrations, and potentially decreased side effects compared with the traditional protrusive techniques. One of the most promising techniques involves the use of speech to determine mandibular position. This technique would not require that a patient place their jaw outside of their normal functional range and could potentially decrease the face pain/jaw joint problems commonly associated with the use of oral sleep appliances for the treatment of obstructive sleep apnea. The use of speech as the determinant for where to position the mandible is important for muscular balance. Minimal research has been done in this area, with most studies being either retrospective or confounded by other variables. This will be the first prospective study that directly compares the use of speech vs an anterior protrusive technique for mandibular positioning.

Conditions

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Sleep Apnea, Obstructive Occlusal Splints

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Anterior Protrusive

use of anterior protrusive positioning technique

Group Type ACTIVE_COMPARATOR

Speech positioning technique

Intervention Type OTHER

Speech positioning technique

Speech Position

use of speech positioning technique

Group Type EXPERIMENTAL

Speech positioning technique

Intervention Type OTHER

Speech positioning technique

Interventions

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Speech positioning technique

Speech positioning technique

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

Patient diagnosed with obstructive sleep apnea, and

* Prescription/order for a dental sleep appliance
* 18 years or older
* Treatment planned in accordance with AADSM treatment guidelines
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Alberta

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Enoch Ng, DDS

Role: PRINCIPAL_INVESTIGATOR

University of Alberta

Locations

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University of Alberta

Edmonton, Alberta, Canada

Site Status RECRUITING

Countries

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Canada

Central Contacts

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Enoch Ng, DDS

Role: CONTACT

780-407-5550

Facility Contacts

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Enich Ng, DDS

Role: primary

Other Identifiers

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Pro00097563

Identifier Type: -

Identifier Source: org_study_id

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