| アイテムタイプ |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2026-01-13 |
| タイトル |
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|
タイトル |
What Are the Factors Associated with Longevity of Mandibular Advancement Oral Appliances? |
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言語 |
en |
| 言語 |
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|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
mandibular advancement oral appliances |
| キーワード |
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|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
obstructive sleep apnea syndrome |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
shared frailty analysis |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
failure |
| 資源タイプ |
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|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
| 著者 |
Matsuda, Yasuhiro
Magata, Nobuaki
Tanoue, Naomi
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| 抄録 |
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内容記述タイプ |
Abstract |
|
内容記述 |
Background/Objectives: Mandibular advancement oral appliances (MAOAs) for obstructive sleep apnea syndrome treatment can be rendered more convenient by adopting a separate and movable design; however, concerns regarding possible weakening of effect have been raised. This study had the aim to clarify the factors associated with the longevity of separate and movable MAOAs. Methods: Information on 466 MAOAs from 230 patients was collected from medical records, including baseline information, apnea–hypopnea indexes, transcutaneous oxygen saturation, component connection method, and initial fabrication status (new fabrication or repair). MAOAs were evaluated in clinical practice, and breakage was considered a failure. Failures were classified into three types: Type A, breakage anywhere in MAOA; Type B, connector breakage (thermoplastic component breakage was censored); and Type C, thermoplastic component breakage (connector breakage was censored). Survival time of MAOA for all types was analyzed using a shared frailty model. Hazard ratios and 95% confidence intervals were determined, with the statistical significance at p < 0.05. Results: Type A failures were significantly linked to patient sex, age, and connection method; Type B failures were associated with sex and age; and no variables were linked to Type C failures. Younger male patients showed lower survival rate except for Type C, with no correlation between apnea symptom severity and survival status. Conclusions: MAOA connector strength was significantly associated with the MAOA survival rate. Connectors were more likely to break in younger patients, and this tendency was particularly pronounced in males. Therefore, age and sex should be considered when choosing the MAOA connection method. |
|
言語 |
en |
| 書誌情報 |
en : Prosthesis
巻 7,
号 6,
p. art. no. 134,
発行日 2025-10-28
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| 出版者 |
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出版者 |
MDPI |
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言語 |
en |
| ISSN |
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収録物識別子タイプ |
EISSN |
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収録物識別子 |
2673-1592 |
| DOI |
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関連タイプ |
isIdenticalTo |
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|
識別子タイプ |
DOI |
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|
関連識別子 |
https://doi.org/10.3390/prosthesis7060134 |
| 権利 |
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|
権利情報 |
© 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
|
言語 |
en |
| 著者版フラグ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 引用 |
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|
内容記述タイプ |
Other |
|
内容記述 |
Prosthesis, 7(6), art. no. 134; 2025 |
|
言語 |
en |
P7_134.pdf (410 KB)
