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Respiratory outcomes with the use of a lower custom fit genioglossal‐effecting oral appliance

OBJECTIVE: Sleep apnea research cites that an oral appliance, which places the mandible in a more forward position and the genioglossus (tongue muscle) on the floor of the mouth, improves aspects of the pharyngeal opening. Exercise science research has cited improvements in airway dynamics and physi...

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Autores principales: Garner, Dena P., Lamira, Jensine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7025983/
https://www.ncbi.nlm.nih.gov/pubmed/32067401
http://dx.doi.org/10.1002/cre2.254
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author Garner, Dena P.
Lamira, Jensine
author_facet Garner, Dena P.
Lamira, Jensine
author_sort Garner, Dena P.
collection PubMed
description OBJECTIVE: Sleep apnea research cites that an oral appliance, which places the mandible in a more forward position and the genioglossus (tongue muscle) on the floor of the mouth, improves aspects of the pharyngeal opening. Exercise science research has cited improvements in airway dynamics and physiological variables with oral appliance use during exercise. Thus, the purpose of this study was to design an oral appliance that would act on the genioglossus and determine if there were effects on respiratory parameters while exercising. MATERIALS AND METHODS: Seventeen healthy subjects ages 18–43 participated in this study. Prior to the exercise protocol, the order of the oral applicance (OA) or no oral appliance (no OA) condition was randomly assigned to subjects, with subjects completing both conditions. Respiratory parameters (respiratory rate, ventilation, oxygen, and carbon dioxide) were measured between conditions while subjects ran for 10 min at steady state. RESULTS: The results demonstrated that both respiratory rate (25.97 BPM, OA and 28.35 BPM, no OA) and ventilation (47.66 l/min, OA and 50.34 l/min, No OA) were significantly lowered (p < .01) in the OA condition. There were no differences in carbon dioxide (1.89 l/min, no OA and 1.88 l/min, OA) or oxygen outcomes (2.17 l/min, no OA and 2.17 l/min OA). DISCUSSION: The outcomes from this study suggest that the design of the oral appliance elicits an effect on the genioglossus, thereby resulting in lowered respiratory rate and ventilation with no negative effects on oxygen uptake during exercise.
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spelling pubmed-70259832020-03-06 Respiratory outcomes with the use of a lower custom fit genioglossal‐effecting oral appliance Garner, Dena P. Lamira, Jensine Clin Exp Dent Res Original Articles OBJECTIVE: Sleep apnea research cites that an oral appliance, which places the mandible in a more forward position and the genioglossus (tongue muscle) on the floor of the mouth, improves aspects of the pharyngeal opening. Exercise science research has cited improvements in airway dynamics and physiological variables with oral appliance use during exercise. Thus, the purpose of this study was to design an oral appliance that would act on the genioglossus and determine if there were effects on respiratory parameters while exercising. MATERIALS AND METHODS: Seventeen healthy subjects ages 18–43 participated in this study. Prior to the exercise protocol, the order of the oral applicance (OA) or no oral appliance (no OA) condition was randomly assigned to subjects, with subjects completing both conditions. Respiratory parameters (respiratory rate, ventilation, oxygen, and carbon dioxide) were measured between conditions while subjects ran for 10 min at steady state. RESULTS: The results demonstrated that both respiratory rate (25.97 BPM, OA and 28.35 BPM, no OA) and ventilation (47.66 l/min, OA and 50.34 l/min, No OA) were significantly lowered (p < .01) in the OA condition. There were no differences in carbon dioxide (1.89 l/min, no OA and 1.88 l/min, OA) or oxygen outcomes (2.17 l/min, no OA and 2.17 l/min OA). DISCUSSION: The outcomes from this study suggest that the design of the oral appliance elicits an effect on the genioglossus, thereby resulting in lowered respiratory rate and ventilation with no negative effects on oxygen uptake during exercise. John Wiley and Sons Inc. 2020-01-06 /pmc/articles/PMC7025983/ /pubmed/32067401 http://dx.doi.org/10.1002/cre2.254 Text en © 2020 The Authors. Clinical and Experimental Dental Research published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Garner, Dena P.
Lamira, Jensine
Respiratory outcomes with the use of a lower custom fit genioglossal‐effecting oral appliance
title Respiratory outcomes with the use of a lower custom fit genioglossal‐effecting oral appliance
title_full Respiratory outcomes with the use of a lower custom fit genioglossal‐effecting oral appliance
title_fullStr Respiratory outcomes with the use of a lower custom fit genioglossal‐effecting oral appliance
title_full_unstemmed Respiratory outcomes with the use of a lower custom fit genioglossal‐effecting oral appliance
title_short Respiratory outcomes with the use of a lower custom fit genioglossal‐effecting oral appliance
title_sort respiratory outcomes with the use of a lower custom fit genioglossal‐effecting oral appliance
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7025983/
https://www.ncbi.nlm.nih.gov/pubmed/32067401
http://dx.doi.org/10.1002/cre2.254
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