@article{oai:shiga-med.repo.nii.ac.jp:00004004, author = {奥野, 健太郎 and 佐藤, 一道 and 有坂, 岳大 and 後藤, 基宏 and 佐々生, 康宏 and 田賀, 仁 and 濱田, 傑 and 細濱, 教子 and 山本, 知由 and 入江, 道文 and 柏崎, 潤 and KADOTANI, Hiroshi and 角谷, 寛 and 佐藤, 光生 and 鈴木, 雅明 and 日暮, 尚樹 and 榊原, 博樹 and 清水, 徹男 and 杉崎, 正志 and 外木, 守雄 and OKUNO, Kentaro and SATO, Kazumichi and ARISAKA, Takehiro and GOTOH, Motohiro and SASAO, Yasuhiro and TAGA, Hitoshi and HAMADA, Suguru and HOSOHAMA, Kyoko and YAMAMOTO, Tomoyoshi and IRIE, Michinori and KASHIWAZAKI, Jun and KADOTANI, Hiroshi and 角谷, 寛 and SATO, Mitsuo and SUZUKI, Masaaki and HIGURASHI, Naoki and SAKAKIBARA, Hiroki and SHIMIZU, Tetsuo and SUGISAKI, Masashi and TONOGI, Morio}, issue = {2}, journal = {睡眠口腔医学, Journal of Oral and Sleep Medicine}, month = {Apr}, note = {pdf, Oral appliance therapy was approved by national health insurance in Japan in 2004 and oral appliances(OAs)have since been widely used in the treatment of obstructive sleep apnea(OSA). We herein described the process of making clinical practice guidelines by the task force of the Japanese Academy of Dental Sleep Medicine as a work report. In Japan, OAs are covered by national health insurance. In consideration of the balance between medical treatment fees and the price of technical materials, we used a single-piece(monoblock)OA that advanced the mandible forward and limited mouth opening in OSA patients in Japan. The Japanese Academy of Dental Sleep Medicine(JADSM)focused on OAs frequently used for the treatment of OSA in Japan, and considered an evaluation of their effects to be necessary. Clinical practice guidelines were developed using the Grading of Recommendations, Assessment, Development, and Evaluation(GRADE)system. We recommend OAs that advanced the mandible forward and limited mouth opening for patients with OSA. However, CPAP should be used by patients for whom it has been indicated. OAs are desirable for those who cannot use CPAP(GRADE 1B, strong recommendation/quality of evidence, “Moderate quality”). The long-term effects and side effects, OSA severity, and comorbidities of OA therapy were not examined, which represented a limitation to the present study. In future studies, the Japanese Academy of Dental Sleep Medicine plan to update clinical practice guidelines for oral appliances used in OSA., Journal Article}, pages = {148--153}, title = {Work report by the task force of the Japanese Academy of Dental Sleep Medicine for clinical practice guidelines of oral appliances}, volume = {1}, year = {2015}, yomi = {カドタニ, ヒロシ and カドタニ, ヒロシ} }