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. 2021 Aug 1;17(8):1607–1618. doi: 10.5664/jcsm.9260

Table 4.

Adverse effects of TSD and MAD therapies reported after the 2-month treatment.

Adverse Effects TSD-Intolerant (n = 7/12)a TSD Users (n = 26/27)b MAD Users (n = 26/26)
Strong sensation in the tongue 7 (100) 17 (65.4) 1 (3.8)
Excessive salivation 7 (100) 20 (76.9) 10 (38.5)
Increased awakenings with OA use 5 (71.4) 15 (57.7) 9 (34.6)
Discomfort because the device does not stay in place 4 (57.1) 20 (76.9) 3 (11.5)
Dryness of mouth 3 (42.9) 15 (57.7) 19 (73.1)
Discomfort or pain in oral soft tissues 5 (71.4) 12 (46.2) 11 (42.3)
Tongue fatigue 6 (85.7) 12 (46.2) 0 (0)
Difficulties swallowing with OA in place 5 (71.4) 14 (53.8) 12 (46.2)
Difficulties falling asleep with OA 5 (71.4) 12 (46.2) 8 (30.8)
Discomfort because of bulkiness of OA 5 (71.4) 11 (42.3) 11 (42.3)
More unrested sleep with OA use 5 (71.4) 11 (42.3) 7 (26.9)
Discomfort or pain in jaws 2 (28.6) 6 (23.1) 16 (61.5)
Bite changes 1 (14.3) 6 (23.1) 16 (61.5)
Discomfort or pain in teeth 1 (14.3) 7 (26.9) 18 (69.2)
Device causes gagging 1 (14.3) 6 (23.1) 2 (7.7)
Claustrophobia/breathing difficulties with OA in place 4 (57.1) 5 (19.2) 1 (3.8)

Values are presented as n (%). aFive patients did not fill our adverse effects form. bOne patient did not fill out adverse effects form. MAD = mandibular advancement device, OA = oral appliance, TSD = tongue-stabilizing device.