Cessation of Snoring Without Apnea-Hypopnea Improvement During Oral Appliance Therapy for Obstructive Sleep Apnea
Bibliographic record
Abstract
We encountered the case of a 41-year-old male patient with mild obstructive sleep apnea (OSA) treated with a mandibular advancement oral appliance (OAm) that highlights the fact that cessation of snoring is not always associated with an improvement of the apneahypopnea index (AHI). Follow-up polysomnography revealed that snoring improved from 14.8% to 0.4% of total sleep time, whereas AHI slightly increased from 8.5 to 11.6/h and the nadir percutaneous oxygen level fell from 93% to 87%. This case emphasizes the following three points: (1) cessation of snoring does not always indicate a reduction in AHI during OAm therapy for OSA; (2) objective follow-up evaluation of the efficacy of OAm treatment using sleep testing is necessary to avoid suboptimal outcomes; and (3) a followup sleep evaluation provides dentists and physicians with proper information for discussing not only treatment success but also the modification and/or replanning of OAm treatment.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".