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Sharples L, Glover M, Clutterbuck-James A, et al. Clinical effectiveness and cost-effectiveness results from the randomised controlled Trial of Oral Mandibular Advancement Devices for Obstructive sleep apnoea–hypopnoea (TOMADO) and long-term economic analysis of oral devices and continuous positive airway pressure. Southampton (UK): NIHR Journals Library; 2014 Oct. (Health Technology Assessment, No. 18.67.)

Cover of Clinical effectiveness and cost-effectiveness results from the randomised controlled Trial of Oral Mandibular Advancement Devices for Obstructive sleep apnoea–hypopnoea (TOMADO) and long-term economic analysis of oral devices and continuous positive airway pressure

Clinical effectiveness and cost-effectiveness results from the randomised controlled Trial of Oral Mandibular Advancement Devices for Obstructive sleep apnoea–hypopnoea (TOMADO) and long-term economic analysis of oral devices and continuous positive airway pressure.

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Appendix 9Adverse event specific tables

Serious adverse events

AEDatesTreatment receiving at the timeClassification
Sick sinus syndrome and atrial flutter25 September 2011–28 September 2011No treatmentPossibly related to OSA
Hypoglycaemia13 October 2011–13 October 2011No treatmentPossibly related to OSA
Complete heart block3 November 2011–4 November 2011bMADPossibly related to OSA or MAD
Non-specific chest pain11 February 2012–17 February 2012bMADPossibly related to OSA or MAD

Specific minor adverse events in each category

Adverse eventAdverse events categoryNumber of events
Achy legs(1) General adverse events4
Acid reflux(1) General adverse events2
Angina(1) General adverse events2
Asthma(1) General adverse events2
Asthma episode(1) General adverse events1
Bronchitis(1) General adverse events2
Cellulitis(1) General adverse events1
Chest (6) infection(1) General adverse events8
Chest (6) infection/pleuracy(1) General adverse events2
Concussion(1) General adverse events1
Cramp(1) General adverse events3
Cramp (legs)(1) General adverse events3
DVT(1) General adverse events3
Depression (re-occurring)(1) General adverse events1
Diarrhoea(1) General adverse events2
Diarrhoea and vomiting(1) General adverse events3
Dislocated shoulder(1) General adverse events1
Extreme tiredness [viral (6) infection?](1) General adverse events1
Fluid on lungs(1) General adverse events1
Fractured wrist(1) General adverse events1
Gout(1) General adverse events1
Hay fever(1) General adverse events2
Hay fever symptoms(1) General adverse events1
Head trauma(1) General adverse events1
Headache(1) General adverse events27
Headache (migraine?)(1) General adverse events1
Headaches(1) General adverse events4
Hernia operation(1) General adverse events1
Hysterectomy(1) General adverse events1
Indigestion(1) General adverse events3
Infected finger(1) General adverse events4
Knee (6) infection(1) General adverse events2
Leg pain(1) General adverse events5
Nasal polyps(1) General adverse events3
Nasal congestion due to polyps(1) General adverse events1
Nasal (6) Infection(1) General adverse events1
Nausea(1) General adverse events2
Neck pain(1) General adverse events2
Operation – adenoma (parathyroid)(1) General adverse events1
Oral thrush(1) General adverse events1
Pacemaker fitted(1) General adverse events1
Panic attacks(1) General adverse events1
Period pain(1) General adverse events1
Shoulder pain(1) General adverse events5
Shoulder pain (frozen shoulder)(1) General adverse events1
Sore ribs(1) General adverse events3
Sore wrist/hand(1) General adverse events1
Stomach eramps(1) General adverse events1
Stomach ache(1) General adverse events1
Stomach ache/nausea(1) General adverse events1
Stomach bug(1) General adverse events5
Surgery to remove nasal polyps(1) General adverse events1
Torn ligaments (in knee)(1) General adverse events2
Unwell (exhaustion)(1) General adverse events1
Upset stomach(1) General adverse events1
Vomiting(1) General adverse events1
Wheezing(1) General adverse events1
Whiplash(1) General adverse events1
Worsening tinnitus(1) General adverse events1
Bad taste in mouth(2) Dryness/Bad taste/Numbness3
Dry lips(2) Dryness/Bad taste/Numbness14
Dry mouth(2) Dryness/Bad taste/Numbness65
Dry throat(2) Dryness/Bad taste/Numbness3
Dry mouth/throat(2) Dryness/Bad taste/Numbness1
Numb lips(2) Dryness/Bad taste/Numbness3
Bit lip(3) Discomfort/Mouth problems1
Blisters on lip(3) Discomfort/Mouth problems1
Blood on device(3) Discomfort/Mouth problems1
Broken tooth(3) Discomfort/Mouth problems3
Broken tooth crown(3) Discomfort/Mouth problems2
Burnt mouth(3) Discomfort/Mouth problems2
Change in bite(3) Discomfort/Mouth problems10
Change in bite/malocclusion(3) Discomfort/Mouth problems1
Clicky jaw(3) Discomfort/Mouth problems2
Cold sores(3) Discomfort/Mouth problems1
Dental bridge problems(3) Discomfort/Mouth problems1
Face/jaw ache(3) Discomfort/Mouth problems1
Gum discomfort(3) Discomfort/Mouth problems75
Gum sores(3) Discomfort/Mouth problems1
Infected milk tooth extraction(3) Discomfort/Mouth problems1
Jaw discomfort(3) Discomfort/Mouth problems78
Jaw stiffness(3) Discomfort/Mouth problems19
Jaw discomfort – left(3) Discomfort/Mouth problems1
Jaw discomfort – right(3) Discomfort/Mouth problems1
Jaw stiffness (change in bite)(3) Discomfort/Mouth problems1
Lip discomfort(3) Discomfort/Mouth problems3
Loose tooth(3) Discomfort/Mouth problems2
Loose crowns and bridges(3) Discomfort/Mouth problems1
Loose teeth(3) Discomfort/Mouth problems2
Loose tooth(3) Discomfort/Mouth problems2
Malocclusion (tooth moving forward)(3) Discomfort/Mouth problems1
Mouth discomfort(3) Discomfort/Mouth problems19
Mouth ulcer(3) Discomfort/Mouth problems16
Receding gums(3) Discomfort/Mouth problems3
Sensitive teeth(3) Discomfort/Mouth problems1
Sore throat (due to not wearing device)(3) Discomfort/Mouth problems1
Sore upper left palate.(3) Discomfort/Mouth problems1
Sore upper right palate.(3) Discomfort/Mouth problems1
Teeth moved forward (front top 2)(3) Discomfort/Mouth problems1
Tongue discomfort(3) Discomfort/Mouth problems8
Tongue ulcer(3) Discomfort/Mouth problems1
Tooth discomfort(3) Discomfort/Mouth problems128
Tooth discomfort (from clenching teeth)(3) Discomfort/Mouth problems4
Tooth discomfort (front crown only)(3) Discomfort/Mouth problems1
Tooth discomfort (next to abscessed tooth)(3) Discomfort/Mouth problems2
Tooth crown – permanent(3) Discomfort/Mouth problems1
Tooth crown – temporary(3) Discomfort/Mouth problems1
Tooth crown replacement(3) Discomfort/Mouth problems1
Tooth removal(3) Discomfort/Mouth problems1
Veneer detachment(3) Discomfort/Mouth problems1
Wound healing post wisdom tooth removal(3) Discomfort/Mouth problems1
Bleeding gums(3) Discomfort/Mouth problems18
Choking(4) Excessive salivation and choking2
Choking (due to excessive salivation)(4) Excessive salivation and choking1
Excessive Salivation(4) Excessive salivation and choking83
Gagging(4) Excessive salivation and choking5
Blocked nose(5) Cold related14
Cold/sore throat(5) Cold related1
Chest and sinus (6) infection(5) Cold related1
Common cold(5) Cold related39
Cough(5) Cold related13
Cough and congestion(5) Cold related2
Flu(5) Cold related3
Head cold(5) Cold related1
Nasal congestion(5) Cold related4
Sinus (6) infection(5) Cold related1
Sore throat(5) Cold related8
Sore throat (and cough)(5) Cold related2
Sore nostrils(5) Cold related1
Sore throat and ears(5) Cold related1
Sore throat and nose(5) Cold related1
Throat and upper and lower chest (6) Infection(5) Cold related1
Tonsillitis(5) Cold related1
Viral (6) infection(5) Cold related2
Viral nasal (6) infection(5) Cold related1
Infected wisdom tooth(6) Infection3
Infected milk tooth(6) Infection1
Tooth abscess(6) Infection2
Tooth (6) infection(6) Infection2

Minor adverse events (classified by an independent sleep physician)

Type of AENo treatment (n = 78)SP1 (n = 81)SP2 (n = 78)bMAD (n = 77)Total
Possibly related to OSA3 (3)1 (1)3 (3)1 (1)8 (5)
Probably related to MAD22 (16)179 (66)143 (59)184 (75)528 (85)
Possibly related to OSA or MAD29 (18)50 (34)55 (35)40 (27)174 (54)
Probably unrelated26 (21)37 (24)41 (30)37 (27)141 (59)
Total80 (45)267 (73)242 (68)262 (76)851 (86)
Copyright © Queen’s Printer and Controller of HMSO 2014. This work was produced by Sharples et al. under the terms of a commissioning contract issued by the Secretary of State for Health. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.

Included under terms of UK Non-commercial Government License.

Bookshelf ID: NBK262684

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