EN
Efficacy of mandibular advancement devices in two patients with moderate obstructive sleep apnea: Case reports
Abstract
Mandibular advancement device (MAD) can be used as a treatment alternative on apnea and sleep in moderate obstructive sleep apnea. Polysomnographic sleep studies were performed on two patients before and about 1 year after continuous use of the MADs. The results were compared. In the first case, the apnea-hypopnea index (AHI) before treatment was 22.0 and decreased, to 4.3, after 1 year of treatment. The AHI after 1 year of usage differed significantly from the pretreatment value. In the second case, the AHI before treatment was 21.4 and decreased to 10.1 after 1 year of treatment. The 1-year clinical evaluation showed preserved dental status, preserved action of the masticatory muscles, and preserved function of the temporomandibular joint. The MADs reduced apneas and improved sleep quality in patients with obstructive sleep apnea, especially in those with mild or moderate disease.
Keywords
References
- Beumer JB III, Curtis TA, Marunick MT. Maxillofacial Rehabilitation. Prosthodontic and Surgical Considerations. St. Louis: Ishiyaku EuroAmerica, Inc. Tokyo 1996.
- Garcia-Rio F, Racionero MA, Pino JM, Martinez I, Ortuno F, Villasante C, et al. Sleep apnea and hypertension. Chest.2000;117:1417-25.
- Chan ASL, Sutherland K, Schwab RJ, et al. The effect of mandibular advancement on upper airway structure in obstructive sleep apnoea. Thorax 2010;65:726-32.
- Lazard DS, Blumen M, Lévy P, et al. The tongue-retaining device: Efficacy and side effects in obstructive sleep apnea syndrome. J Clin Sleep Med 2009;5:431-38.
- Taylor TD. Clinical Maxillofacial Prosthetics. Quintessence Publishing Co., Inc. 2000:121-31.
- Clark GT, Sohn JW, Hong CN. Treating obstructive sleep apnea and snoring: Assessment of an anterior mandibular positioning device. J Am Dent Assoc 2000;131:765-71.
- Barnes M, McEvoy RD, Banks S, Tarquinio N, Murray CG, Vowles N, Pierce RJ. Efficacy of positive airway pressure and oral appliance in mild to moderate obstructive sleep apnea. Am J Respir Crit Care Med 2004;170:656-64.
- Engleman HM, McDonald JP, Graham D, Lello GE, Kingshott RN, Coleman EL, Mackay TW, Douglas NJ. Randomized crossover trial of two treatments for sleep apnea/hypopnea syndrome: continuous positive airway pressure and mandibular repositioning splint. Am J Respir Crit Care Med 2002;166:855-59.
Details
Primary Language
English
Subjects
Health Care Administration
Journal Section
Research Article
Publication Date
February 11, 2015
Submission Date
December 15, 2013
Acceptance Date
-
Published in Issue
Year 1970 Volume: 18 Number: 1
EndNote
Keyf F, Aktaş G, Keyf İ (February 1, 2015) Efficacy of mandibular advancement devices in two patients with moderate obstructive sleep apnea: Case reports. Cumhuriyet Dental Journal 18 1 79–85.
Cited By
Alternative technique to transfer jaw relations for custom mandibular advancement devices: A case report
CRANIO®
https://doi.org/10.1080/08869634.2018.1461756Efficiency of Mandibular Advancement Device and Bilevel Positive Airway Pressure Treatment for Severe Obstructive Sleep Apnea
International Journal of Experimental Dental Science
https://doi.org/10.5005/jp-journals-10029-1151