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Selecting sleep-disordered-breathing appliances. Biomechanical considerations.

P T George1

  • 1John A. Burns School of Medicine, University of Hawaii, USA. ptgeorge@pacinfo.net

Journal of the American Dental Association (1939)
|March 22, 2001
PubMed
Summary
This summary is machine-generated.

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Dentists can select from various mandibular advancement devices (MADs) for sleep-disordered-breathing therapy. Understanding MAD variations is crucial for effective and safe treatment, with occlusal shifting being a key concern.

Area of Science:

  • Dental Sleep Medicine
  • Biomechanical Engineering
  • Orthodontics

Background:

  • Limited research exists on variations among mandibular advancement devices (MADs).
  • Dentists require guidance for selecting appropriate MADs for sleep-disordered-breathing therapy.

Purpose of the Study:

  • To review biological and mechanical principles influencing MAD function.
  • To identify key areas of MAD variation and their impact on efficacy and safety.

Main Methods:

  • Literature review of dental and medical research.
  • Analysis of biological and mechanical factors affecting MADs.

Main Results:

  • MADs differ in mandibular movement, dental coverage, advancement, and bite opening.

Related Experiment Videos

  • These variations impact treatment efficacy and safety, with occlusal shifting being a primary risk.
  • Optimum parameters for MAD design are proposed based on biological and mechanical considerations.

    • Conclusions:

    • MAD therapy requires careful consideration of device efficacy and safety due to long-term use.
    • Minimizing occlusal shifting is critical for safe and effective MAD treatment.
    • Accurate construction bites are essential for capturing and maintaining the optimal mandibular position.