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Selecting sleep-disordered-breathing appliances. Biomechanical considerations.
1John A. Burns School of Medicine, University of Hawaii, USA. ptgeorge@pacinfo.net
Journal of the American Dental Association (1939)
|March 22, 2001
Summary
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.
- 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.