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Mandibular advancement prosthesis: first-line alternative to surgery in snoring
S S Minhas1, S N Dutt, P Deakin
1Department of Otorhinolaryngology, Head and Neck Surgery, City Hospital NHS Trust, Birmingham, UK.
The Journal of Laryngology and Otology
|August 4, 2001
Summary
Mandibular advancement prostheses (MAP) can reduce snoring, but initial side effects like discomfort are common. Patient education and encouragement are key for successful long-term use of this snoring treatment.
Area of Science:
- Otolaryngology
- Sleep Medicine
- Biomedical Engineering
Background:
- Snoring management often begins with lifestyle changes.
- Surgery is a second-line option when conservative measures fail.
- Mandibular advancement prostheses (MAP) are underutilized for snoring in the UK.
Purpose of the Study:
- To evaluate MAP as an adjunct to first-line snoring treatments.
- To assess the efficacy, side-effects, and patient compliance of MAP.
- To explore MAP's role in initial snoring management.
Main Methods:
- Review of case notes for 30 snoring patients.
- Follow-up assessment using a questionnaire.
- Analysis of MAP's impact on snoring, side-effects, and adherence.
Main Results:
- MAP effectively alleviated snoring in participants.
- The prosthesis was poorly tolerated initially due to side-effects.
- Reported side-effects included increased salivation, jaw pain, and oral discomfort.
Conclusions:
- Early side-effects of MAP often resolve within weeks.
- Patients who persevered experienced reduced snoring.
- MAP can be an effective initial snoring management tool with proper patient education and support.
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