Occlusal side effects caused by a mandibular advancement appliance in patients with obstructive sleep apnea
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Updated: Oct 3, 2026

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
E C Rose1, C Schnegelsberg, R Staats
1Department of Orthodontics, Dental Medical School, University of Freiburg, Germany. rose@zmk2.ukl.uni-freiburg.de
Abstract:
Mandibular advancement appliances (MAA) have been established as an alternative treatment option for obstructive sleep apnea (OSA). Although the therapeutic effect of these devices has been proven both clinically and polysomnographically through various studies, there are very few follow-up examinations in existence concerning possible dental side effects caused by the MAA. However, if lifelong treatment of OSA is considered, these follow-up examinations are of utmost importance. This article presents 2 cases with unexpected dental side effects and occlusal alterations caused by MAA therapy.
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