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Related Experiment Videos

Mandibular advancement devices and sleep disordered breathing.

G T Clark1

  • 1UCLA School of Dentistry, Section of Orofacial Pain and Oral Medicine, Center for the Health Sciences, 90095-1668, USA.

Sleep Medicine Reviews
|August 18, 2004
PubMed
Summary

Mandibular advancement devices (MADs) treat snoring and mild to moderate obstructive sleep apnea (OSA). While effective, long-term use shows only 50% compliance after 3 years, necessitating careful fabrication and monitoring.

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Area of Science:

  • Dental Sleep Medicine
  • Sleep Apnea Treatment
  • Medical Device Efficacy

Background:

  • Mandibular advancement devices (MADs) have been used for nearly 90 years to treat snoring and obstructive sleep apnea (OSA).
  • These devices aim to increase airway caliber during sleep, primarily for patients with snoring or mild to moderate OSA.
  • Limited empirical data exists on the long-term compliance, complications, and contraindications of MADs.

Purpose of the Study:

  • To review the existing data on long-term compliance, complications, and contraindications of MADs for OSA treatment.
  • To assess the overall efficacy and patient experience with MADs.
  • To provide recommendations for the fabrication and management of patients using MADs.

Main Methods:

  • Review of existing literature and compliance reports on mandibular advancement devices.

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  • Analysis of data regarding patient-reported complications such as temporomandibular joint (TMJ) pain and masticatory muscle soreness.
  • Examination of occlusion changes in long-term users.

    • Main Results:

    • A small percentage of patients discontinue MAD use due to TMJ or muscle soreness.
    • Long-term users experience minimal changes in occlusion.
    • Compliance rates indicate approximately 50% of patients use the device after 3 years.
    • MADs are a moderately effective treatment for snoring and mild to moderate OSA.

    Conclusions:

    • MADs are a moderately effective treatment option for snoring and mild to moderate OSA.
    • Careful fabrication by dentists in collaboration with sleep medicine physicians is recommended.
    • Regular patient monitoring is crucial for ongoing efficacy and managing potential complications.