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Mandibular advancement device for obstructive sleep apnea: An overview.
S Raghavendra Jayesh1, Wasim Manzoor Bhat1
1Department of Prosthodontics, Sree Balaji Dental College and Hospital, Bharath University, Chennai, Tamil Nadu, India.
Journal of Pharmacy & Bioallied Sciences
|May 28, 2015
Summary
Mandibular advancement devices (MADs) reposition the lower jaw forward to enlarge the airway. This oral appliance therapy helps prevent airway closure, improving breathing during sleep.
Area of Science:
- Dental Sleep Medicine
- Orthodontics
- Respiratory Physiology
Background:
- Obstructive sleep apnea (OSA) is characterized by intermittent airway collapse.
- Mandibular hypoplasia can contribute to a narrow upper airway.
- Oral appliances are a treatment option for snoring and OSA.
Purpose of the Study:
- To provide an overview of mandibular advancement devices (MADs).
- To explain the mechanism of action for MADs in widening the airway.
- To highlight the role of MADs in preventing airway closure.
Main Methods:
- Literature review on the design and function of MADs.
- Analysis of biomechanical principles involved in mandibular repositioning.
- Discussion of clinical applications and efficacy.
Main Results:
- MADs function by advancing the mandible relative to the maxilla.
- This forward repositioning increases the retrolingual space.
- The widened airway reduces the likelihood of pharyngeal collapse.
Conclusions:
- MADs are effective in managing conditions associated with airway narrowing.
- The advancement of the mandible is key to their therapeutic effect.
- MADs offer a non-invasive approach to improve airflow.
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