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Mandibular Advancement Appliance for Obstructive Sleep Apnea Treatment.
J Kostrzewa-Janicka1, P Śliwiński2, M Wojda3
1Department of Prosthodontics, Medical University of Warsaw, Warsaw, Poland. jolanta.kostrzewa-janicka@wum.edu.pl.
Advances in Experimental Medicine and Biology
|November 10, 2016
Summary
Obstructive sleep apnea (OSA) can be treated with mandibular advancement appliances (MAA). These oral appliances are effective for snoring and mild-to-moderate OSA, especially for those intolerant to CPAP.
Area of Science:
- Sleep Medicine
- Dental Sleep Medicine
- Otolaryngology
Background:
- Obstructive sleep apnea (OSA) involves repetitive upper airway narrowing during sleep.
- Treatment options include lifestyle changes, surgery, CPAP, and oral appliances.
- Mandibular advancement appliances (MAA) are common dental devices for OSA.
Purpose of the Study:
- To review the role and efficacy of oral appliances, specifically MAA, in treating obstructive sleep apnea.
- To discuss patient selection and variability in treatment response.
Main Methods:
- Review of current literature on OSA treatments.
- Focus on the mechanism and application of MAA.
- Analysis of factors influencing treatment outcomes.
Main Results:
- MAA function by protruding the mandible to prevent airway collapse.
- Patient response to MAA varies based on OSA severity and treatment duration.
- MAA show comparable effects to CPAP in mild OSA cases.
Conclusions:
- MAA are a viable treatment option for snoring and mild-to-moderate OSA.
- MAA are particularly beneficial for patients intolerant to CPAP therapy.
- Thorough clinical evaluation is crucial for selecting the appropriate OSA treatment.
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