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Mandibular advancement device: Effectiveness and dental side effects. A real-life study
Aoben Chen1, Maud S Burger2, Margriet A W J Rietdijk-Smulders1
1Department of Pulmonology, Catharina Hospital Eindhoven, Eindhoven, the Netherlands.
Cranio : the Journal of Craniomandibular Practice
|January 9, 2020
Summary
Mandibular advancement devices (MAD) effectively treat obstructive sleep apnea (OSA), reducing symptoms and apnea-hypopnea index (AHI). However, side effects are common, leading some patients to discontinue treatment.
Area of Science:
- Sleep Medicine
- Dental Sleep Medicine
Background:
- Obstructive sleep apnea (OSA) is a common sleep disorder.
- Mandibular advancement devices (MAD) are an alternative treatment for OSA.
Purpose of the Study:
- To evaluate MAD effectiveness and adverse events in OSA patients.
- To identify predictors of MAD therapy success.
Main Methods:
- Retrospective analysis of 318 patients undergoing MAD therapy.
- Data collected from a large teaching hospital in the Netherlands.
Main Results:
- 65.5% of patients achieved therapy success with MAD.
- Significant reductions in apnea-hypopnea index (AHI) and OSA symptoms observed.
- Temporomandibular dysfunction was the most frequent side effect (27.0%).
- 23.3% of patients discontinued treatment due to side effects or failure.
Conclusions:
- MAD is an effective treatment for OSA, offering an alternative to CPAP, especially for severe cases.
- Common side effects necessitate careful patient monitoring.
- Predictive clinical parameters for MAD success were not identified in this study.
Keywords:
Obstructive sleep apneacontinuous positive airway pressuredentalmandibular advancement deviceoral appliancespolysomnographyretrospective studysnoring
