Maxillomandibular advancement surgery for obstructive sleep apnoea patients: the current workflow from referral to...

Obstructive sleep apnoea (OSA) is a common medical condition with significant morbidity and mortality, but frequently undiagnosed. Clinical signs and symptoms may be identified by general dental practitioners during routine dental examinations and patient history taking. This article explores the clinical characteristics, aetiology, and prevalence of OSA, and outlines when a referral should be considered, including the essential details to include in the referral. Additionally, it examines the current clinical pathway following referral, detailing the assessment and planning process for maxillomandibular advancement surgery (MMA). The discussion outlines the indications, benefits, and risks of MMA and compares it with alternative treatment options. The goal of this paper is to equip general dental practitioners with the knowledge and confidence to make informed referrals, assist in communicating both conservative and potential surgical treatment options to their patients, and provide a clear outline of what to expect following a referral for OSA in the UK.