Are general dental practitioners effective in the management of non-apnoeic snoring using mandibular advancement appliances?

Use of mandibular advancement devices for the treatment of primary snoring with or without obstructive sleep apnea (OSA): A systematic review

“…Among the included articles, four articles (Table 1) reported direct information on the use of MADs for PS treatment [2,26,31,32]. While the evidence was weak for two of them, the other two provided fair evidence [2,17]. Specifically, those providing fair evidence studied patients with OSAS and PS [31,32].…”

“…Specifically, those providing fair evidence studied patients with OSAS and PS [31,32]. They provided individualized results for each included patient group while the other papers described only patients with PS without solid evidence with respect to aspects of snoring [2,26]. The remaining 14 articles provided indirect information on the use of MADs in patients with a diagnosis other than PS.…”

“…According to the American Academy of Sleep Medicine (AASM) 2014 revision of the International Classification of Sleep Disorders (ICSD-3), primary snoring (PS) is a sleep-related breathing disorder classified in the subcategory "isolated symptoms and normal variants" [1]. It affects approximately 40% of the population, wherein the majority are middle-aged males [2], and is characterized by audible vibrations of the upper airway when breathing during sleep. The corresponding apnea-hypopnea index (AHI) should be < 5 events per hour [3].…”

“…PS management can include lifestyle changes, weight loss, surgery, and oral appliance (OA) therapy [2]. OAs have been indicated as the best treatment option for PS [22].…”

Treatment of Sleep Apnea with Herbst Mandibular Advancement Splints

“…In the context of treatment for sleep apnea, Poulet et al [35] identified two predictive variables that would make it possible to avoid 85.7% of cases of discontinuation of treatment. These are patients' perception of their state of health, and their mental state (depression test) [36][37][38][39][40].…”