Cephalometric and physiologic predictors of the efficacy of an adjustable oral appliance for treating obstructive sleep apnea

Liu, Yuehua; Lowe, Alan A.; Orthodont, Dip; Fleetham, John A.; Park, Young‐Chel

doi:10.1067/mod.2001.118782

Cited by 176 publications

(143 citation statements)

References 33 publications

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“…According to the same study, maxillary length is significantly shorter in responders. On the contrary, another study 22 reports that a longer maxilla is associated to an improved MAD treatment response.…”

Section: Tongue Areamentioning

confidence: 76%

“…The majority of articles reviewed provided some information on the design of the appliance, even if the manufacturing details were reported heterogeneously in only one paper 22 described the material that was used in the fabrication of the appliances. Five papers 17,[22][23][24]26 provided details regarding the degree of mandibular protrusion, also indicating the percentage of maximum mandibular protrusion, ranging between 67% and 75%).…”

Section: Overview Of Mad Designmentioning

confidence: 99%

“…Five papers 17,[22][23][24]26 provided details regarding the degree of mandibular protrusion, also indicating the percentage of maximum mandibular protrusion, ranging between 67% and 75%). The amount of vertical opening was not reported in any study.…”

Section: Overview Of Mad Designmentioning

confidence: 99%

“…All the studies described results in terms of the average AHI/AI/RDI values, except for one study 26 reporting the median values. Based on treatment outcome, patients were classified as complete responders, partial responders, or non-responders in 2 studies, 20,22 while in 5 studies 13,16,21,23,25 the participants were simply divided in responders and non-responders.…”

Section: Overview Of Study Design Diagnosis Of Osa and Outcome Measmentioning

confidence: 99%

See 3 more Smart Citations

Anatomically Based Outcome Predictors of Treatment for Obstructive Sleep Apnea with Intraoral Splint Devices: A Systematic Review of Cephalometric Studies

Guarda-Nardini

Manfredini

Mion

et al. 2015

Journal of Clinical Sleep Medicine

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Aims:The aim of this review is to summarize data from the literature on the predictive value of anatomy-based parameters, as identifi ed by cephalometry, for the effi cacy of mandibular advancement devices (MAD) for the treatment of obstructive sleep apnea (OSA). Methods: Articles were initially selected based on their titles or abstracts. Full articles were then retrieved and further scrutinized according to predetermined criteria. Reference lists of selected articles were searched for any missed publications. The selected articles were methodologically evaluated. Results: Of an initial 311 references, 13 were selected that assessed correlations between polysomnographic and cephalometric variables. The majority of studies demonstrated a correlation between treatment effectiveness and features as determined by cephalometric analysis, such as the mandibular plane angle, hyoid bone distance to mandible, antero-posterior diameter of the maxilla, tongue area, cranial base, and soft palate. Conclusions:The mandibular plane angle and the distance between hyoid bone and mandibular plane was found to have a predictive value for MAD effectiveness in OSA patients. However, the relative weak and somewhat inconsistent cephalometric data suggest that decisions based solely on these factors cannot be recommended, especially because an integrated analysis of other risk factors (e.g., age, sex, BMI) should also be taken into account.

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Section: Tongue Areamentioning

confidence: 76%

Section: Overview Of Mad Designmentioning

confidence: 99%

Section: Overview Of Mad Designmentioning

confidence: 99%

Section: Overview Of Study Design Diagnosis Of Osa and Outcome Measmentioning

confidence: 99%

See 2 more Smart Citations

Anatomically Based Outcome Predictors of Treatment for Obstructive Sleep Apnea with Intraoral Splint Devices: A Systematic Review of Cephalometric Studies

Guarda-Nardini

Manfredini

Mion

et al. 2015

Journal of Clinical Sleep Medicine

View full text Add to dashboard Cite

show abstract

“…MADs can have some beneficial cardiovascular effects with improvement in blood pressure control, in cardiac function, endothelial function, and oxidative markers [62,[72][73][74][75][76][77][78][79]. Several studies have demonstrated that MADs are more successful in milder sleep apnea, position dependent OSA (lateral AHI<10/h), females, and in patients with a lower BMI [64,68,[80][81][82][83][84]. MADs are recommended for patients with mild to moderate OSA and even for those who have severe OSA and cannot tolerate CPAP [85••].…”

Section: Mandibular Advancement Devices (Mad)mentioning

confidence: 99%

Non-positive airway pressure therapy for obstructive sleep apnea

Jafari

Roux

2012

Curr Respir Care Rep

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Obstructive sleep apnea (OSA) is a common disorder associated with cardiovascular morbidity. Various methods are offered to improve symptoms of OSA and its outcome. Although positive airway pressure is the most effective treatment for OSA, its clinical effectiveness is limited by patients' compliance. Other suggested treatments for OSA focus on expanding upper airway and reducing its collapsibility. For example, mandibular advancement device (MAD) achieves this goal by mechanically protruding the mandible. Other available treatments including weight reduction, positional therapy, drugs, nasal dilators, and nasal expiratory pressure device are clearly inferior to CPAP.

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The Mandibular Advancement Device and Patient Selection in the Treatment of Obstructive Sleep Apnea

Mo¹,

Choi²,

Lee³

et al. 2009

Archives of Otolaryngology - Head and Neck Surgery

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Cephalometric and physiologic predictors of the efficacy of an adjustable oral appliance for treating obstructive sleep apnea

Cited by 176 publications

References 33 publications

Anatomically Based Outcome Predictors of Treatment for Obstructive Sleep Apnea with Intraoral Splint Devices: A Systematic Review of Cephalometric Studies

Anatomically Based Outcome Predictors of Treatment for Obstructive Sleep Apnea with Intraoral Splint Devices: A Systematic Review of Cephalometric Studies

Non-positive airway pressure therapy for obstructive sleep apnea

The Mandibular Advancement Device and Patient Selection in the Treatment of Obstructive Sleep Apnea

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