Custom-Made Dual-Functional Oral Appliance for Management of Obstructive Sleep Apneic Completely Edentulous Patient

Banu, Fathima; Jeyapalan, Karthigeyan; Kumar, Anand

doi:10.7759/cureus.16656

Cited by 3 publications

(5 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Наявність готових пристроїв для порожнини рота (ОА), таких як MAD, пристроїв для утримання язика, скоротило час виготовлення пристроів, але пацієнти не завжди адаптувалися до них, в них підвищувалось слиновиділення та погіршувалася якість сну. Індивідуальні OA можуть подолати ці труднощі, але їх виготовлення у разі повної втрати зубів є складним через відсутність зубів і втручання пристрою в простір язика [23].…”

Section: матеріали і методиunclassified

See 1 more Smart Citation

Dental rehabilitation of adult patients with tooth loss and obstructive sleep apnea (literature review)

Doroshenko,

Bida,

Volosovets

et al. 2024

View full text Add to dashboard Cite

Introduction. Dental sleep medicine is a branch of dental practice that deals with the treatment of sleep-related breathing disorders, including obstructive sleep apnea (OSA) in adults and children. However, daily practice shows that other sleep disorders also concern dentistry, including orofacial pain associated with sleep, xerostomia, hypersalivation, gastroesophageal reflux disease, temporomandibular joint dysfunction, and bruxism. Purpose: on the basis of a thorough analysis of literary sources, to study the main methods of dental rehabilitation of adult patients with obstructive sleep apnea and to compare their effectiveness. Materials and methods. Information search and analysis of scientific sources using scientometric databases Web of Science, PubMed, Google Scholar over the past 15 years. Conclusion. The analysis of the literature data of recent years has shown the wide spread of dental pathology in patients with OSA and the need to develop and implement modern multidisciplinary approaches to the treatment of this contingent with the involvement of practicing dentists in health care practice. Key words: obstructive sleep apnea, dental pathology, tooth loss, mandibular advancement devices.

show abstract

Section: матеріали і методиunclassified

“…Виготовлений індивідуально протез, згаданий у звіті Banu F. et al [25], з успіхом використаний для лікування беззубих пацієнтів із нічним апное.…”

Section: матеріали і методиunclassified

Dental rehabilitation of adult patients with tooth loss and obstructive sleep apnea (literature review)

Doroshenko,

Bida,

Volosovets

et al. 2024

View full text Add to dashboard Cite

show abstract

“…In the absence of natural teeth, osseointegrated dental implants can effectively anchor an MAD. Currently, there are also "edentulous" options [25]. In addition, mouth opening and protrusion ability have to be assessed.…”

Section: Oral Appliancesmentioning

confidence: 99%

Non-CPAP therapy for obstructive sleep apnoea

Verbraecken

Dieltjens

Beeck

et al. 2022

Breathe

View full text Add to dashboard Cite

Treatment of obstructive sleep apnoea in adults is evolving, from a “one treatment fits all” to a more individualised approach. The spectrum of treatment options is broad and heterogeneous, including conservative, technological and pharmaceutical modalities. This raises the questions of which patients these modalities might be useful for, and if there are specific criteria for single or combined treatment. The most commonly used non-CPAP treatment is a mandibular advancement device. Furthermore, it appears from the available evidence that upper airway surgery, bariatric surgery, and maxillomandibular advancement can be effective in particular patient groups and should be indicated more readily in clinical practice. Technically, a tracheotomy is the most effective surgical treatment, but is not socially acceptable and is associated with major side-effects. Other treatment options are emerging, like positional therapy, hypoglossal nerve stimulation, and myofunctional exercises. Drug therapy is also promising when pathophysiological traits are considered.The range of currently available treatment options will be discussed in this review, with emphasis on the selection of appropriate patients, therapeutic efficacy and compliance, and reference to recent guidelines. In the selection process, routine application of drug-induced sleep endoscopy to assess the site(s) of collapse during sleep can increase the success rate of both surgical interventions and oral appliance therapy.Educational aimsTo outline recommendations concerning the proper management of obstructive sleep apnoea (OSA) patients that cannot be treated adequately with continuous positive airway pressure (CPAP) due to intolerance, poor adherence or compliance, or CPAP refusal.To provide information about the selection of appropriate patients for alternative non-CPAP treatment options.To better understand the different aspects of OSA treatment with noninvasive approaches, such as oral appliances, positional therapy, drug treatment and myofunctional therapy, including indications, contraindications, and expected short- and long-term results.To discuss the different surgical options for the treatment of OSA and to provide information on the important issue of proper patient selection for surgery, as most OSA surgical outcomes are associated with the pre-operative assessment of the level(s) of upper airway collapse.

show abstract

“…Patients suffering from OSAS have an inadequate oxygen supply due to apnea, which increases the blood carbon dioxide pressure and leads to the eventually awakening of the patient momentarily, to breathe in, and return to sleep without consciously remembering the episode [ 3 , 4 ]. Along with excessive daytime sleepiness, patients with OSA are known to manifest impaired neuropsychological functioning, mood disturbances, and a decrease in quality of life relative to healthy controls [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…The efficacy of CPAP is said to range from 29 to 83%, which purely relies on patient adherence/non-adherence. Issues with mask discomfort, nasal dryness or congestion, and difficulty adapting to the pressure have been identified as barriers to patient compliance, with many patients rejecting CPAP therapy within the first few months after initiation [ 3 , 7 ]. In completely edentulous patients, the absence of dentition causes a loss of vertical dimension, which leads to morphological changes in the upper airway, a decrease in the retropharyngeal space, and a decrease in the size and tone of the pharyngeal musculature [ 5 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Mandibular Advancement Device (MAD) for Obstructive Sleep Apnea in an Edentulous Patient

Burugpalli¹,

Chikhale²,

Galav³

et al. 2022

Cureus

View full text Add to dashboard Cite

Mandibular advancement devices have been efficiently used for the treatment of mild to moderate obstructive sleep apnea (OSA) by forward positioning of the tongue-mandible complex with a resultant increase in oropharyngeal volume. However, the literature on the treatment of edentulous patients is limited. This clinical report describes a clinical and laboratory method for the fabrication of a mandibular advancement device in a 75-year-old completely edentulous patient with mild OSA.

show abstract

Custom-Made Dual-Functional Oral Appliance for Management of Obstructive Sleep Apneic Completely Edentulous Patient

Cited by 3 publications

References 20 publications

Dental rehabilitation of adult patients with tooth loss and obstructive sleep apnea (literature review)

Dental rehabilitation of adult patients with tooth loss and obstructive sleep apnea (literature review)

Non-CPAP therapy for obstructive sleep apnoea

Mandibular Advancement Device (MAD) for Obstructive Sleep Apnea in an Edentulous Patient

Contact Info

Product

Resources

About