Effectiveness of a mandibular advancement device in obstructive sleep apnea patients: a prospective clinical trial

Marco-Pitarch, Rocío; García, Marina Selva; Puertas, Francisco J.; Algarra, Jaime Marco; Enrique, Julián; Font, Antonio Fons

doi:10.1007/s00405-018-4978-4

Cited by 16 publications

(23 citation statements)

References 42 publications

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“…The MADs aim to maintain the mandible in an advanced position during sleep 19 , 20 (Figs 2A, 2B; Fig 3 and Fig 4 ), promoting a transient increase of the oropharyngeal space during the use of the device and, consequently, reducing obstructions. 21 They act by pulling the soft tissues anteriorly, especially the genioglossus, genius-hyoids, digastrics and milo-hyoids muscles.…”

Section: Mandibular Advancement Devices (Mad)mentioning

confidence: 99%

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Obstructive sleep apnea in adults

Faber

Faber³

2019

Dental Press J. Orthod.

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Introduction: Obstructive Sleep Apnea and Hypopnea Syndrome (OSAS) is a highly prevalent disease with serious consequences for the patients’ lives. The treatment of the condition is mandatory for the improvement of the quality of life, as well as the life expectancy of the affected individuals. The most frequent treatments provided by dentistry are mandibular advancement devices (MAD) and orthognathic surgery with maxillomandibular advancement (MMA). This is possibly the only treatment option which offers high probability of cure. Objective: The present article provides a narrative review of OSAS from the perspective of 25 years of OSAS treatment clinical experience. Conclusion: MADs are a solid treatment option for primary snoring and mild or moderate OSAS. Patients with severe apnea who are non-adherent to CPAP may also be treated with MADs. Maxillomandibular advancement surgery is a safe and very effective treatment option to OSAS.

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Section: Mandibular Advancement Devices (Mad)mentioning

confidence: 99%

“…When the appliance is installed, it should keep the mandible in a protruded position 20 , 23 ( Fig 2 B), previously defined in a bite record. Most people find it difficult to keep their mandible in a very projected position from the first day of treatment because they lack enough joint mobility.…”

Section: Mandibular Advancement Devices (Mad)mentioning

confidence: 99%

Obstructive sleep apnea in adults

Faber

Faber³

2019

Dental Press J. Orthod.

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show abstract

“…The MADs aim to maintain the mandible in an advanced position during sleep 19,20 (Figs 2A, 2B; Fig 3 and 4), promoting a transient increase of the oropharyngeal space during the use of the device and, consequently, reducing obstructions. 21 They act by pulling the soft tissues anteriorly, especially the genioglossus, geniushyoids, digastrics and milo-hyoids muscles.…”

Section: Mandibular Advancement Devices (Mad)mentioning

confidence: 99%

“…When the appliance is installed, it should keep the mandible in a protruded position 20,23 (Fig 2B), previously defined in a bite record. Most people find it difficult to keep their mandible in a very projected position from the first day of treatment because they lack enough joint mobility.…”

Section: Titration Of Madmentioning

confidence: 99%

Obstructive Sleep Apnea in Adults

Brown

Chervin

2019

N Engl J Med

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Introduction: Obstructive Sleep Apnea and Hypopnea Syndrome (OSAS) is a highly prevalent disease with serious consequences for the patients' lives. The treatment of the condition is mandatory for the improvement of the quality of life, as well as the life expectancy of the affected individuals. The most frequent treatments provided by dentistry are mandibular advancement devices (MAD) and orthognathic surgery with maxillomandibular advancement (MMA). This is possibly the only treatment option which offers high probability of cure. Objective: The present article provides a narrative review of OSAS from the perspective of 25 years of OSAS treatment clinical experience.Conclusion: MADs are a solid treatment option for primary snoring and mild or moderate OSAS. Patients with severe apnea who are non-adherent to CPAP may also be treated with MADs. Maxillomandibular advancement surgery is a safe and very effective treatment option to OSAS.

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“…There is a variety of treatments for obstructive sleep apnea syndrome, which depends on the medical history of the individual, the severity of the disorder and, mainly, the specific cause of the obstruction. Although there are various oral devices to treat OSAS, many of these devices are cumbersome for patients to use at night because they act to advance the position of the jaw [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Management of OSAS: The ELIBA® Device Can Help the Patient?

Ortu

Pietropaoli

Mummolo

et al. 2020

Case Reports in Dentistry

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Obstructive sleep apnea syndrome (OSAS) is one of the most challenging diseases to treat in medicine. Here, the authors describe a case of OSAS treated with a lingual elevator of Balercia (ELIBA®). The patient, a forty-five-year-old Caucasian male, had a chief complaint of numerous episodes of nocturnal apnea. After several visits with specialists, a polysomnographic examination was performed, in which the patient’s apnea hypopnea index (AHI) was 30.4, and a lingual elevator was prescribed. The lingual elevator helped to keep the patient’s tongue in the correct position and prevented the tongue from reverting back to the soft tissue spaces in the mouth. After six months of treatment with the lingual elevator and dietary adjustments, the patient’s AHI decreased to 11.6. This simple yet customizable approach is a comfortable and easy option for patients to reduce night apnea episodes.

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Effectiveness of a mandibular advancement device in obstructive sleep apnea patients: a prospective clinical trial

Cited by 16 publications

References 42 publications

Obstructive sleep apnea in adults

Obstructive sleep apnea in adults

Obstructive Sleep Apnea in Adults

Management of OSAS: The ELIBA® Device Can Help the Patient?

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