Oral appliances in the management of obstructive sleep apnoea syndrome

Puppala, Ravindar; Balaji, K.; Saikiran, Kanamarlapudi Venkata; Ambati, Srilekha; Alekhya, Kondapaneni

doi:10.4103/arwy.arwy_34_19

Cited by 5 publications

(5 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, customized OAs have shown the best results. [ 14 ] Among these, MAD has come up as the most promising treatment option. MAD works on the principle of moving mandible downward and forward that reduce upper airway collapse.…”

Section: Discussionmentioning

confidence: 99%

“…[ 13 ] Currently, there are more than 60 different OAs in use, with considerable variations in design. [ 14 ] However, none has achieved the position of “Gold standard.” The present clinical technique focuses on a novel OA named “customized maxillary oral appliance (CMOA),” to provide a new therapeutic option for managing moderate OSA.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Oral appliances for obstructive sleep apnea

Belkhode

Godbole

Nimonkar

et al. 2021

Journal of Family Medicine and Primary Care

View full text Add to dashboard Cite

Background: As per the current epidemiological studies, the prevalence of obstructive sleep apnea (OSA) among the adult population is very high. Oral appliances (OAs) have emerged as the most recommended alternative treatment option for mild to moderate OSA. Objective: The objective of this article is to propose or develop a new design of OA named “customized maxillary oral appliance (CMOA),” for managing moderate OSA syndrome. Methods: The design proposed in this article is first of its kind that is fabricated on the maxillary arch. CMOA is developed by combining the principles of the three most popular OAs used in OSA, namely, soft palate lifters, tongue retaining devices, and mandibular advancement devices. Conclusions: Given the potential impact of OSA on general and mental health and the side effects of existing appliances, there is a need for a new remedy to be introduced in the field of sleep medicine. This novel design can provide a new therapeutic option for patients with moderate OSA.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Oral appliances for obstructive sleep apnea

Belkhode

Godbole

Nimonkar

et al. 2021

Journal of Family Medicine and Primary Care

View full text Add to dashboard Cite

show abstract

“…OAs (Boil and Bite) in a variety of commercial designs are also available on market. Customized OAs, on the other hand, has produced best results [24]. Among these, MAD has emerged as the most promising treatment option.…”

Section: Fig 2 Procedures For Fabrication Chart 1 Treatment For Osa I...mentioning

confidence: 99%

“…Oral appliances come in a variety of shapes and sizes, and the number continues to expand.They are divided into three categories: soft palate lifters, tongue holding devices, and mandibular advancement devices. [16,17,18].…”

Section: Introductionmentioning

confidence: 99%

Critical Overview on Oral Appliances for the Management of OSA

Shyamsukha

Nimonkar

Belkhode

et al. 2021

JPRI

View full text Add to dashboard Cite

Obstructive sleep apnea is caused by obstruction of the upper airway during the sleep This illness is characterised by a wide range of symptoms and associated comorbidities. OSA is a complex illness that necessitates a comprehensive approach to diagnosis and treatment. The craniofacial structure, as well as the soft tissues and muscles that surround it, all contribute to OSA.Obstructive sleep apnea affects 936 million individuals around the world. After China, India comes second with 81 million OSA patients. Continuous positive airflow (CPAP) as an interventional option and Oral Appliances as a non-interventional alternative have both been mentioned in the literature as therapy options for OSA. The clinical findings associated with OSA should be noted by the dentist during the initial session so that an early diagnosis, proper treatment planning, and the avoidance of long-term consequences can be accomplished. Dentists are crucial in diagnosis, treatment, and screening of OSA patients. Oral appliances for mandibular advancement and tongue stabilisation have been shown to be successful in treating OSA. The clinical studies, and current clinical practice suggest utilising oral appliances to treat OSA when patients cannot tolerate CPAP. Dental appliance therapy is a non-invasive treatment for obstructive sleep apnea syndrome that involves the use of a variety of dental appliances. This review provides an update on the most recent trends in Oral Appliances as a therapeutic option for managing OSA.

show abstract

“…Physical therapy, medications, behavioural therapy, bariatric surgery, surgical procedures (pharyngeal and maxillofacial surgery), respiratory control (continuous positive airway pressure; CPAP), and oral appliances (OA) such as mandibular appliances (mandibular advancement devices; MAD) are used to treat OSA. [ 14 ]. Currently, over 60 different OAs are used in various models.…”

Section: Introductionmentioning

confidence: 99%

Appliances Therapy in Obstructive Sleep Apnoea: A Systematic Review and Meta-Analysis

Beri,

Pisulkar,

Dubey

et al. 2023

Cureus

View full text Add to dashboard Cite

Obstructive sleep apnea (OSA) is a recurrent partial or complete obstruction of the upper airway during sleep caused by narrowing or collapse of the pharyngeal wall. It leads to microstimulation and oxyhemoglobin desaturation, resulting in sleepiness and loud snoring. OSA negatively affects the cardiovascular system and may contribute to neurocognitive impairment. The aim of this systematic review is to evaluate the effectiveness and efficacy of appliance therapy in obstructive sleep apnea. The effectiveness was assessed by using the Apnea Hypopnea Index (AHI). An electronic search of the Cochrane Library, PubMed, and Google Scholar was conducted between 1998 and 2021. Articles were independently assessed by three reviewers. The quality of a randomised control trial (RCT) is assessed using the Cochrane risk of bias method. The tool GRADE was used to achieve the desired level of confidence for each outcome reported. Several studies used continuous positive airway pressure (CPAP), mandibular advancement devices (MAD), and tongue retention devices (TRD). The meta-analysis included a total of six papers that met the inclusion criteria. Results showed that CPAP significantly improved AHI compared with an oral appliance (random effects: difference in means = 8.40, 95% CI = 7.21 to 9.60). It was also found that oral appliance (OA) therapy significantly improved AHI compared with baseline before appliance therapy (random effects: mean difference = 13.40, 95% CI = 10.87 to 15.93; p.00001). For mild to moderate OSA, CPAP is considered the gold standard. Our meta-analysis of six RCTs found favorable evidence for OSA patients receiving oral devices; however, they were less effective than CPAP. A subgroup analysis found that MAD may be a beneficial treatment for mild to moderate OSA patients who do not respond to CPAP. The findings suggest that oral appliances may be an effective treatment for OSA, especially in patients with mild to moderate OSA.

show abstract

Oral appliances in the management of obstructive sleep apnoea syndrome

Cited by 5 publications

References 25 publications

Oral appliances for obstructive sleep apnea

Oral appliances for obstructive sleep apnea

Critical Overview on Oral Appliances for the Management of OSA

Appliances Therapy in Obstructive Sleep Apnoea: A Systematic Review and Meta-Analysis

Contact Info

Product

Resources

About