The effect of a mandibular advancement splint in subjects with sleep-related breathing disorders

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

“…These fi ndings are also reinforced by Johnston et al, 6 who found that 84% of partners reported a reduction in snoring loudness and 76% reported their partner snored on fewer nights per week, when assessed four to six weeks after treatment with a MAA. In addition, Johal et al 12 reported that 86% of partners reported a better quality of sleep following their partner receiving treatment with a MAA. However, this was assessed by the patient and not by their partner.…”

“…It has previously been shown that the use of these appliances provide a signifi cant improvement on the partner's sleep pattern. 6,8,12,13 Assessment of success utilising partners' views is a relatively new, but an important aspect in the provision of care. Bates and McDonald 8 have previously assessed sleeping partners with a specifi cally designed questionnaire.…”

Patient's experience of treatment for sleep apnoea with a mandibular advancement splint

“…questionnaire used in a previous study by Johal et al (2005). 3 Face validity of the questionnaire was assessed by fifteen patients provided with a mandibular advancement splint to determine whether the questions were clear and understandable.…”

“…questionnaire used in a previous study by Johal et al (2005). 3 Face validity of the questionnaire was assessed by fifteen patients provided with a mandibular advancement splint to determine whether the questions were clear and understandable. Content validity was evaluated by the same fifteen patients and also five health professionals within the Sleep Studies unit and Orthodontic Department who are involved in the care of sleep apnoea patients.…”

Cautionary notes on the undesirable secondary effects of long term orthopedic and ventilation mask therapy in the treatment of OSAS

“…After the 36-month therapy with the appliance patients with obstructive sleep apnea showed a mean reduction in AHI from 33 to 9.6; decreased Epworth Sleepiness Scale scores (used to measure daytime sleepiness); and decreased snoring. A Mandibular Advancement Splint was effective in reducing ESS scores and RDI scores in patients with sleeprelated breathing disorders 20 . Twentyone of the 26 subjects reported an 81% reduction in snoring and 86% of the subjects reported better quality of sleep.…”