Treatment using oral appliance for obstructive sleep apnea syndrome patients with multiple missing teeth

Ogawa, Takumi; Ito, Toshimi; Cardoso, Marcio Vivan; Kawata, Tetsuo; Sasaki, Keiichi

doi:10.1016/j.sleep.2008.10.003

Cited by 5 publications

(9 citation statements)

References 4 publications

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“…A 2-year follow-up showed no deterioration in periodontal and gingival health. Ogawa et al [ 44 ] also reported an improved AHI after MAD treatment of a patient with moderate OSA, missing multiple teeth and harboring severe dental problems. No side effects related to the treatment occurred during the 3-year follow-up.…”

Section: Resultsmentioning

confidence: 99%

Management of obstructive sleep apnea in edentulous patients: an overview of the literature

2015

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PurposeA high prevalence of obstructive sleep apnea (OSA) is seen in edentulous individuals. Treatment options for edentulous OSA patients however are limited with continuous positive airway pressure therapy (CPAP) remaining the current therapy of choice. As CPAP is associated with high non-adherence rates and oral appliance therapy requiring sufficient dentition, there is a clinical need for effective treatment strategies aimed at edentulous OSA patients. The purpose of this study was to present a thorough overview of the literature regarding (1) the effects of nocturnal denture wearing on OSA, (2) the outcomes of oral appliance therapy, and (3) surgical treatment in edentulous OSA patients.MethodsA computer-assisted literature search was performed in the MEDLINE database on “edentulism” and “obstructive sleep apnea.” The search yielded a total of 34 original articles.ResultsA total of 20 studies were included after exclusion of non-relevant, duplicate, and non-English publications, comprising 4 randomized clinical trials, 12 case reports, and 4 cohort or cross-sectional studies. The outcomes of these studies were addressed in detail concerning nocturnal wearing of dentures, oral appliance therapy, and surgical treatment.ConclusionCurrently, there is no consensus in the literature on the effects of nocturnal wearing of dentures on OSA. Several studies report the successful use of oral appliance therapy, including implant-retained mandibular advancement devices (MADs), in selected cases of edentulous patients with varying stages of OSA. Little evidence is available regarding outcomes of surgical procedures in edentulous patients. Based on the results of this literature overview, the paucity of effective evidence-based treatment strategies for edentulous OSA patients indicates the further need of clinical studies to improve clinical management.

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Section: Resultsmentioning

confidence: 99%

Management of obstructive sleep apnea in edentulous patients: an overview of the literature

2015

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“…In our previous brief report, we introduced the successful use of a mandibular advancement OA combined with an acrylic denture base for the treatment of an OSAS patient with multiple missing teeth (18). The present report, however, addresses a more critical case in which the patient presents multiple missing teeth associated with a compromised oral condition.…”

Section: Discussionmentioning

confidence: 99%

“…However, the indication of this sort of treatment for partially edentulous patients has hardly been mentioned in the literature, making of it an important issue to be addressed. In a previous brief report, we introduced the indication of a mandibular advancement OA combined with an acrylic denture base for a patient with multiple missing teeth and its effects on the treatment of OSAS (18). The patient mentioned in that report presented multiple missing teeth only in the mandibular jaw and no other serious oral problems, which rendered the prognosis relatively more favourable.…”

Section: Introductionmentioning

confidence: 99%

Oral appliance treatment for obstructive sleep apnoea patients with severe dental condition

Ogawa

Ito

Cardoso

et al. 2010

Journal of Oral Rehabilitation

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This clinical report introduces and evaluates the use of a mandibular advancement oral appliance (OA) attached to a denture base for the treatment of obstructive sleep apnoea syndrome (OSAS) in a patient presenting severe dental problems and multiple missing teeth. It concerned a 58-year-old man with moderate OSAS (apnoea index (AI): 15·9 h(-1) ; apnoea hypopnea index (AHI): 21·7 h(-1) ), presenting ten remaining teeth (maxilla: 5, mandible: 5) and important dental and periodontal problems. A treatment OA comprising both maxillary and mandibular parts was fabricated with an acrylic resin base, simulating the structure of a conventional removable partial denture (RPD). The polysomnography examination performed after the use of the OA showed the treatment induced a significant decrease in OSAS symptoms (AI: 0·7 h(-1) , AHI: 8·2 h(-1) ). All the necessary dental and periodontal treatments were performed to assure the reestablishment of oral health. The treatment OA was modified after each treatment to adapt it to each new oral condition. After 18 months, once the oral health was reestablished with seven remaining teeth (maxilla: 5, mandible: 2), final RPDs and final OA were fabricated. Polysomnography with final OA showed a similar positive result with respect to OSAS symptoms. No side effects related to the OA treatment were detected during the 3-year follow-up. To keep a sound oral condition, periodical dental care was performed by specialists in both periodontal and prosthodontic clinics. This clinical report shows the feasibility of treating OSAS patients with OA even in the presence of severe oral conditions and multiple missing teeth.

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“…19 Flanagan (2009), reported on snore reduction appliance that can be constructed for the atrophic mandibular edentulous patient by using two endosseous implants to retain a complete mandibular denture and, in turn, an overlying bimaxillary removable snore reduction appliance. 20 Oral appliances in partially edentulous patients Ogawa et al (2009), reported a study on fabrication of a monobloc oral appliance with a denture base as a promising tool for the treatment of OSAS patients with multiple missing teeth and by utilizing 70% of the maximum protrusion of the mandible. 21 Giannasi et al (2010), reported that oral appliances such as the PM Positioner are an alternative for treating obstructive sleep apnea in partly edentulous patients.…”

Section: Review Of Oral Appliance Therapy In Complete and Partially Ementioning

confidence: 99%

“…20 Oral appliances in partially edentulous patients Ogawa et al (2009), reported a study on fabrication of a monobloc oral appliance with a denture base as a promising tool for the treatment of OSAS patients with multiple missing teeth and by utilizing 70% of the maximum protrusion of the mandible. 21 Giannasi et al (2010), reported that oral appliances such as the PM Positioner are an alternative for treating obstructive sleep apnea in partly edentulous patients. 22 …”

Section: Review Of Oral Appliance Therapy In Complete and Partially Ementioning

confidence: 99%

Obstructive sleep apnea (OSA): A prosthodontic perspective

Mohan¹,

Gowda

Banari

2015

Medical Journal Armed Forces India

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Treatment using oral appliance for obstructive sleep apnea syndrome patients with multiple missing teeth

Cited by 5 publications

References 4 publications

Management of obstructive sleep apnea in edentulous patients: an overview of the literature

Management of obstructive sleep apnea in edentulous patients: an overview of the literature

Oral appliance treatment for obstructive sleep apnoea patients with severe dental condition

Obstructive sleep apnea (OSA): A prosthodontic perspective

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