Mandibular advancement devices in obstructive sleep apnea: an updated review
Obstructive sleep apnea (OSA) is the most prevalent sleep-disordered breathing in the adult population and if untreated remains a significant cause of morbidity and mortality. Continuous positive airway pressure (CPAP) therapy is still the gold standard treatment for OSA, but patient acceptance and...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
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| Series: | Sleep Science |
| Subjects: | |
| Online Access: | https://cdn.publisher.gn1.link/sleepscience.org.br/pdf/v15nspe2a16.pdf |
| _version_ | 1797330146793881600 |
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| author | Izabella Paola Manetta Dominik Ettlin Pedro Mayoral Sanz Isabel Rocha Miguel Meira e Cruz |
| author_facet | Izabella Paola Manetta Dominik Ettlin Pedro Mayoral Sanz Isabel Rocha Miguel Meira e Cruz |
| author_sort | Izabella Paola Manetta |
| collection | DOAJ |
| description | Obstructive sleep apnea (OSA) is the most prevalent sleep-disordered breathing in the adult population and if untreated remains a significant cause of morbidity and mortality. Continuous positive airway pressure (CPAP) therapy is still the gold standard treatment for OSA, but patient acceptance and adherence are often poor due to a multitude of factors, thereby compromising treatment success. Mandibular advancement devices (MADs) have been proposed not only as a first line therapy for symptomatic snoring patients, but also for those suffering from mild to moderate OSA, or those who refuse or do not tolerate CPAP. Yet, improved understanding of MAD regarding design, construction, and mechanisms of action is an important requirement to successfully implement MAD as a therapeutic tool. Therefore, the main focus of this paper is to focus on the general concepts and mechanisms of action of MAD, while highlighting important characteristics in the context of their use as a viable and effective treatment option for OSA patients. |
| first_indexed | 2024-03-08T07:15:53Z |
| format | Article |
| id | doaj.art-d14d98bd87564a5ab1c09670c87870be |
| institution | Directory Open Access Journal |
| issn | 1984-0659 1984-0063 |
| language | English |
| last_indexed | 2024-03-08T07:15:53Z |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Sleep Science |
| spelling | doaj.art-d14d98bd87564a5ab1c09670c87870be2024-02-03T01:15:06ZengThieme Revinter Publicações Ltda.Sleep Science1984-06591984-006315Special2398405001610.5935/1984-0063.20210032Mandibular advancement devices in obstructive sleep apnea: an updated reviewIzabella Paola Manetta0Dominik Ettlin1Pedro Mayoral Sanz2Isabel Rocha3Miguel Meira e Cruz4Department of Otolaryngology Pontificia, Universidade Católica de Campinas, - Campinas - São Paulo - Brazil.University of Zurich, Center of Dental Medicine - Zurich - Zurich - Switzerland.Catholic University of Murcia, Dental Sleep Medicine - Murcia - Murcia - Spain.Cardiovascular Autonomic Function Lab, Centro Cardiovascular da Universidade de Lisboa, Lisbon School of Medicine, Lisbon, Portugal.Sleep Unit, Centro Cardiovascular da Universidade de Lisboa, Lisbon School of Medicine, Lisbon, Portugal.Obstructive sleep apnea (OSA) is the most prevalent sleep-disordered breathing in the adult population and if untreated remains a significant cause of morbidity and mortality. Continuous positive airway pressure (CPAP) therapy is still the gold standard treatment for OSA, but patient acceptance and adherence are often poor due to a multitude of factors, thereby compromising treatment success. Mandibular advancement devices (MADs) have been proposed not only as a first line therapy for symptomatic snoring patients, but also for those suffering from mild to moderate OSA, or those who refuse or do not tolerate CPAP. Yet, improved understanding of MAD regarding design, construction, and mechanisms of action is an important requirement to successfully implement MAD as a therapeutic tool. Therefore, the main focus of this paper is to focus on the general concepts and mechanisms of action of MAD, while highlighting important characteristics in the context of their use as a viable and effective treatment option for OSA patients.https://cdn.publisher.gn1.link/sleepscience.org.br/pdf/v15nspe2a16.pdfsleep apneaobstructivemandibular advancementocclusal splints |
| spellingShingle | Izabella Paola Manetta Dominik Ettlin Pedro Mayoral Sanz Isabel Rocha Miguel Meira e Cruz Mandibular advancement devices in obstructive sleep apnea: an updated review Sleep Science sleep apnea obstructive mandibular advancement occlusal splints |
| title | Mandibular advancement devices in obstructive sleep apnea: an updated review |
| title_full | Mandibular advancement devices in obstructive sleep apnea: an updated review |
| title_fullStr | Mandibular advancement devices in obstructive sleep apnea: an updated review |
| title_full_unstemmed | Mandibular advancement devices in obstructive sleep apnea: an updated review |
| title_short | Mandibular advancement devices in obstructive sleep apnea: an updated review |
| title_sort | mandibular advancement devices in obstructive sleep apnea an updated review |
| topic | sleep apnea obstructive mandibular advancement occlusal splints |
| url | https://cdn.publisher.gn1.link/sleepscience.org.br/pdf/v15nspe2a16.pdf |
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