Long-term side effects on the temporomandibular joints and oro-facial function in patients with obstructive sleep apnoea treated with a mandibular advancement device

2017 ◽  
Vol 44 (5) ◽  
pp. 354-362 ◽  
Author(s):  
S. W. Knappe ◽  
M. Bakke ◽  
P. Svanholt ◽  
A. Petersson ◽  
L. Sonnesen
Keyword(s):  
Side Effects ◽  
Obstructive Sleep Apnoea ◽  
Sleep Apnoea ◽  
Mandibular Advancement Device ◽  
Mandibular Advancement ◽  
Temporomandibular Joints ◽  
Obstructive Sleep ◽  
Facial Function

scholarly journals Use Of Mandibular Advancement Devices For Obstructive Sleep Apnoea Treatment In Adults

10.3823/2502 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Cauby Maia Chaves Junior ◽  
Cibele Dal Fabbro ◽  
Marco Antonio Cardoso Machado ◽  
Veralice Meireles Sales de Bruin ◽  
Pedro Felipe Carvalhedo de Bruin ◽  
...  
Keyword(s):  
Side Effects ◽  
Obstructive Sleep Apnoea ◽  
Sleep Apnoea ◽  
Mandibular Advancement ◽  
Cochrane Library ◽  
Level Of Evidence ◽  
Levels Of Evidence ◽  
Obstructive Sleep ◽  
Mandibular Advancement Devices

ABSTRACT Introduction: This article is based on Clinical Guidelines for obstructive sleep apnoea (OSA) established by a taskforce coordinated by the Brazilian Sleep Association. Objective: The aim of this article is to evaluate the available scientific evidence regarding the efficacy, adherence and safety of using mandibular advancement devices (MAD) as a therapeutic course for treating obstructive sleep apnoea in adult patients. Method: Active searches were performed in the PubMed/MEDLINE, EMBASE, Scielo/LILACS and Cochrane Library databases.  Methodological aspects were used to rank the levels of evidence according to the criteria of the Centre for Evidence-Based Medicine at Oxford. Results: Mandibular advancement devices offer the best results for patients with primary snoring, upper airway resistance syndrome and mild or moderate OSA (Levels of Evidence I and II).  Patients seem to exhibit greater adherence to oral appliances (MAD) than to continuous positive airway pressure (CPAP) devices, although the latter are more effective in controlling OSA (Level of Evidence I).  The long-term side effects most observed after the use of MADs are related to changes in the mandibular and dental positions (Levels of Evidence I and II).   Conclusion: MAD constitute a therapeutic alternative for OSA and promote favourable results with good efficacy and adherence to treatment.  Side effects can arise in the short, medium or long term.  Patients must be informed about the possible occurrence of these adverse effects, and the orthodontist must be able to manage any side effects that occur due to the use of these devices.

scholarly journals Comparison of titrable thermoplastic versus custom-made mandibular advancement device for the treatment of obstructive sleep apnoea

2017 ◽  
Vol 131 ◽  
pp. 35-42 ◽  
Author(s):  
Frédéric Gagnadoux ◽  
Xuan-Lan Nguyen ◽  
Marc Le Vaillant ◽  
Pascaline Priou ◽  
Nicole Meslier ◽  
...  
Keyword(s):  
Obstructive Sleep Apnoea ◽  
Sleep Apnoea ◽  
Mandibular Advancement Device ◽  
Mandibular Advancement ◽  
Obstructive Sleep ◽  
Custom Made

Use of a mandibular advancement device in obstructive sleep apnoea

2003 ◽  
Vol 30 (5) ◽  
pp. 507-509 ◽  
Author(s):  
B. N. Prathibha ◽  
R. G. Jagger ◽  
M. Saunders ◽  
A. P. Smith
Keyword(s):  
Obstructive Sleep Apnoea ◽  
Sleep Apnoea ◽  
Mandibular Advancement Device ◽  
Mandibular Advancement ◽  
Obstructive Sleep
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