scholarly journals A systematic review on the effectiveness of titratable over nontitratable mandibular advancement appliances for sleep apnea

2017 ◽  
Vol 17 (4) ◽  
pp. 319 ◽  
Author(s):  
Gowri Sivaramakrishnan ◽  
Kannan Sridharan
Keyword(s):  
Systematic Review ◽  
Sleep Apnea ◽  
Mandibular Advancement ◽  
Mandibular Advancement Appliances

scholarly journals Mandibular advancement appliances for the treatment of paediatric obstructive sleep apnea: a systematic review

2015 ◽  
Vol 37 (6) ◽  
pp. 618-626 ◽  
Author(s):  
Natasha Nazarali ◽  
Mostafa Altalibi ◽  
Samir Nazarali ◽  
Michael P. Major ◽  
Carlos Flores-Mir ◽  
...  
Keyword(s):  
Systematic Review ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Mandibular Advancement ◽  
Obstructive Sleep ◽  
Mandibular Advancement Appliances

Effectiveness of mandibular advancement appliances in treating obstructive sleep apnea syndrome: A systematic review

2015 ◽  
Vol 126 (2) ◽  
pp. 507-514 ◽  
Author(s):  
Sara Serra-Torres ◽  
Carlos Bellot-Arcís ◽  
José M. Montiel-Company ◽  
Jaime Marco-Algarra ◽  
José M. Almerich-Silla
Keyword(s):  
Systematic Review ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Obstructive Sleep Apnea Syndrome ◽  
Sleep Apnea Syndrome ◽  
Mandibular Advancement ◽  
Obstructive Sleep ◽  
Apnea Syndrome ◽  
Mandibular Advancement Appliances

Use of mandibular advancement devices for the treatment of primary snoring with or without obstructive sleep apnea (OSA): A systematic review

2021 ◽  
Vol 56 ◽  
pp. 101407
Author(s):  
Micheline M.D. De Meyer ◽  
Olivier M. Vanderveken ◽  
Sonia De Weerdt ◽  
Luc A.M. Marks ◽  
Bernadita A. Cárcamo ◽  
...  
Keyword(s):  
Systematic Review ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Mandibular Advancement ◽  
Primary Snoring ◽  
Obstructive Sleep ◽  
Mandibular Advancement Devices

scholarly journals The Most Effective Amount of Forward Movement for Oral Appliances for Obstructive Sleep Apnea: A Systematic Review

2019 ◽  
Vol 16 (18) ◽  
pp. 3248 ◽  
Author(s):  
Yuki Sakamoto ◽  
Akifumi Furuhashi ◽  
Eri Komori ◽  
Hiroyuki Ishiyama ◽  
Daichi Hasebe ◽  
...  
Keyword(s):  
Systematic Review ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Side Effects ◽  
Sleep Stage ◽  
Mandibular Advancement ◽  
Apnea Hypopnea Index ◽  
Oral Appliances ◽  
Forward Movement ◽  
Obstructive Sleep

This systematic review clarifies the amount of effective protrusion in mandibular advancement devices of oral appliances required for obstructive sleep apnea (OSA). The systematic review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Review Manager 5 and GRADEpro were used to combine trials and analyze data. The present review included three studies. In mild to moderate OSA cases, measured using the apnea–hypopnea index (AHI), 50% protrusion was more effective than 75% protrusion. However, 75% protrusion was more effective for severe cases. Sleep stage, Epworth Sleepiness Scale (ESS), snoring index, and side effects significantly differed between the groups. Additionally, 75% protrusion was more effective (AHI: 0.38, 95% CI: −0.89 to 1.65, p = 0.56; sleep stage 3: −1.20, 95% CI: 9.54–7.14, p = 0.78; ESS: 1.07, 95% CI: −0.09 to 2.24, p = 0.07; snoring index: 0.09, 95% CI: 0.05–0.13, p < 0.05; side effects: RR: 1.89, 95% CI: 0.36–9.92, p = 0.45). As per the AHI, 75% protrusion was effective in severe cases, whereas 50% protrusion was effective in moderate cases. Analysis of different surrogate outcomes indicated that 75% protrusion was more effective. Further, well-designed, larger trials should determine the benefits for patients. Additionally, investigations of adherence and side effects with long-term follow-up are needed.

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