Oral appliance therapy in obstructive sleep apnea and snoring - systematic review and new directions of development. Issue 6 (2nd November 2021)

• Record Type: Journal Article
• Authors: Ilea, Aranka; Timuș, Daniela; Höpken, Julian; Andrei, Vlad; Băbțan, Anida-Maria; Petrescu, Nausica Bianca; Câmpian, Radu Septimiu; Boșca, Adina Bianca; Șovrea, Alina Simona; Negucioiu, Marius; Mesaros, Anca
• Is Part Of: Cranio. Volume 39:Issue 6(2021)
• Page Start: 472
• Page End: 483
• Publication Date: 2021-11-02
• Subjects: Obstructive sleep apnea -- oral appliance -- mandibular advancement device -- mandibular repositioning device -- mandibular advancement splint -- dentistry; Temporomandibular joint disorders -- periodicals; Temporomandibular joint -- Diseases -- Periodicals; 617.51
• DOI: 10.1080/08869634.2019.1673285
• Languages: English
• ISSNs: 0886-9634

Abstract

ABSTRACT: Objective : Oral appliance therapy is a non-invasive treatment that offers a wide variety of oral devices for the treatment of obstructive sleep apnea (OSA). The present review focuses on the effectiveness of mandibular advancement devices for the treatment of OSA. Methods : A systematic review based on the PRISMA checklist was carried out. A detailed electronic database search was conducted using "Obstructive sleep apnea" AND "Oral appliance" AND "Dentistry" as keywords. Results : The initial search in the electronic databases resulted in a total of 262 papers. After the title and abstract analysis and full-text review, the number of eligible papers was reduced to 15. Conclusion : The mandibular advancement device is an effective treatment, improving the Apnea Hypopnea Index and the symptoms of patients with OSA in 92% of the subjects from all the investigated studies. The future may include the integration of a biosensor for the diagnosis and follow-up. Abbreviations: OSA: Obstructive sleep apnea; MADs: Mandibular advancement devices; CPAP: Continuous positive airway pressure; OAT: Oral appliance therapy; MRD: Mandibular repositioning devices; MAS: Mandibular advancement splints; MAA: Mandibular advancement appliances; OA: Oral appliances; AASM: American Academy of Sleep Medicine; AHI: Apnea-hypopnea index; EEG: Sleep-related breathing disorder SRBD; Electroencephalogram; EOG: Electrooculogram; ECG: Electrocardiogram; QOL: Quality of life; TMJ: Temporomandibular joint.