Oral appliance therapy in obstructive sleep apnea and snoring - systematic review and new directions of development

被引：25

作者：

Ilea, Aranka ^{[1
]}

Timus, Daniela ^{[2
]}

Hopken, Julian ^{[2
]}

Andrei, Vlad ^{[3
]}

Babtan, Anida-Maria ^{[1
]}

Petrescu, Nausica Bianca ^{[1
]}

Campian, Radu Septimiu ^{[1
]}

Bosca, Adina Bianca ^{[4
]}

Sovrea, Alina Simona ^{[4
]}

Negucioiu, Marius ^{[5
]}

Mesaros, Anca Stefania ^{[6
]}

机构：

[1] Iuliu Hatieganu Univ Med & Pharm Cluj Napoca, Fac Dent, Dept Oral Rehabil, Oral Hlth & Dent Off Management, Cluj Napoca, Romania

[2] Iuliu Hatieganu Univ Med & Pharm Cluj Napoca, Fac Dent, Cluj Napoca, Romania

[3] Clin Cty Hosp Targu Mures, Dept Periodontol, Targu Mures, Romania

[4] Iuliu Hatieganu Univ Med & Pharm Cluj Napoca, Fac Med, Dept Histol, Cluj Napoca 400349, Romania

[5] Iuliu Hatieganu Univ Med & Pharm Cluj Napoca, Dept Prosthodont, Cluj Napoca, Romania

[6] Iuliu Hatieganu Univ Med & Pharm Cluj Napoca, Fac Dent, Dept Dent Propedeut & Esthet, Cluj Napoca, Romania

来源：

CRANIO-THE JOURNAL OF CRANIOMANDIBULAR & SLEEP PRACTICE | 2021年 / 39卷 / 06期

基金：

欧盟地平线“2020”;

关键词：

Obstructive sleep apnea; oral appliance; mandibular advancement device; mandibular repositioning device; mandibular advancement splint; dentistry; MANDIBULAR ADVANCEMENT DEVICES; POSITIVE AIRWAY PRESSURE; BREATHING DISORDERS; ADULTS; PAPER;

D O I：

10.1080/08869634.2019.1673285

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

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.

引用

页码：472 / 483

页数：12

共 49 条

[1] Effects of an oral appliance with different mandibular protrusion positions at a constant vertical dimension on obstructive sleep apnea [J].

Aarab, Ghizlane ;

Lobbezoo, Frank ;

Hamburger, Hans L. ;

Naeije, Machiel .

CLINICAL ORAL INVESTIGATIONS, 2010, 14 (03) :339-345

[2] Advanced glycation end products as biomarkers in systemic diseases: premises and perspectives of salivary advanced glycation end products [J].

Babtan, Anida M. ;

Ilea, Aranka ;

Bosca, Bianca A. ;

Crisan, Maria ;

Petrescu, Nausica B. ;

Collino, Massimo ;

Sainz, Rosa M. ;

Gerlach, Jared Q. ;

Campian, Radu S. .

BIOMARKERS IN MEDICINE, 2019, 13 (06) :479-495

[3] Comparison of the effects of continuous positive airway pressure, oral appliance and exercise training in obstructive sleep apnea syndrome [J].

Barros Schuetz, Teresa Cristina ;

Abrahao Cunha, Thays Crosara ;

Moura-Guimaraes, Thais ;

Luz, Gabriela Pontes ;

Ackel-D'Elia, Carolina ;

Alves, Eduardo da Silva ;

Pantiga Junior, Gilberto ;

de Mello, Marco Tulio ;

Tufik, Sergio ;

Bittencourt, Lia .

CLINICS, 2013, 68 (08) :1168-1174

[4] Oral appliances for the management of snoring and obstructive sleep apnoea [J].

Bennett, LS ;

Davies, RJO ;

Stradling, JR .

THORAX, 1998, 53 :S58-S64

[5] A randomized, controlled trial of positional therapy versus oral appliance therapy for position-dependent sleep apnea [J].

Benoist, Linda ;

de Ruiter, Maurits ;

de Lange, Jan ;

de Vries, Nico .

SLEEP MEDICINE, 2017, 34 :109-117

[6] Sleep and Health Implications of Snoring: A Populational Analysis [J].

Bhattacharyya, Neil .

LARYNGOSCOPE, 2015, 125 (10) :2413-2416

[7] Metabolic consequences of snoring in adolescents and younger adults: a population study in Chile [J].

Brockmann, P. E. ;

Damiani, F. ;

Smith, D. L. ;

Castet, A. ;

Nunez, F. ;

Villarroel, L. ;

Gozal, D. .

INTERNATIONAL JOURNAL OF OBESITY, 2016, 40 (10) :1510-1514

[8]

Cilil V R, 2015, Contemp Clin Dent, V6, P341, DOI 10.4103/0976-237X.161881

[9] Cavitas electrochemical sensor toward detection of N-epsilon (carboxymethyl)lysine in oral cavity [J].

Ciui, Bianca ;

Tertis, Mihaela ;

Feurdean, Claudia N. ;

Ilea, Aranka ;

Sandulescu, Robert ;

Wang, Joseph ;

Cristea, Cecilia .

SENSORS AND ACTUATORS B-CHEMICAL, 2019, 281 (399-407) :399-407

[10] Three-Dimensional Evaluation of Upper Airway in Patients With Obstructive Sleep Apnea Syndrome During Oral Appliance Therapy [J].

Cossellu, Gianguido ;

Biagi, Roberto ;

Sarcina, Michele ;

Mortellaro, Carmen ;

Farronato, Giampietro .

JOURNAL OF CRANIOFACIAL SURGERY, 2015, 26 (03) :745-748

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