Mandibular advancement device: Effectiveness and dental side effects. A real-life study

被引：12
作者：
Chen, Aoben [1 ]
Burger, Maud S. [2 ]
Rietdijk-Smulders, Margriet A. W. J. [1 ]
Smeenk, Frank W. J. M. [1 ]
机构：
[1] Catharina Hosp, Dept Pulmonol, POB 1350, NL-5602 ZA Eindhoven, Netherlands
[2] Catharina Hosp, Dept Oral & Maxillofacial Surg, Eindhoven, Netherlands
来源：
CRANIO-THE JOURNAL OF CRANIOMANDIBULAR & SLEEP PRACTICE | 2022年 / 40卷 / 02期
关键词：
Obstructive sleep apnea; mandibular advancement device; snoring; retrospective study; polysomnography; dental; continuous positive airway pressure; oral appliances; OBSTRUCTIVE SLEEP-APNEA; ORAL APPLIANCE TREATMENT; POSITIVE AIRWAY PRESSURE; TREATMENT SUCCESS; FOLLOW-UP; OUTCOMES; THERAPY; SELECTION; PATIENT; EFFICACY;
D O I：
10.1080/08869634.2019.1708610
中图分类号：
R78 [口腔科学];
学科分类号：
1003 ;
摘要：
Objective: To investigate the effectiveness and adverse events of mandibular advancement device (MAD) in patients with obstructive sleep apnea (OSA) and to identify predictive clinical parameters for therapy success. Methods: A retrospective analysis of 318 patients indicated for MAD therapy, observed in a large teaching hospital in the Netherlands. Results: Ninety-seven patients (65.5%) achieved therapy success. A significant decrease in AHI (apnea-hypopnea index) and OSA-related symptoms was observed. None of the analyzed OSA-characteristics proved to be a significant predictive parameter for therapy success. Side-effects were reported in 54.4% of the patients, with temporomandibular dysfunction (27.0%) being the most frequent. Seventy-four patients (23.3%) discontinued treatment due to side-effects or therapy failure. Conclusion: MAD proved to be effective in the treatment of OSA and can be a viable alternative to CPAP in patients with severe OSA. Side-effects were relatively common and led to termination of therapy in 1 out of 10 cases.
引用
收藏
页码：97 / 106
页数：10
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