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Kim and Kim: Treatment of Obstructive Sleep Apnea with Oral Appliance
Review Article

The Ewha Medical Journal 2013; 36(2): 97-101.

Published online: 26 September 2013

DOI: https://doi.org/10.12771/emj.2013.36.2.97

Treatment of Obstructive Sleep Apnea with Oral Appliance

Jin-Woo Kim, Sun-Jong Kim1

Deptartment of Oral and Maxillofacial Surgery, Ewha Womans University Mokdong Hospital, Seoul, Korea.

1Division of Oral and Maxillofacial Surgery, Department of Dentistry, Ewha Womans University School of Medicine, Seoul, Korea.

Corresponding author: Sun-Jong Kim. Division of Oral and Maxillofacial Surgery, Department of Dentistry, Ewha Womans University School of Medicine, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul 158-710, Korea. Tel: 82-2-2650-5631, Fax: 82-2-2650-5764, sjsj7777@ewha.ac.kr

Received 22 July 2013       Accepted 7 August 2013

Copyright © 2013. Ewha Womans University School of Medicine

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Oral appliances have been considered as effective treatment modality for obstructive sleep apnea (OSA). Especially mandibular advanced device (MAD) showed more effective treatment results compared to other oral appliances. With the accurate diagnosis through polysomnography, clinical examination and radiographic examination, the appropriate application of oral appliances would show promising results for OSA and snoring. However oral appliances can raise the complications such as untoward movement of teeth and development of temporomandibular joint disorders, thus it is highly recommended that the treatment Should be undertaken by skilled dental specialists. Moreover, periodic check-up and adjustment of appliances, if needed, should be performed. Although the assertion that continuous positive airway pressure is superior to MAD physiologically, consensus is not available until now. For optimum treatment for OSA, further researches are necessary for investigation of long-term efficiency, performance, cardiovascular status and objective adaptation.

Keywords: Mandibular advanced device, Obstructive sleep apnea, Oral appliance, Snoring

Figures and Tables

Table 1
Representative studies presenting the treatment outcomes of MAD and CPAP*
emj-36-97-i001

MRA, mandibular repositioning appliance; CPAP, continuous positive airway pressure; RDI, respiratory disturbance index (event per hour); PCS, propective case series; RCT, randomized controlled trial; NG, not given; NA, not applicable. *Values are presented as mean±standard error of the mean, unless so marked, all other values are mean±standard deviation. †P<0.05 compared with baseline. ‡P<0.05 compared with MRA. Adapted from Mohsenin et al. [26] with permission from ADA Publishing Co.

Table 2
Protocol for treatment with oral appliance.
emj-36-97-i002

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