Effects of Mandibular Posture on Obstructive Sleep Apnea Severity and the Temporomandibular Joint in Patients Fitted with an Oral Appliance

Management of Obstructive Sleep Apnea with Implant Retained Mandibular Advancement Device

“…11 Generally, the mandible may be advanced 6 to 10 mm or 50 to 75% of maximum protrusion horizontally and 10 to 15 mm vertically. 20,21 More the mandible is protruded, more the airway is opened. However, an excessive protrusion may place the condyle in an uncomfortable position at or approaching the eminence which causes discomfort for the patient.…”

Mandibular Repositioning Appliance in the Treatment of Obstructive Sleep Apnea Syndrome-Mini Review

“…Dal Fabbro et al [31] affirm that the main ones are shorter soft palate, greater retropalatal space, smaller or pharynx, longer maxilla, and shorter hyoid-plane mandibular distance. Almeida et al [32] have correlated the MRA titration position during the PSG with the final mandibular position that MRA should achieve for daily use [32]. This titration consists of a progressive advancement of the mandible guided by the improvement of the symptoms during the PSG and has proved effective in determining if the patient is a possible responder to this therapy [32].…”

“…Almeida et al [32] have correlated the MRA titration position during the PSG with the final mandibular position that MRA should achieve for daily use [32]. This titration consists of a progressive advancement of the mandible guided by the improvement of the symptoms during the PSG and has proved effective in determining if the patient is a possible responder to this therapy [32]. The same author in 2009 showed that it is possible to optimize MRA results by increasing mandibular advancement during a polysomnographic titration in patients with an incomplete response to treatment [33].…”

History of Dental Sleep Medicine

“…34,40,57 These reviews described studies that demonstrated decreases in the AHI or oxygen desaturations with progressive mandibular advancement that was most commonly performed during the clinical titration of the oral appliance to achieve resolution of symptoms. 63,113,114,123,[135][136][137][138] …”