Oral Appliances for the Treatment of Snoring and Obstructive Sleep Apnea

Abstract

Background: Removable oral appliances are employed to treat obstructive sleep apnea and snoring. In this review we summarize the current state of the art of this therapy. Methods: We performed a systematic review of the medical literature on the effectiveness, side effects and practical aspects of oral appliance therapy for sleep-disordered breathing. Results: Several randomized, controlled trials demonstrate the improvement of symptoms and sleep-related breathing disturbances in obstructive sleep apnea and snoring by oral appliances that advance the mandible. Side effects are common but usually transient and rarely severe. Conclusions: Mandibular advancement devices are a valuable treatment modality for obstructive sleep apnea and snoring. Dental and medical examinations at regular intervals and polysomnographic follow-up are important during long-term treatment to avoid potential adverse effects and to assure continued effectiveness.

Severe Obstructive Sleep Apnea Alleviated by Oral Appliance in a Three-Year-Old Boy

“…We must emphasize that patient cooperation is mandatory for application of this oral appliance. Monitoring is also vital to assure continued effectiveness and to prevent unfavorable side effects, such as dehiscence of the lower incisors, dental malocclusion and mandibular growth [16]. …”