Role of Oral Appliances in the Management of Sleep Disorders

Jayan, B; Prasad, Bipin Kishore; Dhiman, RK

doi:10.1016/s0377-1237(09)80123-8

Cited by 7 publications

(20 citation statements)

References 17 publications

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“…None of the 18 included papers had a "snoring" definition that corresponded to the conceptual notion of "primary snoring" (nonapneic snoring). Only one study by Jayan et al [31] reported measuring the therapeutic effect on patients with primary or nonapneic snoring. However, the baseline AHI in that study was high (AHI 5) and did not conform to the regularly used AHI < 5 criterion for PS definition, and the evidence with respect to the effect on snoring was considered to be only fair [3].…”

Section: Critical Appreciation Scalementioning

confidence: 99%

“…Among the included articles, four articles (Table 1) reported direct information on the use of MADs for PS treatment [2,26,31,32]. While the evidence was weak for two of them, the other two provided fair evidence [2,17].…”

Section: Critical Appreciation Scalementioning

confidence: 99%

“…While the evidence was weak for two of them, the other two provided fair evidence [2,17]. Specifically, those providing fair evidence studied patients with OSAS and PS [31,32]. They provided individualized results for each included patient group while the other papers described only patients with PS without solid evidence with respect to aspects of snoring [2,26].…”

Section: Critical Appreciation Scalementioning

confidence: 99%

“…Two studies compared the use of monoblock and duoblock MADs [30,32]. Different MAD designs were employed; specifically, the Karwetzky appliance [31], the Klearway and Silencer MADs [45], the Herbst appliance [34], the RespiDent Butterfly MAD [43], the Bite raising device (BRA) [20], and an adjustable mandibular positioning appliance [40]. Two studies did not specify the employed MAD type [35,41].…”

Section: Critical Appreciation Scalementioning

confidence: 99%

See 3 more Smart Citations

Use of mandibular advancement devices for the treatment of primary snoring with or without obstructive sleep apnea (OSA): A systematic review

Meyer

Vanderveken

Weerdt³

et al. 2021

Sleep Medicine Reviews

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Section: Critical Appreciation Scalementioning

confidence: 99%

Section: Critical Appreciation Scalementioning

confidence: 99%

Section: Critical Appreciation Scalementioning

confidence: 99%

Section: Critical Appreciation Scalementioning

confidence: 99%

See 2 more Smart Citations

Use of mandibular advancement devices for the treatment of primary snoring with or without obstructive sleep apnea (OSA): A systematic review

Meyer

Vanderveken

Weerdt³

et al. 2021

Sleep Medicine Reviews

View full text Add to dashboard Cite

“…Oral appliance therapy has emerged as a conservative, noninvasive treatment option for patients with OSA. 13 Oral appliance therapy mainly dwells on mandibular advancement with or without increasing the vertical dimension and retaining tongue from falling back. It is interesting to note that throughout the literature the words 'oral appliance', 'prosthesis', 'splint' and, 'device' have been used interchangeably.…”

Section: Review Of Oral Appliance Therapy In Complete and Partially Ementioning

confidence: 99%

Obstructive sleep apnea (OSA): A prosthodontic perspective

Mohan¹,

Gowda

Banari

2015

Medical Journal Armed Forces India

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Cranio-facial morphology, upper airway and orthodontics – the crucial connection

Jayan¹,

Vats²,

Sahu³

et al. 2009

Indian Journal of Sleep Medicine

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Narrowing and collapse of upper airway particularly in sleep has been observed in individuals with retrognathic maxilla, retrognathic mandible, narrow maxillary and mandibular arches, long face syndrome, inferiorly and posteriorly placed hyoid bone, retrogenia and increased over jet. Therefore the above observations can be summed up as risk factor for upper airway narrowing that would lead to potential health risks like obstructive sleep apnea, hypopnea syndrome, upper airway resistance syndrome, intractable snoring, mouth breathing and nasal allergies. In children it is likely to affect academic performance, memory, growth and development per se. Extraction orthodontic treatment used as a of camouflage sometimes could be detrimental by altering the tongue posture and thus compromising the airway. Functional considerations should outweigh purely aesthetic ones. It is important when making an orthodontic surgical or combined diagnosis for a patient, to bear in mind the impact that the treatment would have on the upper airways. Good aesthetics should never be achieved at the expense of diminishing the capacity of their upper airway. The speciality of orthodontics has a crucial role to play in terms of prevention, interception and correction of the potential health risks by accurate diagnosis, dento-facial orthopedic treatment and surgical orthodontics. This presentation would be focusing on the crucial connection between the three and the urgent need to change the existing mind set among orthodontic community in the country in order to redefine and optimize our treatment goals so that we contribute significantly to the general health and well being of our patients.

show abstract

Role of Oral Appliances in the Management of Sleep Disorders

Abstract: Short term therapeutic efficacy of oral appliances therapy in non-apneic snoring and OSA cases was observed.

Cited by 7 publications

References 17 publications

Use of mandibular advancement devices for the treatment of primary snoring with or without obstructive sleep apnea (OSA): A systematic review

Use of mandibular advancement devices for the treatment of primary snoring with or without obstructive sleep apnea (OSA): A systematic review

Obstructive sleep apnea (OSA): A prosthodontic perspective

Cranio-facial morphology, upper airway and orthodontics – the crucial connection

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