Snoring and Obstructive Sleep Apnea: Objective Efficacy and Impact of a Chairside Fabricated Mandibular Advancement Device

Abstract

This custom-fitted MAD improved respiratory and somnolence parameters, with response rates similar to those published in the literature with other devices.

Decrease of respiratory events in patients with obstructive sleep apnea-hypopnea syndrome using a mandibular advancement device assessed with split night polysomnography

“…MAD showed their efficacy in a number of studies [19], [20], [21], [22] but there are few specialists who are able to manage this therapeutic alternative. For this reason, there is not enough clinical evidence about their results in several populations [23].…”

Comparison of titrable thermoplastic versus custom-made mandibular advancement device for the treatment of obstructive sleep apnoea

“…Titration and follow-up evaluations were conducted along the same guidelines for the thermoplastic MAD and the custom-made device. Clearly, this adds to the process length but ensures suitable fitting and retention, and consequently proper tolerance and efficacy of the appliance, as already shown with other devices [25,26].…”

“…Common side effects of MAD therapy include mucosal dryness, hyper salivation, tooth discomfort, temporal mandibular joint and muscle pain, tooth movement and self-reported occlusal changes [11,12,30]. Although open trials with thermoplastic devices showed mild side effects [25,31,32], most comparative trials found that tolerance and overnight retention were lower with thermoplastic than custom-made devices [13,23,24,27]. Most patients expressed preference for the custom-made device in cross-over trials [13,24].…”

Obstructive Sleep Apnea Management: An Overview of the Literature

“…The efficacy of different types of custom MRAs has been studied, and the results show no clear advantage between the appliances; however, custom‐made appliances provide superior treatment over prefabricated designs . MRAs require good retention from one or two arches and sufficient advancement of the mandible .…”