mandibular advance device
Jump to navigation
Jump to search
Indications
Clinical significance
- objective benefit in 50% of patients with moderate OSA
- greater patient satisfaction than CPAP
- almost as effective as CPAP[1]
- often better tolerated than CPAP[2]
- CPAP & mandibular advance devices affer similar reductions in blood pressure systolic BP (-2.5 mm Hg), diastolic BP (-2.0 mm Hg)[4]
- reduction in the apnea-hypopnea index[5]
Procedure
More general terms
References
- ↑ 1.0 1.1 Holley AB et al. Efficacy of an adjustable oral appliance and comparison with continuous positive airway pressure for the treatment of obstructive sleep apnea syndrome. Chest 2011 Dec; 140:1511 PMID: https://www.ncbi.nlm.nih.gov/pubmed/21636666
- ↑ 2.0 2.1 Phillips CL et al. Health outcomes of continuous positive airway pressure versus oral appliance treatment for obstructive sleep apnea: A randomized controlled trial. Am J Respir Crit Care Med 2013 Apr 15; 187:879 PMID: https://www.ncbi.nlm.nih.gov/pubmed/23413266
- ↑ Qaseem A et al Management of Obstructive Sleep Apnea in Adults: A Clinical Practice Guideline From the American College of Physicians. Ann Intern Med. Published online 24 September 2013 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/24061345 <Internet> http://annals.org/article.aspx?articleid=1740756
- ↑ 4.0 4.1 Bratton DJ et al CPAP vs Mandibular Advancement Devices and Blood Pressure in Patients With Obstructive Sleep ApneaA Systematic Review and Meta-analysis. JAMA. 2015;314(21):2280-2293 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/26624827 <Internet> http://jama.jamanetwork.com/article.aspx?articleid=2473494
- ↑ 5.0 5.1 Zaghi S et al. Maxillomandibular advancement for treatment of obstructive sleep apnea: A meta-analysis. JAMA Otolaryngol Head Neck Surg 2015 Nov 25 PMID: https://www.ncbi.nlm.nih.gov/pubmed/26606321