PMID: 11923547Mar 30, 2002Paper

Can mandibular advancement devices be a satisfactory substitute for short term use in patients on nasal continuous positive airway pressure?

Thorax
D M Smith, J R Stradling

Abstract

Mandibular advancement devices (MADs) can successfully control both snoring and obstructive sleep apnoea (OSA). Many patients on nasal continuous positive airway pressure (NCPAP) for OSA would like a more portable alternative, even if only temporarily. This study assesses what proportion of patients with OSA already on NCPAP can successfully use a MAD for short periods (up to 1 month) as a temporary alternative to NCPAP. Fifty patients with OSA, already on NCPAP for at least 3 months, were recruited by invitation. They were provided with a simple fixed MAD estimated to provide 75% of maximum mandibular protrusion. Sleep studies using a portable home recorder were performed on and after three nights without NCPAP to provide control data. Following acclimatisation to the MAD, sleep studies were also planned after 3, 7, and 28 days while using the MAD. If their overnight >4% SaO(2) dips per hour deteriorated to >20 or the Epworth sleepiness score (ESS) rose to >9 (or increased by >4 over baseline) on nights 3 or 7, they were then deemed to have failed the trial and were withdrawn. Of the 50 patients entered, one had inadequate teeth for a MAD and 31 gave up trying to use the device during the acclimatisation period because of side...Continue Reading

References

Oct 1, 1995·The European Respiratory Journal·D J PitsonJ R Stradling
Apr 29, 1998·The European Respiratory Journal·J R StradlingB Langford
Sep 10, 1998·American Journal of Respiratory and Critical Care Medicine·L S BennettR J Davies
Dec 16, 1998·American Journal of Respiratory and Critical Care Medicine·J ArgodP Lévy

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Citations

Dec 1, 2006·Sleep & Breathing = Schlaf & Atmung·Victor Hoffstein
Jul 2, 2005·ORL; Journal for Oto-rhino-laryngology and Its Related Specialties·Olivier M VandervekenWilfried A De Backer
Aug 4, 2007·American Journal of Respiratory and Critical Care Medicine·Olivier M VandervekenPaul H Van de Heyning
Dec 13, 2005·Treatments in Respiratory Medicine·Andrew NgPeter A Cistulli
Apr 16, 2013·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Fernanda R AlmeidaJohn A Fleetham
Nov 24, 2004·Sleep Medicine Reviews·Peter A CistulliAlan A Lowe
Jun 10, 2004·Critical Reviews in Oral Biology and Medicine : an Official Publication of the American Association of Oral Biologists·A HoekemaL G M De Bont
Jul 23, 2004·Acta Oto-laryngologica·Olivier M VandervekenPaul H Van de Heyning

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