Recent Developments in Oral Appliance Therapy of Sleep Disordered Breathing

Sleep & Breathing = Schlaf & Atmung
Wolfgang Schmidt-Nowara

Abstract

Oral appliances are increasingly gaining a place in the treatment of sleep disordered breathing caused by upper airway obstruction. This review of publications since 1995 documents substantial progress in the scientific basis for this therapy. Imaging by several techniques has shown that mandibular advancing oral appliances open the airway in awake and anaesthetized subjects, creating the presumption that this effect is maintained in sleep. Three controlled cross-over treatment trials have shown that patients consistently prefer oral appliance over continuous positive airway pressure therapy, especially when the treatment effect is strong. Appliance design and use indicates a preference for adjustable mandibular advancing appliances. Complications of therapy appear to be infrequent, but evidence for safety of long-term use is still limited. Oral appliance therapy can be an effective therapy for sleep disorders caused by upper airway obstruction. Considering the accumulated evidence, it is no longer tenable to label oral appliance therapy an OexperimentalO procedure.

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Citations

Sep 24, 2002·Sleep & Breathing = Schlaf & Atmung·Margot A SkinnerD Robin Taylor
Apr 25, 2003·Sleep & Breathing = Schlaf & Atmung·Satoru TsuikiJohn A Fleetham
Sep 16, 2014·Current Opinion in Pulmonary Medicine·Timothy G Quinnell, Abigail L Clutterbuck-James
Sep 8, 2007·Atlas of the Oral and Maxillofacial Surgery Clinics of North America·Stephen D Smith
Feb 9, 2006·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·L King Scott, Dennis Ranalli
Feb 28, 2002·Sleep & Breathing = Schlaf & Atmung·Robert R. Rogers
Mar 22, 2001·The Journal of the American Dental Association·P T George

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