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2015 Jan-Mar; Vol 6, No 1:e4 |
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The Influence of a Mandibular Advancement Plate on Polysomnography in Different Grades of Obstructive Sleep Apnea J Oral Maxillofac Res 2015;6(1):e4 doi:10.5037/jomr.2015.6104 |
The Influence of a Mandibular Advancement Plate on Polysomnography in Different Grades of Obstructive Sleep Apnea
1Department of Oral and Maxillofacial Surgery, Medical Research Center, Oulu University Hospital, Oulu, Finland.
2Department of Clinical Neurophysiology, Oulu University Hospital, Oulu, Finland.
Corresponding Author:
Department of Oral and Maxillofacial Surgery
Institute of Dentistry, University of Oulu
Aapistie 3, 900014, Oulu
Finland
Phone: +358406737878
Fax: +35885375504
E-mail: antti.raunio@oulu.fi
ABSTRACT
Objectives: The purpose of this study was to investigate the effect of a mandibular advancement device on different grades of obstructive sleep apnea using a relatively simple test for the apnea-hypopnea index to determine if a mandibular device will be effective.
Material and Methods: A total of 68 patients with obstructive sleep apnea syndrome (OSAS) including, 31 with mild, 23 with moderate and 14 with severe OSAS were treated with a mandibular advancement device (MAD) and monitored with polysomnography.
Results: 25 of the 31 mild, 15 of the 23 moderate and 2 of the 14 severe OSAS patients were cured of their OSAS if a post treatment apnea-hypopnea index of less than 5 is regarded as cured. The odds ratios for success with MAD therapy are 3 for women over men, 14.9 for mild obstructive sleep apnea, 5.42 for moderate obstructive sleep apnea if severe obstructive sleep apnea is assigned an odds ratio of 1.
Conclusions: The use of the apnea-hypopnea index alone is useful in mild and moderate disease to predict the effectiveness of mandibular advancement device. Treatment with a mandibular advancement device is very effective in treating mild and moderate obstructive sleep apnea. Conservative treatment with a mandibular advancement device can be successful in less severe grades of sleep apnea and may be an alternative for non-surgical patients with severe obstructive sleep apnea intolerant of Continuous Positive Airway Pressure management.
J Oral Maxillofac Res 2015;6(1):e4
doi:10.5037/jomr.2015.6104
Accepted for publication: 12 March 2015
Keywords: appliances; obstructive sleep apnea; obstructive sleep apnea syndrome; mandible.
To cite this article: The Influence of a Mandibular Advancement Plate on Polysomnography in Different Grades of Obstructive Sleep Apnea. J Oral Maxillofac Res 2015;6(1):e4 URL: http://www.ejomr.org/JOMR/archives/2015/1/e4/v6n1e4ht.htm |
Received: 19 November 2014 | Accepted: 12 March 2015 | Published: 30 March 2015
Copyright: © The Author(s). Published by JOMR under CC BY-NC-ND 3.0 licence, 2015.