Effectivity of oral appliance in the obstructive sleep apnea–hypopnea syndrome and snoring
- Sleep Medicine and Disorders: International Journal
Constanza Melo Bonilla
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Taking into account the relationship between the airway and sleep respiratory disorders, and the increase of clinical multidisciplinary management, the dentist whit training in dental medicine sleep plays a very important role in the treatment of the obstructive sleep apnea-hypopnea syndrome and snoring. The purpose of this review article is to describe one of the treatments that has taken more strength the last decades to reduce the apnea / hypopnea index (AHI) of patients with Sleep Apnea-Hypopnea Syndrome (OSAHS); I refer to mandibular advancement devices (MAD); the MAD are indicated in simple snoring, patients who have mild and moderate apnea and for patients who have obstructive severe sleep apnea when the patient has not had adherence to continuous positive airway pressure (CPAP). Patients with OSAHS have narrowing of the upper airway (VAS) during sleep; The MAD, by making advanced of the jaw and tongue, increases the space of the upper airway (VAS), preventing the tongue from collapsing later and stabilizing the muscles that support it. In patients with the following characteristics: a low or normal body mass index (BMI), reduced measurement of neck circumference and / or mandibular retrognathism, treatment with the mandibular advancement device (MAD) becomes more efficient. These devices improve the patient’s quality of life by decreasing cognitive and cardiovascular problems.
sleep, apnea, snoring, oral devices, mandibular