Predicting compliance for mandible advancement splint therapy in 96 obstructive sleep apnea patients
Eur J Orthod
(2013)
35
(6):
752-757.
doi:
10.1093/ejo/cjs092
Abstract
SUMMARY The treatment
of choice in obstructive sleep apnea (OSA) is continuous positive airway
pressure (CPAP). Mandible advancement
splint (MAS) offers an option for patients with
mild or moderate OSA, who refuse or are unable to tolerate CPAP. The aim
of
the study was to find predictive factors in OSA
for MAS therapy. The study group comprised 96 consecutive OSA patients
who
were sent for MAS therapy during 2008. Data were
collected on the patients’ general and dental condition, diagnosis, and
treatment
for OSA. Panoramic and cephalometric radiographs
were analysed. The treatment compliance rate and problems with the use
of
the MAS were recorded. This rate was 57% and the
significant affecting factors were protrusion of the mandible with MAS
during
the adaptation to the appliance as well as
shorter maxillary and mandible lengths. The compliance of the MAS
therapy was best
in patients with short maxilla and mandible,
which should be taken into consideration when planning MAS therapy for
OSA patients.
Finally, a sleep study should be part of the
follow-up in this patient population.
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