Use of Medical Dental Sleep Appliance in the Management of Severe Obstructive Sleep Apnoea: A Case Series

Jump To References Section

Authors

  • Amrit Thapa
     Department of Orthodontics & Dentofacial Orthopedics, Command Military Dental Centre, Lucknow ,IN
  • B. Jayan
     Department of Orthodontics & Dentofacial Orthopedics, Armed Forces Medical College, Pune ,IN
  • Karan Nehra
     Department of Orthodontics & Dentofacial Orthopedics, Armed Forces Medical College, Pune ,IN
  • Vishvaroop Nagpal
     Department of Orthodontics & Dentofacial Orthopedics, Armed Forces Medical College, Pune ,IN
  • D. Bhattacharya
     Department of Orthodontics & Dentofacial Orthopedics, Armed Forces Medical College, Pune ,IN

Keywords:

Medical Dental Sleep Appliance, Apnoea–hypopnoea Index, Obstructive Sleep Apnoea, Polysomnography, Mandibular Advancement Device
Orthodontics & Dentofacial Orthopedics

Abstract

Snoring and obstructive sleep apnoea are under-diagnosed and yet common in the adult population. One of the treatment options include mandibular repositioning appliance which is a noninvasive procedure. The primary objective of presenting the two case reports is to highlight the therapeutic efficacy of Medical Dental Sleep Appliance (MDSA) in the management of severe obstructive sleep apnoea both objectively and subjectively. The objective assessment was made by comparing base line AHI (apnoea–hypopnoea index) and AHI with appliance in situ which showed an improvement of 99% and 55%, respectively. The secondary objective is to provide an overview of clinical and laboratory steps in the fabrication of MDSA.

Downloads

Published

2018-09-18

How to Cite

Thapa, A., Jayan, B., Nehra, K., Nagpal, V., & Bhattacharya, D. (2018). Use of Medical Dental Sleep Appliance in the Management of Severe Obstructive Sleep Apnoea: A Case Series. Journal of Pierre Fauchard Academy (India Section), 29(2-3), 59–64. Retrieved from https://informaticsjournals.com/index.php/jpfa/article/view/22268

Issue

Volume 29, Issue 2-3, June - September 2015

Section

Original Articles

License

All the articles published in JPFA are distributed under a creative commons license. The journal allows the author(s) to hold the copyright of their work (all usages allowed except for commercial purpose).

 

References

Udwadia ZF, Doshi AV, Lonkar SG, Singh CI. Prevalence of sleep-disordered breathing and sleep in middle aged urban Indian men. Am J Respir Crit Care Med. 2004;169:168–173.

Bailey DR, Attanasio R. Dentistry's role in the management of sleep disorders. Recognition and management. Dent Clin North Am. 2001;45:619–630.

AARC-APT (American Association of Respiratory CareAssociation of Polysomnography Technologists) clinical practice guideline. Polysomnography. Respir Care. 1995;40:1336.

American Sleep Disorder Association report. Practice parameters for the treatments of snoring and obstructive sleep apnea with oral devices. Sleep. 1995;18:511–513.

Johal A. A review of the use of mandibular advancement appliances in sleeps disordered breathing. Dent Update. 2008;35:230–235.

Bradley TD, Floras JS. Obstructive sleep apnoea and its cardiovascular consequences. Lancet. 2009;373:82–93.

Phillipson EA. Sleep apnea – a major public health problem. N Engl J Med. 1993;328:1271–1273.

Young T, Peppard PE, Gottlieb DJ. Epidemiology of obstructive sleep apnea: a population health perspective. Am J Respir Crit Care Med. 2002;165:1217–1239.

Udwadia ZF, Doshi AV, Lonkar SG, Singh CI. Prevalence of sleep disordered breathing and sleep apnoea in middle aged urban Indian men. Am J Respir Crit Care Med. 2004;169:168–173.

Phillips CL, Wong K. Long term consequences of obstructive sleep apnea. In: Lavigne GJ, Cistulli PA, Smith MT, eds. In: Sleep Medicine for Dentists – A practical Overview 1st ed. Quintessence Publishing; 2009:47–52.

Guilleminault C, Quo SD. Sleep-disordered breathing. A view at the beginning of the new Millennium. Dent Clin North Am. 2001;45:643–656.

Lowe AA, Fleetham JA, Adachi S, Ryan CF. Cephalometric and computed tomographic predictors of obstructive sleep apnea severity. Am J Orthod Dentofacial Orthop. 1995;107: 589–595.

Jayan B, Prasad BNB, Atul K. The role of cephalometric analysis in obese and nonobese urban Indian adults with obstructive sleep apnea syndrome: a pilot study. Indian J Sleep Med. 2007;22:59–63.

Attanasio R, Bailey RD. Sleep assessment/studies. In: Attanasio R, Bailey RD, eds. In: Dental Management of Sleep Disorders 1st ed. Wiley Blackwell Publication; 2010:113–127.

Sleep related breathing disorders in adults; Recommendations for syndrome definition and measurement techniques in clinical research, the report of American Academy of Sleep Medicine Task Force. Sleep. 1999;22:667–689.

Johns MW. A new method for measuring daytime sleepiness: the Epworth Sleepiness Scale. Sleep. 1991;14:540–545.

Cartwright RD, Samelson CF. The effects of a non-surgical treatment for obstructive sleep apnea: the tongue-retaining device. J Am Med Assoc. 1982;248:705–709.

Robin P. Glossoptosis due to atresia and hypotrophy of the mandible. Am J Dis Child. 1934;48:541–547.

Mohsenin N, Mostofi MT, Mohsenin V. The role of oral appliances in treating OSA. J Am Dent Assoc. 2003;134:442–449.

Jayan B, Prasad BNB, Kharbanda OP, Bhattacharya D. Therapeutic efficacy of Thornton adjustable positioner in the management of patients with severe obstructive sleep apnea: a pilot study. Indian J Sleep Med. 2008;33:97–101.

Lim J, Lasserson TJ, Fleetham J, Wright JJ. Oral appliances for obstructive apnoea. Cochrane Database Syst Rev. 2006; CD004435.

Gostopoulos H, Kelly JJ, Cistulli PA. Oral appliance therapy reduces blood pressure in obstructive sleep apnea: a randomized controlled trial. Sleep. 2004;27:934–941.

Itzhaki S, Dorchin H, Clark G, Lavie L, Lavie P, Pillar G. The effects of one year treatment with a Herbst mandibular advancement splint on obstructive sleep apnea, oxidative stress, and endothelial function. Chest. 2007;131:740–749.

Shadaba A, Battagel JM, Owa A, Croft CB, Kotecha BT. Evaluation of the Herbst mandibular advancement splint in the management of patients with sleep-related breathing disorders. Clin Otolaryngol Allied Sci. 2000;25:404–412.

Fritsch KM, Iseli A, Russi EW, Bloch KE. Side effects of mandibular advancement devices for sleep apnea treatment. Am J Respir Crit Care Med. 2001;164:813–818.

Almeida FR, Lowe AA, Tsuiki S, et al. Long-term compliance and side effects of oral appliances used for the treatment of snoring and obstructive sleep apnea syndrome. J Clin Sleep Med. 2005;1:143–152.

Marklund M, Franklin KA. Long-term effects of mandibular repositioning appliances on symptoms of sleep apnoea. J Sleep Res. 2007;16:414–420.

Fransson AM, Tegelberg A, Johansson A, Wenneberg B. Influence on the masticatory system in treatment of obstructive sleep apnea and snoring with a mandibular protruding device: a 2-year follow-up. Am J Orthod Dentofacial Orthop. 2004;126:687–693.

Battagel JM, Kotecha B. Dental side-effects of mandibular advancement splint wear in patients who snore. Clin Otolaryngol. 2005;30:149–156.

Tegelberg A, Wilhelmsson B, Walker-Engstrom ML, et al. Effects and adverse events of a dental appliance for treatment of obstructive sleep apnoea. Swed Dent J. 1999;23:117–126.