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Oral Appliances for the Management of Obstructive Sleep Apnea

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Primary Care Sleep Medicine

Abstract

The use of oral appliances has been more widely accepted over the last decade. Despite the fact that the availability of these devices is not widely known, the use of them as for a first-line therapy and as an option to CPAP or surgery is growing. In like manner the evidence to support the use of oral appliances as a viable treatment option for patients with sleep apnea or who may only snore is only going to become more compelling as it relates to the use of oral appliances. One of the key issues surrounding the decision to use an oral appliance, have surgery or to use CPAP is not just which will be more effective but which therapy is likely to proved the best long term benefit. When considering a decision to use CPAP or an oral appliance the need to assess compliance and adherence is paramount. After all, what matters most is that the patient is motivated to manage the sleep apnea on an ongoing, regular basis in an effort to avoid the onset of health risks related to sleep apnea. Oral appliances offer the patient this option along with convenience and in many cases an improved quality of life.

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References

  1. Cartwright RD, Samelson CF. The effects of a nonsurgical treatment for obstructive sleep apnea. JAMA. 1982;248:705–9.

    Article  PubMed  CAS  Google Scholar 

  2. www.fda.gov/Medical Devices (Nov 2012) Class II Special Controls Guidance Document: Intraoral Devices for Snoring and/or Obstructive Sleep Apnea; Guidance for Industry and FDA (online).

    Google Scholar 

  3. Kushida CA, Morgenthaler TI, Littner MR, et al. Practice parameters for the treatment of snoring and obstructive sleep apnea with oral appliances: an update for 2005. Sleep. 2006;29(2):240–3.

    PubMed  Google Scholar 

  4. Ferguson KA, Cartwright R, Rogers R, et al. Oral appliances for snoring and obstructive sleep apnea: a review. Sleep. 2006;29(2):244–66.

    PubMed  Google Scholar 

  5. Frantz D. The difference between success and failure. Sleep Rev. 2001;2:20–3.

    Google Scholar 

  6. Lavigne GJ, Rompre PH, Poirier G, et al. Rhythmic masticatory muscle activity during sleep in humans. J Dent Res. 2001;80:443–8.

    Article  PubMed  CAS  Google Scholar 

  7. Miyawaki S, Tanimoto Y, Arira Y, et al. Association between nocturnal bruxism and gastroesophageal reflux. Sleep. 2003;26:888–92.

    PubMed  Google Scholar 

  8. Engleman HM, McDonald JP, Graham D, et al. Randomized crossover trial of two treatments for sleep apnea/hypopnea syndrome: continuous positive airway pressure and mandibular repositioning splint. Am J Respir Crit Care Med. 2002;166(6):855–9.

    Article  PubMed  Google Scholar 

  9. Ferguson KA, Ono T, Lowe AA, et al. A randomized crossover study of an oral appliance vs nasal-continuous positive airway pressure in the treatment of mild-moderate obstructive sleep apnea. Chest. 1996;109(5):1269–75.

    Article  PubMed  CAS  Google Scholar 

  10. Vanderveken OM, Dieltjens M, Wouters K. Objective measurement of compliance during oral appliance therapy for sleep-disordered breathing. Thorax. 2013;68:91–6.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Lowe AA, Sjoholm TT, Ryan CF, et al. Treatment, airway and compliance effects of a titratable oral appliance. Sleep. 2000;23 Suppl 4:S172–8.

    PubMed  Google Scholar 

  12. Pliska BT, Almeida F. Effectiveness and outcome of oral appliance therapy. Dent Clin N Am. 2012;56(2):433–44.

    Article  PubMed  Google Scholar 

  13. Sutherland K, Cistulli PA. Mandibular advancement splints for the treatment of sleep apnoea syndrome. Swiss Med Wkly. 2011;141:w13276.

    PubMed  CAS  Google Scholar 

  14. Chan ASL, Lee RWW, Cistulli PA. Dental appliance treatment for obstructive sleep apnea. Chest. 2007;132:693–9.

    Article  PubMed  Google Scholar 

  15. Lim J, Lasserman TJ, Fleetham J, Wright JJ. Oral appliances for obstructive sleep apnea (Review). The Cochrane Collaboration® The Cochrane Library. 2009.

    Google Scholar 

  16. Wilhelmsson B, Tegleberg A, Walker-Engstrom ML, et al. A prospective randomized study of a dental appliance compared with uvulopalatopharyngoplasty in the treatment of obstructive sleep apnea. Acta Otolaryngol. 1999;119(4):503–9.

    Article  PubMed  CAS  Google Scholar 

  17. Walker-Engstrom MJ, Tegelberg A, Wilhelmsson B, et al. 4-year Follow-up of treatment with dental appliance or uvulopalatopharyngoscopy in patients with obstructive sleep apnea: a randomized study. Chest. 2002;121(3):739–46.

    Article  PubMed  Google Scholar 

  18. Phillips CL, Grunstein RR, Darendeliler MA, et al. Health outcomes of continuous positive airway pressure versus oral appliance treatment for obstructive sleep apnea. Am J Respir Crit Care Med. 2013;187(8):879–87.

    Article  PubMed  Google Scholar 

  19. Gotsopoulos H, Kelly JJ, Cistulli PA. Oral appliance therapy reduces blood pressure in obstructive sleep apnea: a randomized, controlled trial. Sleep. 2004;27(5):934–41.

    PubMed  Google Scholar 

  20. Abstract presentation at the International Association for Dental Research (12 March 2004).

    Google Scholar 

  21. Almeida FR, Parker JA, Hodges JS, et al. Effect of a titration polysomnogram on treatment success with a mandibular repositioning appliance. J Clin Sleep Med. 2009;5(3):198–204.

    PubMed  PubMed Central  Google Scholar 

  22. Dieltjens M, Vanderveken OM, Heyning PH, Braem MJ. Current opinions and clinical practice in the titration of oral appliances in the treatment of sleep-disordered breathing. Sleep Med Rev. 2012;16(2):177–85.

    Article  PubMed  Google Scholar 

  23. Bailey DR (guest editor). Dentistry’s role in sleep medicine. 2010; 5(1): xii.

    Google Scholar 

  24. Tsuda H, Almeida FR, Masumi S, Lowe AA. Sleep Breath. 2010;14(3):227–32.

    Article  PubMed  Google Scholar 

  25. Travell JG, Simons DG. Myofascial pain and dysfunction: the trigger point manual. Baltimore, MD: Williams and Wilkins; 1983.

    Google Scholar 

  26. Cunali PA, Almeida FR, Santos CD, et al. Prevalence of temporomandibular disorders in obstructive sleep apnea patients referred for oral appliance therapy. J Orofacial Pain. 2009;23(4):339–44.

    PubMed  Google Scholar 

  27. Doff MH, Veldhuis SKB, Hoekema A, et al. Long-term oral appliance therapy in obstructive sleep apnea syndrome: a controlled study on temporomandibular side effects. Clin Oral Investi. 2010;16:689–97.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Orofacial Pain and Dental Sleep Medicine, UCLA School of Dentistry, 8400 E. Prentice Avenue, Suite 804, Greenwood Village, CO, 80111, USA

    Dennis R. Bailey D.D.S.

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  1. Dennis R. Bailey D.D.S.
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Correspondence to Dennis R. Bailey D.D.S. .

Editor information

Editors and Affiliations

  1. Sleep Disorders Center, Pueblo, Colorado, USA

    James F. Pagel

  2. Department of Population Health, New York University School of Medicine / Center for Healthful Behavior Change, New York, New York, USA

    S. R. Pandi-Perumal

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Bailey, D.R. (2014). Oral Appliances for the Management of Obstructive Sleep Apnea. In: Pagel, J., Pandi-Perumal, S. (eds) Primary Care Sleep Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1185-1_17

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  • DOI: https://doi.org/10.1007/978-1-4939-1185-1_17

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1184-4

  • Online ISBN: 978-1-4939-1185-1

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