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01-06-2010 | Original Article

Effects of an oral appliance with different mandibular protrusion positions at a constant vertical dimension on obstructive sleep apnea

Authors: Ghizlane Aarab, Frank Lobbezoo, Hans L. Hamburger, Machiel Naeije

Published in: Clinical Oral Investigations | Issue 3/2010

Abstract

The aim of the study was to assess the influence of four mandibular protrusion positions, at a constant vertical dimension, on obstructive sleep apnea (OSA). Seventeen OSA patients (49.2 ± 8.5 years) received an adjustable mandibular advancement device (MAD). The patients underwent four polysomnographic recordings with their MAD in situ at, in random order, 0%, 25%, 50%, and 75% of the maximum protrusion. The mean apnea–hypopnea index (AHI) values of the patients differed significantly between the protrusion positions (P < 0.000). The 25% protrusion position resulted in a significant reduction of the AHI with respect to the 0% position, while in the 50% and 75% positions, even lower AHI values were found. The number of side effects was larger starting at the 50% protrusion position. We therefore recommend coming to a weighted compromise between efficacy and side effects by starting a MAD treatment in the 50% protrusion position.

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Title: Effects of an oral appliance with different mandibular protrusion positions at a constant vertical dimension on obstructive sleep apnea
Authors: Ghizlane Aarab
Frank Lobbezoo
Hans L. Hamburger
Machiel Naeije
Publication date: 01-06-2010
Publisher: Springer-Verlag
Published in: Clinical Oral Investigations / Issue 3/2010
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-009-0298-9

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Effects of an oral appliance with different mandibular protrusion positions at a constant vertical dimension on obstructive sleep apnea

Abstract

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Abstract

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