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Open Access 29-03-2022 | Sleep Apnea | Dentistry • Original Article

Mandibular advancement device: prescription in adult dental sleep medicine — guideline of the German Society of Dental Sleep Medicine

Authors: Olaf Bernhardt, Nikolaos Nikitas Giannakopoulos, Markus Heise, Alexander Meyer, Dagmar Norden, Jörg Schlieper, Horst Kares

Published in: Sleep and Breathing | Issue 1/2023

Abstract

Purpose

Obstructive sleep apnea (OSA) may result in severe health onditions, reduces quality of live, and affects high percentages of the adult population. Due to recent changes in the German health care regulations, mandibular advancement devices (MAD) will become available as a treatment option for OSA to a greater extent for general dentists and their patients.

Methods

A guideline development group consisting of nine members representing four German dental and medical organizations was formed, in order to provide critical information and orientation to the main stakeholders (dentists and patients), regarding the use of MAD for the treatment of OSA within dental sleep medicine.

Results

This guideline aims to inform physicians and dentists, particularly those with acquired qualification/specialization in sleep medicine (or in the diagnosis and treatment of sleep-related breathing disorders), as well as experts, payers, and patients. It delivers recommendations on technical requirements for MAD prescription and fabrication, clinical procedures, maintenance, and follow-up procedures.

Conclusion

A MAD should be designed for long-term therapy and must be a custom made, adjustable, bimaxillary retained two-splint system equipped with adjustable protrusive elements. The fabrication in a dental laboratory should be based on dental impressions or scans and three-dimensional registrations of the starting position taken with a bite gauge.

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Title: Mandibular advancement device: prescription in adult dental sleep medicine — guideline of the German Society of Dental Sleep Medicine
Authors: Olaf Bernhardt
Nikolaos Nikitas Giannakopoulos
Markus Heise
Alexander Meyer
Dagmar Norden
Jörg Schlieper
Horst Kares
Publication date: 29-03-2022
Publisher: Springer International Publishing
Keywords: Sleep Apnea
Somnology
Somnology
Snoring
Published in: Sleep and Breathing / Issue 1/2023
Print ISSN: 1520-9512
Electronic ISSN: 1522-1709
DOI: https://doi.org/10.1007/s11325-022-02601-6

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