Low-Cost Adjustable Mandibular Advancement Device for Obstructive Sleep Apnea Patients

Objectives: Nasal continuous positive airway pressure (nCPAP), though an effective therapy for obstructive sleep apnea syndrome, has a low compliance rate and is costly. As a result, newer designs of mandibular advancement devices (MADs) have gained considerable interest and are available as adjustable/nonadjustable/stock/custom-made types. Methods: This article presents a novel economical custom-made MAD. It has an expansion screw for advancement of the mandible that has a calibration accuracy of 0.2 mm. Conclusions: This device is cost effective, adjustable and less bulky for obstructive sleep apnea patients.

[1]  R. Riha,et al.  Ready-Made Versus Custom-Made Mandibular Repositioning Devices in Sleep Apnea: A Randomized Clinical Trial. , 2017, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[2]  Cheng Jia,et al.  The normal range of maximum mouth opening and its correlation with height or weight in the young adult Chinese population , 2016, Journal of dental sciences.

[3]  D. Arya,et al.  Cephalometric evaluation of mandibular advancement at different horizontal jaw positions in obstructive sleep apnoea patients: a pilot study. , 2013, Australian dental journal.

[4]  A. Bachour,et al.  CPAP interface: satisfaction and side effects , 2013, Sleep and Breathing.

[5]  A. Holley,et al.  Comparison of adjustable and fixed oral appliances for the treatment of obstructive sleep apnea. , 2011, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[6]  E. Pae,et al.  Obstructive sleep apnea patients with the oral appliance experience pharyngeal size and shape changes in three dimensions. , 2009, The Angle orthodontist.

[7]  E. Kunter,et al.  CPAP compliance in patients with obstructive sleep apnea syndrome , 2008, Sleep and Breathing.

[8]  M. Sanders,et al.  Sleep · 7: Positive airway pressure therapy for obstructive sleep apnoea/hypopnoea syndrome , 2004, Thorax.

[9]  M Ali Darendeliler,et al.  Effect of vertical dimension on efficacy of oral appliance therapy in obstructive sleep apnea. , 2002, American journal of respiratory and critical care medicine.

[10]  A. Simonds,et al.  Mandibular advancement splints and continuous positive airway pressure in patients with obstructive sleep apnoea: a randomized cross-over trial. , 2002, European journal of orthodontics.

[11]  T. Seemungal,et al.  Adverse effects of nasal continuous positive airway pressure therapy in sleep apnoea syndrome , 1999, The Journal of Laryngology & Otology.

[12]  K. Franklin,et al.  The Effect of a Mandibular Advancement Device on Apneas and Sleep in Patients with Obstructive Sleep Apnea* Materials and Methods , 2022 .

[13]  P. Bonham,et al.  The effect of a modified functional appliance on obstructive sleep apnea. , 1988, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[14]  INTRAORAL MANDIBULAR ADVANCEMENT DEVICE FOR TREATMENT OF SLEEP , 2017 .