Oral Appliances in Obstructive Sleep Apnea.

Oral appliance therapy (OAT) has become an increasingly popular nonsurgical option for the treatment of obstructive sleep disorders. Recent research supports its efficacy and high levels of compliance for patients with obstructive sleep disorders. Common side effects of OAT include temporomandibular joint-related symptoms, bite changes, and tooth movement. These side effects can be minimized by the use of exercises. The American Academy of Dental Sleep Medicine and the American Academy of Sleep Medicine have released joint clinical practice guidelines for the treatment of obstructive sleep apnea and snoring with OAT.

[1]  Max Hirshkowitz,et al.  Practice parameters for the treatment of snoring and Obstructive Sleep Apnea with oral appliances: an update for 2005. , 2006, Sleep.

[2]  M. Abeleira,et al.  Prospective evaluation of an oral appliance in the treatment of obstructive sleep apnea syndrome , 2005, Sleep and Breathing.

[3]  P. Cistulli,et al.  Cephalometry and prediction of oral appliance treatment outcome , 2012, Sleep and Breathing.

[4]  B. Stegenga,et al.  Long-term oral appliance therapy in obstructive sleep apnea syndrome: a controlled study on dental side effects , 2012, Clinical Oral Investigations.

[5]  B. Stegenga,et al.  Implant-retained oral appliances: a novel treatment for edentulous patients with obstructive sleep apnea-hypopnea syndrome. , 2007, Clinical oral implants research.

[6]  B. Pliska,et al.  Prediction of oral appliance treatment outcomes in obstructive sleep apnea: A systematic review. , 2016, Sleep medicine reviews.

[7]  Xuemei Gao,et al.  Follow-up study of dental and skeletal changes in patients with obstructive sleep apnea and hypopnea syndrome with long-term treatment with the Silensor appliance. , 2015, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[8]  P. Cistulli,et al.  Comparison of mandibular advancement splint and tongue stabilizing device in obstructive sleep apnea: a randomized controlled trial. , 2009, Sleep.

[9]  A. Ritter,et al.  Periodontal Disease , 2005 .

[10]  B. Stegenga,et al.  Oral appliance versus continuous positive airway pressure in obstructive sleep apnea syndrome: a 2-year follow-up. , 2013, Sleep.

[11]  J. Fleetham,et al.  Mandibular advancement oral appliance therapy for obstructive sleep apnoea: effect on awake calibre of the velopharynx , 1999, Thorax.

[12]  P. Cistulli,et al.  Three-dimensional assessment of anatomical balance and oral appliance treatment outcome in obstructive sleep apnoea , 2016, Sleep and Breathing.

[13]  T. Rees,et al.  Acquired immune suppression and other risk factors/indicators for periodontal disease progression. , 2003, Periodontology 2000.

[14]  V. Loimaranta,et al.  Saliva and Dental Caries , 2000, Advances in dental research.

[15]  Thomas G. Schell,et al.  Definition of an Effective Oral Appliance for the Treatment of Obstructive Sleep Apnea and Snoring: A Report of the American Academy of Dental Sleep Medicine , 2014 .

[16]  P. Robin.  A fall of the base of the tongue considered as a new cause of nasopharyngeal respiratory impairment: Pierre Robin sequence, a translation. 1923. , 1994, Plastic and reconstructive surgery.

[17]  S. Tufik,et al.  Treatment of obstructive sleep apnea with mandibular advancement appliance over prostheses: A case report , 2015, Sleep science.

[18]  F. Lobbezoo,et al.  Effects of an oral appliance with different mandibular protrusion positions at a constant vertical dimension on obstructive sleep apnea , 2010, Clinical Oral Investigations.

[19]  T. Ono,et al.  Effects of a titratable oral appliance on supine airway size in awake non-apneic individuals. , 2001, Sleep.

[20]  J. Sandy,et al.  Orthodontics. Part 9: Anchorage control and distal movement , 2004, British Dental Journal.

[21]  C. McGrath,et al.  Subjective efficacy of oral appliance design features in the management of obstructive sleep apnea: a systematic review. , 2010, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[22]  D. Steward,et al.  Palate implants for obstructive sleep apnea: Multi-institution, randomized, placebo-controlled study , 2008, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[23]  B. Lam,et al.  Randomised study of three non-surgical treatments in mild to moderate obstructive sleep apnoea , 2006, Thorax.

[24]  M. Denbar.  A Case Study Involving the Combination Treatment of an Oral Appliance and Auto-Titrating CPAP Unit , 2002, Sleep and Breathing.

[25]  A. Čelebić,et al.  The effect of removable partial dentures on periodontal health of abutment and non-abutment teeth. , 2002, Journal of periodontology.

[26]  G. Lavigne,et al.  The link between sleep Bruxism, Sleep Disordered Breathing and Temporomandibular Disorders: An Evidence-Based Review , 2014 .

[27]  C. Paletta,et al.  A Fall of the Base of the Tongue Considered as a New Cause of Nasopharyngeal Respiratory Impairment: Pierre Robin Sequence, a Translation , 1994 .

[28]  T. Eliades,et al.  Oral Interventions for Obstructive Sleep Apnea. , 2018, Deutsches Arzteblatt international.

[29]  Hsin-Ching Lin,et al.  Palatal implants for the treatment of snoring and obstructive sleep apnea/hypopnea syndrome , 2008, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[30]  P. Hanly,et al.  Does snoring intensity correlate with the severity of obstructive sleep apnea? , 2010, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[31]  Dong‐Kyu Kim,et al.  Effect of long-term oral appliance therapy on obstruction pattern in patients with obstructive sleep apnea , 2018, European Archives of Oto-Rhino-Laryngology.

[32]  Z. Topor,et al.  Remotely controlled mandibular protrusion during sleep predicts therapeutic success with oral appliances in patients with obstructive sleep apnea. , 2013, Sleep.

[33]  G. Lavigne,et al.  Effect of an adjustable mandibular advancement appliance on sleep bruxism: a crossover sleep laboratory study. , 2009, The International journal of prosthodontics.

[34]  J. Montiel-Company,et al.  Effectiveness of mandibular advancement appliances in treating obstructive sleep apnea syndrome: A systematic review , 2016, The Laryngoscope.

[35]  V. Hoffstein,et al.  Review of oral appliances for treatment of sleep-disordered breathing , 2006, Sleep and Breathing.

[36]  Kannan Ramar,et al.  Clinical Practice Guidelines for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy : An Update for 2015 , 2015 .

[37]  D. Ramsay,et al.  A longitudinal study of tooth wear in orthodontically treated patients. , 1997, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[38]  P. Cistulli,et al.  Dental appliance treatment for obstructive sleep apnea. , 2007, Chest.

[39]  A. Tripathi,et al.  A Novel Use of Complete Denture Prosthesis as Mandibular Advancement Device in the Treatment of Obstructive Sleep Apnea in Edentulous Subjects , 2014 .

[40]  H. Ueda,et al.  Effect of 2 jaw exercises on occlusal function in patients with obstructive sleep apnea during oral appliance therapy: a randomized controlled trial. , 2009, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[41]  W. M. Anderson,et al.  Clinical guidelines for the use of unattended portable monitors in the diagnosis of obstructive sleep apnea in adult patients. Portable Monitoring Task Force of the American Academy of Sleep Medicine. , 2007, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[42]  K. Ferguson,et al.  Oral appliances for snoring and obstructive sleep apnea: a review. , 2006, Sleep.

[43]  G. Marks,et al.  Health outcomes of continuous positive airway pressure versus oral appliance treatment for obstructive sleep apnea: a randomized controlled trial. , 2013, American journal of respiratory and critical care medicine.

[44]  J. B. Drane,et al.  Prevention of Xerostomia-Related Dental Caries in Irradiated Cancer Patients , 1977, Journal of dental research.

[45]  J. Fleetham,et al.  A short-term controlled trial of an adjustable oral appliance for the treatment of mild to moderate obstructive sleep apnoea. , 1997, Thorax.

[46]  W. Randerath,et al.  Non-CPAP therapies in obstructive sleep apnoea: mandibular advancement device therapy , 2011, European Respiratory Journal.

[47]  A. El‐Solh,et al.  Combined oral appliance and positive airway pressure therapy for obstructive sleep apnea: a pilot study , 2011, Sleep and Breathing.

[48]  M. Gabriele,et al.  Effect of removable orthodontic appliances on oral colonisation by mutans streptococci in children. , 2001, European journal of oral sciences.

[49]  J. Pépin,et al.  Mandibular advancement devices: rate of contraindications in 100 consecutive obstructive sleep apnea patients. , 2002, American journal of respiratory and critical care medicine.

[50]  K. Franklin,et al.  Mandibular advancement devices in 630 men and women with obstructive sleep apnea and snoring: tolerability and predictors of treatment success. , 2004, Chest.

[51]  S. Tufik,et al.  Mandibular exercises improve mandibular advancement device therapy for obstructive sleep apnea , 2011, Sleep and Breathing.

[52]  N. Remeikis,et al.  Diagnosis and treatment of cutaneous facial sinus tracts of dental origin. , 1999, Journal of the American Dental Association.

[53]  P. Cistulli,et al.  Oral Appliance Treatment Response and Polysomnographic Phenotypes of Obstructive Sleep Apnea. , 2015, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[54]  R. Cartwright,et al.  The effects of a nonsurgical treatment for obstructive sleep apnea. The tongue-retaining device. , 1982, JAMA.