Mandibular advancement devices in obstructive sleep apnoea: side effects

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21 studies mainly retrospective studies were included in this review of the dental and skeletal effects of mandibular advancement devices in treatment of obstructive sleep apnoea. while the findings suggest a number of potential side effects the quality of the available evidence in low.

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Obstructive sleep apnoea: insufficient evidence for oral appliances in children

What other effects do nightmares and parasomnias have on sleep that could explain the association with future psychotic symptoms?

This Cochrane review to assess the effects of oral appliances or functional orthopaedic appliances for obstructive sleep apnoea in children only identified a single small trial which provided insufficient evidence to assess effectiveness.

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Oral Appliances improve obstructive sleep apnoea symptoms

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This review of the use of oral appliances for the treatment of obstructive sleep apnoea identified 17 trials, all but one of which wере randomised. The results suggest significant benefits in respiration and sleep quality, compared to placebo devices or blank control.

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Review finds that oral appliances produce improvements in some obstructive sleep apnoea indicators

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Obstructive sleep apnoea (OSA) can result in day-time sleepiness, neurocognitive decline and, in the long terms cardiovascular problems. While nasal continuous positive airway pressure (CPAP) is the standard treatment for OSA oral appliances (OAs) have been used as an alternative approach. The aim of this review was to assess the effectiveness of OAs that advanced [read the full story…]

Continuous positive airway pressure for obstructive sleep apnoea – ADA-EBD critical summary

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Yesterday we look at an ADA-EBD critical summary of a review on maxillomandibular advancement (MMA) surgery. Today we are considering an ADA-EBD summary of a 2009 review of continuous positive airway pressure (CPAP) by Mcdaid et al. The review included 28 randomised controlled trials (1989 patients) comparing CPAP with controls or dental devices. Both subjective [read the full story…]

Mandibular advancement for obstructive sleep apnoea – ADA-EBD critical summary

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This new ADA-EBD critical summary looks at a 2011 systematic review by Pirklbauer et al.   The review compared maxillomandibular advancement (MMA) surgery to conventional continuous positive airway pressure (CPAP) ventilation therapy for reducing signs and symptoms of obstructive sleep apnea syndrome (OSAS) The summariser highlights that although 39 studies and 1213 patients in total were [read the full story…]

Mandibular advancement devices for obstructive sleep apnoea – ADA-EBD critical summary

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Another new critical summary form the ADA-EBD Center looks at a 2011 systematic review by  Ahrens et al.  The aim of the original review was to compare the effectiveness of different design features of mandibular advancement devices (MADs) in reducing the severity of obstructive sleep apnea (OSA). The appraiser notes that some relevant studies may [read the full story…]

Small study shows improvements in obstructive sleep apnoea/hypopnoea syndrome with two designs of oral appliance

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Obstructive sleep apnoea/hypopnoea syndrome (OSAHS) is though to affect around 4% of the male and 2% of the female population of North America. Continuous positive airway pressure (CPAP) particularly for moderate to severe cases.   The aim of this cross-over trial was to compare the two types of mandibular advancement appliances (MAAs) with different structures, retention [read the full story…]

Treating obstructive sleep apnoea syndrome with oral appliances results in more short term TMD pain than using CPAP

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Obstructive sleep apnoea syndrome (OSAS) affects about 4% of the male and 2% of the female population of North America. Standard treatment is with continuous positive airway pressure (CPAP) however this has poor adherence in some groups and oral appliance therapy is an alternative therapy. The aim of this trial was to assess variations in [read the full story…]

Maxillomandibular advancement surgery may be an effective treatment for patients with obstructive sleep apnoea

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This  is a critical summary  prepared by ADA Centre for Evidence-Based Dentistry  of a systematic review originally published  in 2010. The original review looked at which surgical modifications of the upper airway were most effective  in reducing the apnoea-hypopnoea index (AHI) for patietns suffering with obstructive sleep apnoea (OSA). OSA is relatively common occurring in [read the full story…]