Oral appliance therapy in obstructive sleep apnea and snoring - systematic review and new directions of development.

Autor:	Ilea A; Department of Oral Rehabilitation, Oral Health and Dental Office Management, Faculty of Dentistry, 'Iuliu Haţieganu' University of Medicine and Pharmacy Cluj-Napoca, Cluj-Napoca, Romania., Timuș D; Faculty of Dentistry, Student in the 6th year of 'Iuliu Haţieganu' University of Medicine and Pharmacy Cluj-Napoca, Cluj-Napoca, Romania., Höpken J; Faculty of Dentistry, Postgraduate student of 'Iuliu Haţieganu' University of Medicine and Pharmacy Cluj-Napoca, Cluj-Napoca, Romania., Andrei V; Department of Periodontology, Clinical County Hospital of Târgu Mureș, Romania., Băbțan AM; Department of Oral Rehabilitation, Oral Health and Dental Office Management, Faculty of Dentistry, 'Iuliu Haţieganu' University of Medicine and Pharmacy Cluj-Napoca, Cluj-Napoca, Romania., Petrescu NB; Department of Oral Rehabilitation, Oral Health and Dental Office Management, Faculty of Dentistry, 'Iuliu Haţieganu' University of Medicine and Pharmacy Cluj-Napoca, Cluj-Napoca, Romania., Câmpian RS; Department of Oral Rehabilitation, Oral Health and Dental Office Management, Faculty of Dentistry, 'Iuliu Haţieganu' University of Medicine and Pharmacy Cluj-Napoca, Cluj-Napoca, Romania., Boșca AB; Department of Histology, Faculty of Medicine, 'Iuliu Haţieganu' University of Medicine and Pharmacy Cluj-Napoca, Cluj-Napoca, Romania., Șovrea AS; Department of Histology, Faculty of Medicine, 'Iuliu Haţieganu' University of Medicine and Pharmacy Cluj-Napoca, Cluj-Napoca, Romania., Negucioiu M; Department of Prosthodontics, 'Iuliu Hațieganu' University of Medicine and Pharmacy Cluj-Napoca, Cluj-Napoca, Romania., Mesaros A; Department of Dental Propedeutics and Esthetics, Faculty of Dentistry, 'Iuliu Hațieganu' University of Medicine and Pharmacy Cluj-Napoca, Cluj-Napoca, Romania.
Jazyk:	angličtina
Zdroj:	Cranio : the journal of craniomandibular practice [Cranio] 2021 Nov; Vol. 39 (6), pp. 472-483. Date of Electronic Publication: 2019 Oct 05.
DOI:	10.1080/08869634.2019.1673285
Abstrakt:	Objective : Oral appliance therapy is a non-invasive treatment that offers a wide variety of oral devices for the treatment of obstructive sleep apnea (OSA). The present review focuses on the effectiveness of mandibular advancement devices for the treatment of OSA. Methods : A systematic review based on the PRISMA checklist was carried out. A detailed electronic database search was conducted using "Obstructive sleep apnea" AND "Oral appliance" AND "Dentistry" as keywords. Results : The initial search in the electronic databases resulted in a total of 262 papers. After the title and abstract analysis and full-text review, the number of eligible papers was reduced to 15. Conclusion : The mandibular advancement device is an effective treatment, improving the Apnea Hypopnea Index and the symptoms of patients with OSA in 92% of the subjects from all the investigated studies. The future may include the integration of a biosensor for the diagnosis and follow-up. Abbreviations: OSA: Obstructive sleep apnea; MADs: Mandibular advancement devices; CPAP: Continuous positive airway pressure; OAT: Oral appliance therapy; MRD: Mandibular repositioning devices; MAS: Mandibular advancement splints; MAA: Mandibular advancement appliances; OA: Oral appliances; AASM: American Academy of Sleep Medicine; AHI: Apnea-hypopnea index; EEG: Sleep-related breathing disorder SRBD; Electroencephalogram; EOG: Electrooculogram; ECG: Electrocardiogram; QOL: Quality of life; TMJ: Temporomandibular joint.
Databáze:	MEDLINE
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