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

Autor: Bernhardt O; Department of Restorative Dentistry, Periodontology, Endodontology, Preventive Dentistry and Pediatric Dentistry, University Medicine Greifswald, W. Rathenaustr. 42 a, 17475, Greifswald, Germany. obernhar@uni-greifswald.de., Giannakopoulos NN; Department of Prosthodontics, University Clinic of Würzburg, Pleicherwall 2, 97070, Würzburg, Germany.; Department of Prosthodontics, National and Kapodistrian University of Athens, Athens, Greece., Heise M; Private Practice, Alleestrasse 80, 44793, Bochum, Germany., Meyer A; Private Practice, Friedrich-Ebert-Straße 21, 42719, Solingen, Germany., Norden D; Private Practice, Theaterwall 4, 26122, Oldenburg, Germany., Schlieper J; Private Practice, Osdorfer Weg 147, 22607, Hamburg, Germany., Kares H; Private Practice, Grumbachtalweg 9, 66121, Saarbrücken, Germany.
Jazyk: angličtina
Zdroj: Sleep & breathing = Schlaf & Atmung [Sleep Breath] 2023 Mar; Vol. 27 (1), pp. 389-397. Date of Electronic Publication: 2022 Mar 29.
DOI: 10.1007/s11325-022-02601-6
Abstrakt: 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.
(© 2022. The Author(s).)
Databáze: MEDLINE
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