Long-term effectiveness and side effects of mandibular advancement devices on dental and skeletal parameters - 07/02/19
, P. Goudot a, bBienvenue sur EM-consulte, la référence des professionnels de santé.
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Abstract |
Introduction |
Continuous positive airways pressure, generally used to treat obstructive sleep apnea-hypopnea syndrome (OSAHS), is not tolerated well by many patients. An alternative is to treat OSAHS with mandibular advancement devices (MAD). This research assesses the long term (> 2 years) effectiveness and the side effects on dental and skeletal parameters of these devices.
Material and methods |
We selected 24 patients with moderate to severe OSAHS. All were treated with MADs for at least 2 years. We gathered cephalometric teleradiographs in centric relation and sleep recordings before and after the patients were treated. We evaluated the patients’ apnea-hypopnea indexes (AHI) as well as their Epworth sleepiness scale (ESS) scores. We measured the inclination of the central incisors and the positions of the upper and lower jaws.
Results |
Mandibular advancement devices were used for more than 2 years (3.9 ± 1.9 years). We observed a statistically significant decrease of the patients’ AHI and their ESS scores. We also observed a modification of the inclination of the lower central incisors (+0.521; P = 0.047) and of the position of the maxilla (−0.287; P = 0.039).
Discussion |
We demonstrated the clinical effectiveness of mandibular advancement devices for treating OSAHS, with a very low rate of side effects on dental and skeletal positions.
Le texte complet de cet article est disponible en PDF.Keywords : Obstructive sleep apnea, Mandibular advancement, Side effects
Plan
Vol 120 - N° 1
P. 7-10 - février 2019 Retour au numéro
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