Mandibular Advancement Device: Prescription in Adult Dental Sleep Medicine - Guideline of the German Society of Dental Sleep Medicine

Overview

Journal Sleep Breath

Publisher Springer

Date 2022 Mar 29

PMID 35349009

Authors

Olaf Bernhardt

Nikolaos Nikitas Giannakopoulos

Markus Heise

Alexander Meyer

Dagmar Norden

Jorg Schlieper

Horst Kares

Affiliations

Soon will be listed here.

Abstract

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.

Citing Articles

Mandibular Advancement Devices in OSA Patients: Impact on Occlusal Dynamics and Tooth Alignment Modifications-A Pilot Prospective and Retrospective Study.

Uyaner A, Schneider H, Parikh A, Paeske-Hinz K, Konermann A Dent J (Basel). 2024; 12(11).

PMID: 39590420 PMC: 11592911. DOI: 10.3390/dj12110370.

Sleep and periodontal health.

Carra M, Balagny P, Bouchard P Periodontol 2000. 2024; 96(1):42-73.

PMID: 39233377 PMC: 11579834. DOI: 10.1111/prd.12611.

Effect of mandibular advancement appliance use on oral and periodontal health in patients with OSA: a systematic review.

Mansour N, Saade Y, Mora F, Bouchard P, Kerner S, Carra M Sleep Breath. 2023; 28(2):1005-1017.

PMID: 38123720 DOI: 10.1007/s11325-023-02971-5.

Comparing efficacy of the mandibular advancement device after drug-induced sleep endoscopy and continuous positive airway pressure in patients with obstructive sleep apnea.

Gogou E, Psarras V, Giannakopoulos N, Minaritzoglou A, Tsolakis I, Margaritis V Sleep Breath. 2023; 28(2):773-788.

PMID: 38085497 DOI: 10.1007/s11325-023-02958-2.

Starting Mandibular Advancement Device Therapy in Patients with Good Protrusive Capacity: A Randomized Pilot Study.

Marklund M Turk J Orthod. 2023; 36(3):158-164.

PMID: 37781998 PMC: 10548059. DOI: 10.4274/TurkJOrthod.2022.2022.54.

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