Indian Journal of Sleep Medicine

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VOLUME 1 , ISSUE 3 ( July-September, 2006 ) > List of Articles


Management of a case of severe obstructive sleep apnea with acrylic herbst splint appliance: A case report

BNBM Prasad, B Jayan, D Bhattacharyya, AK Rajput, RK Dhiman

Keywords : Obstructive sleep apnea, Oral appliance

Citation Information : Prasad B, Jayan B, Bhattacharyya D, Rajput A, Dhiman R. Management of a case of severe obstructive sleep apnea with acrylic herbst splint appliance: A case report. Indian Sleep Med 2006; 1 (3):157-160.

DOI: 10.5005/ijsm-1-3-157

License: NA

Published Online: 01-06-2012

Copyright Statement:  NA


A middle aged serving soldier with severe obstructive sleep apnea and non compliance to CPAP was managed with acrylic Herbst splint oral appliance. The oral appliance enabled the patient to protrude the mandible and tongue forward, thus increasing the posterior airway space when in supine position. There was gross improvement on Apnea index and Epworth sleepiness scale.

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  1. Zariar FU, Amitha VD,Sharmila GL,Charanjit IS. Prevalence of sleep disordered breathing and sleep apnea in middle aged urban Indian men. Am J Respir Crit Care Med.2004;169.168-173.
  2. Ivanhoe JR, Attansio R. Sleep disorders and oral devices. Dental Clin North Am. 2001;45(4). 733-57
  3. American sleep disorders association report: Practice parameters for the treatment of snoring and obstructive sleep apnea with oral devices. Sleep.1995;18.511-13.
  4. Hoffstein V, Viners S, Mateika S, et al. Treatment of obstructive sleep apnea with continues positive airway pressure; patient compliance, perception of benefits and side effects. Am Rev Respir dis.1992;145. 841-45
  5. Clark GT, BlumenfeldI, Yoffe N, et al. A crossover study comparing the efficacy of continues positive airway pressure with anterior mandibular positioning devices in patients with obstructive sleep apnea. Chest.1996;109. 1477-83.
  6. Lowe AA. Dental appliances for the treatment of snoring and obstructive sleep apnea. In. Kryger M, Roth T, Dement W, eds. Principles and practice of sleep medicine.3ed. Philadelphia WB Saunders.2000.929-39.
  7. Rose EC, Barthlen GM, Staats R,Jonas IE. Therapeutic efficacy of an oral appliance in the management of obstructive sleep apnea. A two year follow up. Am J of Orthod Dentofac Orthop. 2002;121(3).273-79
  8. Robin P. Glossoptosis due to atresia and hypertrophy of the mandible. American journal of diseases of children. 1934.48.541-47.
  9. Ivanhoe JR, Cibrika RM, Lefebvre CA, et al. Dental considerations in upper airway sleep disorders: A review of literature. J Prosthet Dent.1999;82.685-98
  10. Pancherz H. Treatment of class2 malocclusionby jumping the bite with Herbst appliance, Am J Orthod 76: 1979, 423-442
  11. Rose EC, Germann M, Sorebter S, Jonas IE. Case control study in the treatment of obstructive sleep disordered breathing with mandibular protrusive appliance. J Orofac Orhop.2004;65.489-500
  12. Carwright RD, Samelson CF. The effect of non surgical treatment for obstructive sleep apnea. JAMA. 1982;248.705-09
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