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VOLUME 16 , ISSUE 4 ( October-December, 2021 ) > List of Articles

REVIEW ARTICLE

Effect of Mandibular Advancement through Oral Appliance Therapy on Quality of Life in Obstructive Sleep Apnea: A Scoping Review

Nisha Kalonia, Pradeep Raghav, Kumar Amit, Prashant Sharma

Keywords : Health status, MAD, Obstructive sleep apnea, Oral appliance, Quality of life, Scoping review

Citation Information : Kalonia N, Raghav P, Amit K, Sharma P. Effect of Mandibular Advancement through Oral Appliance Therapy on Quality of Life in Obstructive Sleep Apnea: A Scoping Review. Indian Sleep Med 2021; 16 (4):125-130.

DOI: 10.5005/jp-journals-10069-0088

License: CC BY-NC 4.0

Published Online: 28-01-2022

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Purpose: The scoping review was conducted for the evaluation of effect of mandibular advancement through oral appliance therapy on quality of life in obstructive sleep apnea (OSA). Methods: Strategic and thorough literature search using free text and MESH terms in three major database systems PubMed, SCOPUS, and Web of Science was undertaken till October 30, 2020, followed by PRISMA for the identification of studies for data extraction. Results and conclusions: Summarization of evidence was done for study characteristics, and diagnostic methods for the evaluation of effect of mandibular advancement through oral appliance therapy on quality of life in OSA. The literature supports that patients using mandibular advancement appliances (MADs) showed better adherence and compliance in comparison with those using continuous positive airway pressure (CPAP); along with the patients’ compliance, the daytime sleepiness, state on waking, morning headache, oxygen saturation, frequency and intensity of snoring, and quality of sleep for both patients and their bed partners showed a marked improvement with MAD.

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  1. Lim J, Lasserson TJ, Fleetham J, et al. Oral appliances for obstructive sleep apnoea. Cochrane Database Syst Rev 2006;1(2):30–45. DOI: 10.1002/14651858.CD004435.pub3.
  2. Rundo JV. Obstructive sleep apnoea basics. Cleve Clin J Med 2019;86(1):2–9. DOI: 10.3949/ccjm.86.s1.02.
  3. Gottlieb DJ, Punjabi NM. Diagnosis and management of obstructive sleep apnoea: a review. JAMA 2020;323(14):1389–1400. DOI: 10.1001/jama.2020.3514.
  4. Ramar K, Dort LC, Katz SG, et al. Clinical practice guideline for the treatment of obstructive sleep apnoea and snoring with oral appliance therapy: an update for 2015: an American Academy of Sleep Medicine and American Academy of Dental Sleep Medicine clinical practice guideline. J Clin Sleep Med 2015;11(7):773–827. DOI: 10.5664/jcsm.4858.
  5. Banhiran W, Kittiphumwong P, Assanasen P, et al. Adjustable thermoplastic mandibular advancement device for obstructive sleep apnoea: outcomes and practicability. Laryngoscope 2014;124(10):2427–2432. DOI: 10.1002/lary.24607.
  6. Agarwal P, Ariga P, Jain AR. Efficacy of custom-made mandibular advancement appliance on patients with obstructive sleep apnoea: a prospective clinical trial. Drug Invent Today 2018;10(6):1–7. DOI: 10.4103/0976-237X.161881.
  7. Attali V, Vecchierini MF, Collet JM, et al. Efficacy and tolerability of a custom-made Narval mandibular repositioning device for the treatment of obstructive sleep apnoea: ORCADES study 2-year follow-up data. J Dent Sleep Med 2019;63(8):64–74. DOI: 10.1016/j.sleep.2015.05.020.
  8. Vecchierini MF, Attali V, Collet JM, et al. A custom-made mandibular repositioning device for obstructive sleep apnoea–hypopnoea syndrome: the ORCADES study. J Dent Sleep Med 2016;19(4):131–140. DOI: 10.1016/j.sleep.2015.05.020.
  9. Gagnadoux F, Nguyen XL, Le Vaillant M, et al. Comparison of titrable thermoplastic versus custom-made mandibular advancement device for the treatment of obstructive sleep apnoea. Respir Med 2017;131(11):35–42. DOI: 10.1016/j.rmed.2017.08.004.
  10. Alessandri-Bonetti A, Bortolotti F, Moreno-Hay I, et al. Effects of mandibular advancement device for obstructive sleep apnea on temporomandibular disorders: A systematic review and meta-analysis. Sleep Med Rev 2019;48:101211. DOI: 10.1016/j.smrv.2019.101211.
  11. Baslas V, Chand P, Jurel SK, et al. A pilot study to determine the effect of three months of oral appliance therapy using a mandibular advancement device on HbA1c in subjects with Type II diabetes mellitus and obstructive sleep apnoea. J Prosthodont 2019;28(3): 271–275. DOI: 10.1111/jopr.12973.
  12. Schwartz M, Acosta L, Hung YL, et al. Effects of CPAP and mandibular advancement device treatment in obstructive sleep apnoea patients: a systematic review and meta-analysis. Sleep Breath 2018;22(3): 555–568. DOI: 10.1007/s11325-017-1590-6.
  13. Bratton DJ, Gaisl T, Schlatzer C, et al. Comparison of the effects of continuous positive airway pressure and mandibular advancement devices on sleepiness in patients with obstructive sleep apnoea: a network meta-analysis. Lancet Respir Med 2015;3(11):869–878. DOI: 10.1016/S2213-2600(15)00416-6.
  14. Zhang TJ, Liu XY, Qiao X, et al. Effect of oral appliance on reproductive system of the male New-Zealand rabbit with obstructive sleep apnoea-hypopnoea syndrome. Cranio 2018;98(38):3090–3095. DOI: 10.3760/cma.j.issn.0376-491.2018.38.010.
  15. De Vries GE, Hoekema A, Vermeulen KM, et al. Clinical-and cost-effectiveness of a mandibular advancement device versus continuous positive airway pressure in moderate obstructive sleep apnoea. J Clin Sleep Med 2019;15(10):1477–1485. DOI: 10.5664/jcsm.7980.
  16. Shin HW, Park JH, Park JW, et al. Effects of surgical vs nonsurgical therapy on erectile dysfunction and quality of life in obstructive sleep apnoea syndrome: a pilot study. J Sex Med 2013;10(8):2053–2059. DOI: 10.1111/jsm.12128.
  17. Uniken Venema JA, Doff MH, Joffe-Sokolova D, et al. Long-term obstructive sleep apnea therapy: a 10-year follow-up of mandibular advancement device and continuous positive airway pressure. J Clin Sleep Med 2020;16(3):353–359. DOI: 10.5664/jcsm.8204.
  18. Fernández-Julián E, Pérez-Carbonell T, Marco R, et al. Impact of an oral appliance on obstructive sleep apnoea severity, quality of life, and biomarkers. Laryngoscope 2018;128(7):1720–1726. DOI: 10.1002/lary.26913.
  19. Haviv Y, Bachar G, Aframian DJ, et al. A 2-year mean follow-up of oral appliance therapy for severe obstructive sleep apnoea: a cohort study. Oral Dis 2015;21(3):386–392. DOI: 10.1111/odi.12291.
  20. Nerfeldt P, Friberg D. Effectiveness of oral appliances in obstructive sleep apnoea with respiratory arousals. J Clin Sleep Med 2016;12(8):1159–1165. DOI: 10.5664/jcsm.6058.
  21. Schutz TC, Cunha TC, Moura-Guimaraes T, et al. Comparison of the effects of continuous positive airway pressure, oral appliance and exercise training in obstructive sleep apnoea syndrome. Clinics 2013;68(8):1168–1174. DOI:10.6061/clinics/2013(08)17.
  22. Soh L, Han HJ, Yue Y, et al. Evaluation of prefabricated adjustable thermoplastic mandibular advancement devices (Pat-Mads) for obstructive sleep apnoea: an Asian experience. J Dent Sleep Med 2020;75(3):96–102. DOI: 10.1016/j.sleep.2020.02.025.
  23. Zhou J, Liu YH. A randomised titrated crossover study comparing two oral appliances in the treatment for mild to moderate obstructive sleep apnoea/hypopnoea syndrome. J Oral Rehabil 2012;39(12): 914–922. DOI: 10.1111/joor.12006.
  24. Sharples L, Glover M, Clutterbuck-James A, et al. Clinical effectiveness and cost-effectiveness results from the randomised controlled Trial of Oral Mandibular Advancement Devices for Obstructive sleep apnoea-hypopnoea (TOMADO) and long-term economic analysis of oral devices and continuous positive airway pressure. Health Technol Assess 2014;18(67):1–25. DOI: 10.3310/hta18670.
  25. Dal-Fabbro C, Garbuio S, D'Almeida V, et al. Mandibular advancement device and CPAP upon cardiovascular parameters in OSA. Sleep Breath 2014;18(4):749–759. DOI: 10.1007/s11325-014-0937-5.
  26. Quinnell TG, Bennett M, Jordan J, et al. A crossover randomised controlled trial of oral mandibular advancement devices for obstructive sleep apnoea-hypopnoea (TOMADO). Thorax 2014;69(10):938–945. DOI: 10.1136/thoraxjnl-2014-205464.
  27. Doff MH. A mandibular advancement device did not affect daytime sleepiness and quality of life in obstructive sleep apnoea. BMJ Evid Based Med 2015;20(6):215–216. DOI: 10.1136/ebmed-2015- 110248.
  28. Benoist L, de Ruiter M, de Lange J, et al. A randomized, controlled trial of positional therapy versus oral appliance therapy for position-dependent sleep apnoea. Sleep Med 2017;34(10):109–117. DOI: 10.1016/j.sleep.2017.01.024.
  29. Banhiran W, Assanasen P, Nopmaneejumrudlers C, et al. Adjustable thermoplastic oral appliance versus positive airway pressure for obstructive sleep apnoea. Laryngoscope 2018;128(2):516–522. DOI: 10.1002/lary.26753.
  30. El-Solh AA, Homish GG, Ditursi G, et al. A randomized crossover trial evaluating continuous positive airway pressure versus mandibular advancement device on health outcomes in veterans with posttraumatic stress disorder. J Clin Sleep Med 2017;13(11):1327–1335. DOI: 10.5664/jcsm.6808.
  31. Mok Y, Tan A, Hsu PP, et al. Comparing treatment effects of a convenient vibratory positional device to CPAP in positional OSA: a crossover randomised controlled trial. Thorax 2020;75(4):331–337. DOI: 10.1136/thoraxjnl-2019-213547.
  32. Pépin JL, Raymond N, Lacaze O, et al. Heat-moulded versus custom-made mandibular advancement devices for obstructive sleep apnoea: a randomised non-inferiority trial. Thorax 2019;74(7): 667–674. DOI: 10.1136/thoraxjnl-2018-212726.
  33. Basyuni S, Barabas M, Quinnell T. An update on mandibular advancement devices for the treatment of obstructive sleep apnoea hypopnoea syndrome. J Thorac Dis 2018;10(1):48–56. DOI: 10.21037/jtd.2017.12.18.
  34. Cammaroto G, Galletti C, Galletti F, et al. Mandibular advancement devices vs nasal-continuous positive airway pressure in the treatment of obstructive sleep apnoea: Systematic review and meta-analysis. Med Oral Patol Oral Cir Bucal 2017;22(4):417–424. DOI: 10.4317/medoral.21671.
  35. Iftikhar IH, Bittencourt L, Youngstedt SD, et al. Comparative efficacy of CPAP, MADs, exercise-training, and dietary weight loss for sleep apnoea: a network meta-analysis. Sleep Med 2017;30(3):7–14. DOI: 10.1016/j.sleep.2016.06.001.
  36. Bishop B, Verrett R, Girvan T. A randomized crossover study comparing two mandibular repositioning appliances for treatment of obstructive sleep apnoea. Sleep Breath 2014;18(1):125–131. DOI: 10.1007/s11325-013-0859-7.
  37. Phillips CL, Grunstein RR, Darendeliler MA, et al. Health outcomes of continuous positive airway pressure versus oral appliance treatment for obstructive sleep apnoea: a randomized controlled trial. Am J Respir Crit Care Med 2013;187(8):879–887. DOI: 10.1164/rccm.201212-2223OC.
  38. Arya D, Singh SV, Tripathi A, et al. A pilot study to compare patient perception of obstructive sleep apnoea treatment with CPAP or appliance therapy. J Prosthet Dent 2014;112(5):1188–1193. DOI: 10.1016/j.prosdent.2014.05.007.
  39. Eriksson EW, Leissner L, Isacsson G, et al. A prospective 10-year follow-up polygraphic study of patients treated with a mandibular protruding device. Sleep Breath 2015;19(1):393–401. DOI: 10.1007/s11325-014-1034-5.
  40. Remmers JE, Topor Z, Grosse J, et al. A feedback-controlled mandibular positioner identifies individuals with sleep apnoea who will respond to oral appliance therapy. J Clin Sleep Med 2017;13(7):871–880. DOI: 10.5664/jcsm.6656.
  41. Kuhn E, Schwarz EI, Bratton DJ, et al. Effects of CPAP and mandibular advancement devices on health-related quality of life in OSA: a systematic review and meta-analysis. Chest 2017;151(4):786–794. DOI: 10.1016/j.chest.2017.01.020.
  42. Zhou J, Li DH, Zhu PF, et al. Effect of mandibular advancement device on the stomatognathic system in patients with mild-to-moderate obstructive sleep apnoea-hypopnoea syndrome. J Oral Rehabil 2020;47(7):889–890. DOI: 10.1111/joor.12982.
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