Indian Journal of Sleep Medicine

Register      Login

VOLUME 6 , ISSUE 3 ( July-September, 2011 ) > List of Articles

REVIEW ARTICLE

Dental Sleep Medicine: Treatment of snoring and obstructive sleep apnea with oral appliances

Krishnan A. Subramanian

Keywords : Standards of practice, snoring, obstructive sleep apnea syndrome, oral appliances, dental devices

Citation Information : Subramanian KA. Dental Sleep Medicine: Treatment of snoring and obstructive sleep apnea with oral appliances. Indian Sleep Med 2011; 6 (3):79-82.

DOI: 10.5005/ijsm-6-3-79

License: CC BY-SA 4.0

Published Online: 01-07-2011

Copyright Statement:  Copyright © 2011; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Oral appliances (OAs) are indicated for use in patients with mild to moderate OSA who prefer them to continuous positive airway pressure (CPAP) therapy, or who do not respond to, are not appropriate candidates for, or who fail treatment attempts with CPAP. For patients with severe OSA, CPAP is indicated whenever possible before considering OAs. Oral appliances should be fitted by qualified dental personnel who are trained and experienced in dental sleep medicine. Follow-up polysomnography or home sleep study is needed to verify efficacy. Patients with OSA who are treated with oral appliances should return for follow-up office visits with the dental specialist at regular intervals to monitor patient adherence, evaluate device deterioration or maladjustment, and to evaluate the health of the oral structures and integrity of the occlusion. Regular follow up is also needed to assess the patient for signs and symptoms of worsening OSA. Research to define patient characteristics more clearly for OA acceptance, success, and adherence is needed.


PDF Share
  1. Shamsuzzaman AS, Gersh BJ, Somers VK. Obstructive sleep apnea: implications for cardiac and vascular disease.[see comment]. JAMA. 2003;290(14):1906-14.
  2. Hu FB, Willett WC, Manson JE, et al. Snoring and risk of cardiovascular disease in women. Journal of the American College of Cardiology. 2000;35(2):308-13.
  3. Beninati W, Harris CD, Herold DL, Shepard JW, Jr. The effect of snoring and obstructive sleep apnea on the sleep quality of bed partners.[see comment]. Mayo Clinic Proceedings. 1999;74(10):955-8.
  4. Cartwright R, Ferguson K, Rogers R, Schmidt-Nowara W. Oral appliances for snoring and obstructive sleep apnea: a review. Sleep. 2005.
  5. Sackett DL. Rules of evidence and clinical recommendations for the management of patients.[see comment]. Canadian Journal of Cardiology. 1993;9(6):487-9.
  6. Eddy DM, ed. A manual for assessing health practices and designing practice policies: the explicit approach. Philadelphia, PA: American College of Physicians; 1992.
  7. Kushida CA, Littner MR, Morgenthaler TI, et al. Practice parameters for the indications of polysomnography and related procedures: An update for 2004. Sleep. In press.
  8. Shahar E, Whitney CW, Redline S, et al. Sleep-disordered breathing and cardiovascular disease: cross-sectional results of the Sleep Heart Health Study.[see comment]. American Journal of Respiratory & Critical Care Medicine. 2001;163(1):19-25.
  9. Clete A. Kushida, Dennis Bailey, Jack Coleman, Jr., Jeffrey P. Pancer et al. Practice Parameters: Sleep, Vol. 29. No.2, 2006: 240-43.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.