Hui Chen1, Alan A Lowe. 1. Division of Orthodontics, Department of Oral Health Sciences, Faculty of Dentistry, The University of British Columbia, 2199 Wesbrook Mall, Vancouver, BC, Canada, V6T 1Z3. huichen@dentistry.ubc.ca
Abstract
BACKGROUND: Obstructive sleep apnea (OSA) is increasingly being recognized by the public due to its life-threatening and low curability rate nature. Oral appliances (OAs) were introduced as a treatment option for both non-apneic snoring and OSA to maintain the patency of the upper airway during sleep by repositioning the mandible, tongue, and soft palate. RESULTS: Over the past decade, OAs are enthusiastically studied and concluded as a simple, silent, bed partner-friendly, less invasive, tolerable, and efficacious choice for mild-to-moderate OSA. In the meantime, some challenges remain uncertain such as titration management, 3D image diagnostic tools reliability, and long-term adherence for adult patients. Improvement of temporomandibular joint (TMJ) monitoring and management is recommended, although there is no scientific evidence suggesting consistent undesirable long-term effects of OA on the TMJ. Now that pediatric OSA is being diagnosed more frequently, OA therapy is becoming a promising option for children as well. CONCLUSION: Consistent follow-up and management are needed to increase clinical success rates in OA therapy for OSA. Further educational preparation and support is required for dental and medical professionals to recognize OSA and ensure the best possible patient care.
BACKGROUND:Obstructive sleep apnea (OSA) is increasingly being recognized by the public due to its life-threatening and low curability rate nature. Oral appliances (OAs) were introduced as a treatment option for both non-apneic snoring and OSA to maintain the patency of the upper airway during sleep by repositioning the mandible, tongue, and soft palate. RESULTS: Over the past decade, OAs are enthusiastically studied and concluded as a simple, silent, bed partner-friendly, less invasive, tolerable, and efficacious choice for mild-to-moderate OSA. In the meantime, some challenges remain uncertain such as titration management, 3D image diagnostic tools reliability, and long-term adherence for adult patients. Improvement of temporomandibular joint (TMJ) monitoring and management is recommended, although there is no scientific evidence suggesting consistent undesirable long-term effects of OA on the TMJ. Now that pediatric OSA is being diagnosed more frequently, OA therapy is becoming a promising option for children as well. CONCLUSION: Consistent follow-up and management are needed to increase clinical success rates in OA therapy for OSA. Further educational preparation and support is required for dental and medical professionals to recognize OSA and ensure the best possible patient care.
Authors: Clete A Kushida; Michael R Littner; Timothy Morgenthaler; Cathy A Alessi; Dennis Bailey; Jack Coleman; Leah Friedman; Max Hirshkowitz; Sheldon Kapen; Milton Kramer; Teofilo Lee-Chiong; Daniel L Loube; Judith Owens; Jeffrey P Pancer; Merrill Wise Journal: Sleep Date: 2005-04 Impact factor: 5.849
Authors: Fernanda Ribeiro de Almeida; Alan A Lowe; Satoru Tsuiki; Ryo Otsuka; Mary Wong; Sandra Fastlicht; Frank Ryan Journal: J Clin Sleep Med Date: 2005-04-15 Impact factor: 4.062
Authors: Clete A Kushida; Michael R Littner; Max Hirshkowitz; Timothy I Morgenthaler; Cathy A Alessi; Dennis Bailey; Brian Boehlecke; Terry M Brown; Jack Coleman; Leah Friedman; Sheldon Kapen; Vishesh K Kapur; Milton Kramer; Teofilo Lee-Chiong; Judith Owens; Jeffrey P Pancer; Todd J Swick; Merrill S Wise Journal: Sleep Date: 2006-03 Impact factor: 5.849
Authors: Daniel J Levendowski; Todd Morgan; Jon Montague; Victoria Melzer; Chris Berka; Philip R Westbrook Journal: Sleep Breath Date: 2008-04-09 Impact factor: 2.816
Authors: D M Ten Berge; M J Braem; A Altenburg; M Dieltjens; P H Van de Heyning; K Vanhaecht; O M Vanderveken Journal: Sleep Breath Date: 2013-09-03 Impact factor: 2.816
Authors: Terri E Weaver; Michael W Calik; Sarah S Farabi; Anne M Fink; Maria T Galang-Boquiren; Mary C Kapella; Bharati Prasad; David W Carley Journal: Nat Sci Sleep Date: 2014-11-18