![]() The fit, dimensions and type of material used in construction are becoming the main factors. The key to success is not the specific design of the appliance but the level of comfort, the ease of titration, and the minimisation of side effects.Ĭompliance is the key, and when it comes to the level of comfort with minimal side effects, not all appliances are the same. There is no “Gold Standard” appliance- despite the claims made by companies. There have been 10 studies comparing different combinations of custom made appliances and the results always demonstrate that each of the appliances are equivalent with regard to effectiveness. ![]() Sometimes referred to as a snoring or sleep apnoea mouth guard, this article will discuss the basis for choosing an oral appliance and then review some of the commonly used appliances in Australia.Ĭustom made, titratable (adjustable) oral appliances are now recognised by researchers and experts in the field as the best available treatment for snoring, and along with the CPAP machine, one of the two main proven treatments for sleep apnoea. 2010 109(5):724–731.I’m often asked “What is the best oral appliance to treat snoring and obstructive sleep apnoea?” Treatment outcomes of mandibular advancement devices in positional and nonpositional OSA patients Oral Surg Oral Med Oral Pathol Oral Radiol. 2005 1(2):143–152.Ĭhung JW, Enciso R, Levendowski DJ, Morgan TD, Westbrook PR, Clark GT. Long-term compliance and side effects of oral appliances used for the treatment of snoring and obstructive sleep apnea syndrome. 2009 32(5):648–653.ĭe Almeida FR, Lowe AA, Tsuiki S, Otsuka R, Wong M, Fastlicht S, et al. Comparison of mandibular advancement splint and tongue stabilizing device in obstructive sleep apnea: a randomized controlled trial. Comparison between mono-bloc and bi-bloc mandibular advancement devices for obstructive sleep apnea. Lee WH, Wee JH, Lee CH, Kim MS, Rhee CS, Yun PY, et al. Elastic Mandibular Advancement Device (67) 549.00 Clear Retainer Partial Denture (13) 199.00 Flexible Partial Denture (41) 299.00 Acrylic Partial Denture (15) 249.00 Premium Clear Retainers (391) 99. Three-dimensional assessment of anatomical balance and oral appliance treatment outcome in obstructive sleep apnoea. Lip closure force Lip muscle training Two-piece oral appliances. Future clinical trials should include a three-arm study involving the OMFT (with measurement of lip-closure force, reflecting the degree of mouth opening), the two-piece OA with an ERB, and combined treatment. The application of OMFT together with an OA and ERB was a good option for this patient. In particular, the ERB restricted mouth opening. However, her sleep apnea improved with concurrent treatment with lip-muscle training (orofacial myofunctional therapy, OMFT) and a two-piece oral appliance (OA) supplemented with an elastic retention band (ERB). ![]() ![]() ![]() Here, we discuss the case of a 37-year-old woman with mandibular regression and severe OSA, for whom a standard twopiece MAD was not adequetely effective. However, they are not without limitations, especially in patients with nasal obstruction/malocclusion. Two-piece mandibular advancement devices (MAD) are considered more comfortable than monoblock devices, and they are commonly used for the treatment of obstructive sleep apnea (OSA). ![]()
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