The Difference Between Two Oral Appliances in Treating Obstructive Sleep Apnea: A Case Report

Received 9 December 2007; received in revised form 25 March 2008; accepted 1 April 2008.

Oral appliances are a range of devices that are designed to alter upper airway patency. The efficiency of these appliances for treatment of obstructive sleep apnea (OSA) has been rarely discussed. This case report describes two designs of mandibular repositioning appliances used to treat OSA. A 36-year-old man was diagnosed with mild OSA by his physician. A single-piece, soft oral appliance and a two-piece, acrylic appliance were used in this patient. Polysomnography was performed three times (baseline, and with the single-piece, and two-piece appliances). The apnea/hypopnea index was improved significantly with both appliances, but to a greater degree with the single-piece soft appliance. Our study concluded that oral appliances may assist in the management of OSA.

Key Words: obstructive sleep apnea , oral appliance therapy

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Article Outline

• Abstract

• References

• Copyright

References

1. 1 Young T , Peppard PE , Gottlieb DJ . Epidemiology of obstructive sleep apnea: a population health perspective . Am J Respir Crit Care Med . 2002;165:1217–1239 . CrossRef

2. 2 Hoffstein V . Review of oral appliances for treatment of sleep-disorder breathing . Sleep Breath . 2007;11:1–22 . CrossRef

3. 3 Chan ASL , Lee RWW , Cistulli PA . Dental appliance treatment for obstructive sleep apnea . Chest . 2007;132:693–699 . CrossRef

4. 4 Bates CJ , McDonald JP . Patients' and sleeping partners' experience of treatment for sleep-related breathing disorders with a mandibular repositioning splint . Br Dent J . 2006;200:95–101 . MEDLINE | CrossRef

5. 5 Gotsopoulos H , Chen C , Qian J , et al. Oral appliance therapy improves symptoms in obstructive sleep apnea: a randomized, controlled trial . Am J Respir Crit Care Med . 2002;166:743–748 . CrossRef

6. 6 Walker-Engström ML , Ringqvist I , Vestling O , et al. A prospective randomized study comparing two different degrees of mandibular advancement with a dental appliance in treatment of severe sleep apnea . Sleep Breath . 2003;3:119–130 . CrossRef

7. 7 Tegelberg Å , Walker-Engström ML , Ringqvist I , et al. Two different degrees of mandibular advancement with a dental appliance in treatment of patients with mild to moderate obstructive sleep apnea . Acta Odontol Scand . 2003;61:356–362 . MEDLINE | CrossRef

8. 8 Bloch KE , Iseli A , Zhang JN , et al. A randomized, controlled crossover trial of two oral appliances of sleep apnea treatment . Am J Respir Crit Care Med . 2000;162:246–251 .

9. 9 Engleman HM , McDonald JP , Graham D , et al. Randomized crossover trial of two treatments for sleep apnea/hypop-nea syndrome: continuous positive pressure and mandibular reposition splint . Am J Respir Crit Care Med . 2002;166:855–859 . CrossRef

10. 10 Randerath WJ , Heise M , Hinz R , et al. An individually adjustable oral appliance vs. continuous positive airway pressure in mild-to-moderate obstructive sleep apnea syndrome . Chest . 2002;122:569–575 . MEDLINE | CrossRef

11. 11 Oksenberg A , Silverberg DS . The effect of body posture on sleep-related breathing disorders: facts and therapeutic implications . Sleep Med Rev . 1998;2:139–162 . MEDLINE | CrossRef

a Department of Dentistry, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan

b Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan

c Faculty of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan

d Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan

Correspondence to: Dr Je-Kang Du, Department of Dentistry, Kaohsiung Medical University Hospital, 100 Shih-Chuan 1st Road, Kaohsiung 80708, Taiwan

PII: S0929-6646(10)60037-X

doi:10.1016/S0929-6646(10)60037-X

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