Citation Information :
Sethi I, Kaurani P, Padiyar NU, Singh DP, Choudhary AR, Jogi A, Chalana A. Treatment of Sleep Apnea with Mandibular Advancement Device: Case Report. J Mahatma Gandhi Univ Med Sci Tech 2022; 7 (2):59-61.
Background: Mandibular advancement device (MAD) has been described as an alternative treatment to severe obstructive sleep apnea (OSA), but it is not as effective as continuous positive airway pressure (CPAP) therapy in reducing the apnea-hypopnea index (AHI).
Case description: We report a case of a 55-year-old male who presented with moderate sleep apnea. Polysomnography report shows an AHI score of 50 which is diagnosed as severe sleep apnea. MAD was planned for the treatment of sleep apnea.
Conclusion: Mandibular advancement device (MAD) resulted in an increase in the upper airway space. This ultimately helped in the therapeutic treatment of snoring and improved quality of life.
Liu X, Uchiyama M, Okawa M, et al. Prevalence and correlates of self-reported sleep problems among Chinese adolescents. Sleep 2000;23(1):27–34.
Guimarães MLR, Hermont AP, Guimarães TM, et al. Severe obstructive sleep apnea treatment with mandibular advancement device: a case report. Sleep Sci 2018;11(2):118–122. DOI: 10.5935/1984-0063.20180022
Upadhyay R, Dubey A, Kant S, et al. Management of severe obstructive sleep apnea using mandibular advancement devices with auto continuous positive airway pressures. Lung India 2015;32(2):158–161. DOI: 10.4103/0970-2113.152632
Marklund M, Sahlin C, Stenlund H, et al. Mandibular advancement device in patients with obstructive sleep apnea: long-term effects on apnea and sleep. Chest 2001;120(1):162–169. DOI: 10.1378/chest.120.1.162
de Britto Teixeira AO, Abi-Ramia LB, de Oliveira Almeida MA. Treatment of obstructive sleep apnea with oral appliances. Prog Orthod 2013;14(1):10. DOI: 10.1186/2196-1042-14-10
Chen H, Lowe AA. Updates in oral appliance therapy for snoring and obstructive sleep apnea. Sleep Breath 2013;17(2):473–486. DOI: 10.1007/s11325-012-0712-4
Doff MH, Finnema KJ, Hoekema A, et al. Long-term oral appliance therapy in obstructive sleep apnea syndrome: a controlled study on dental side effects. Clin Oral Investig 2013;17(2):475–482. DOI: 10.1007/s00784-012-0737-x
Viswanath A, Ramamurthy J, Dinesh SP, et al. Obstructive sleep apnea: awakening the hidden truth. Niger J Clin Pract 2015;18(1):1–7. DOI: 10.4103/1119-3077.146964
Redline S, Yenokyan G, Gottlieb DJ, et al. Obstructive sleep apnea-hypopnea and incident stroke: the sleep heart health study. Am J Respir Crit Care Med 2010;182(2):269–277. DOI: 10.1164/rccm.200911-1746OC