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Treatment of obstructive sleep apnea with mandibular advancement appliance over prostheses: A case report.

Guimarães TM, Colen S, Cunali PA, Rossi R, Dal-Fabbro C, Ferraz O, Tufik S, Bittencourt L - Sleep Sci (2015)

Bottom Line: This study aimed to present a possible to OSA treatment with MAD in over complete upper and partial lower dentures.The patient, a 38-year-old female with mild OSA, was treated with a MAD.The respiratory parameter, such as apnea-hypopnea index, arousal index and oxyhemoglobin saturation was improved after treatment.

View Article: PubMed Central - PubMed

Affiliation: Departamento de Psicobiologia, Disciplina de Medicina e Biologia do Sono, Universidade Federal de São Paulo, São Paulo, SP, Brasil.

ABSTRACT
Treatment with a mandibular advancement device (MAD) is recommended for mild obstructive sleep apnea (OSA), primary snoring and as a secondary option for Continuous Positive Airway Pressure, because it has better adherence and acceptance. However, edentulous patients do not have supports to hold the MAD. This study aimed to present a possible to OSA treatment with MAD in over complete upper and partial lower dentures. The patient, a 38-year-old female with mild OSA, was treated with a MAD. The respiratory parameter, such as apnea-hypopnea index, arousal index and oxyhemoglobin saturation was improved after treatment.

No MeSH data available.


Related in: MedlinePlus

Patient with dentures and MAD installed.
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f0010: Patient with dentures and MAD installed.

Mentions: Her prior dental history was requested, including photographs, panoramic x-rays, and lateral teleradiography. Next, molds were taken with the prosthesis in the mouth, and register the protrusion measured using a George Gauge. The maximum protrusion (from the maximum posterior contact to the maximum tolerable protrusion) was 7 mm. The appliance was set to 50% when it was installed and advanced by 1 mm per by week until the snoring complaint was over. The advanced was finish at 100% of maximum tolerable protrusion, at 7 mm. She was submitted to a polysomnography after 5 months with a maximum tolerable protrusion position. Fig. 2 shows the patient with the MAD appliance installed.


Treatment of obstructive sleep apnea with mandibular advancement appliance over prostheses: A case report.

Guimarães TM, Colen S, Cunali PA, Rossi R, Dal-Fabbro C, Ferraz O, Tufik S, Bittencourt L - Sleep Sci (2015)

Patient with dentures and MAD installed.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4608885&req=5

f0010: Patient with dentures and MAD installed.
Mentions: Her prior dental history was requested, including photographs, panoramic x-rays, and lateral teleradiography. Next, molds were taken with the prosthesis in the mouth, and register the protrusion measured using a George Gauge. The maximum protrusion (from the maximum posterior contact to the maximum tolerable protrusion) was 7 mm. The appliance was set to 50% when it was installed and advanced by 1 mm per by week until the snoring complaint was over. The advanced was finish at 100% of maximum tolerable protrusion, at 7 mm. She was submitted to a polysomnography after 5 months with a maximum tolerable protrusion position. Fig. 2 shows the patient with the MAD appliance installed.

Bottom Line: This study aimed to present a possible to OSA treatment with MAD in over complete upper and partial lower dentures.The patient, a 38-year-old female with mild OSA, was treated with a MAD.The respiratory parameter, such as apnea-hypopnea index, arousal index and oxyhemoglobin saturation was improved after treatment.

View Article: PubMed Central - PubMed

Affiliation: Departamento de Psicobiologia, Disciplina de Medicina e Biologia do Sono, Universidade Federal de São Paulo, São Paulo, SP, Brasil.

ABSTRACT
Treatment with a mandibular advancement device (MAD) is recommended for mild obstructive sleep apnea (OSA), primary snoring and as a secondary option for Continuous Positive Airway Pressure, because it has better adherence and acceptance. However, edentulous patients do not have supports to hold the MAD. This study aimed to present a possible to OSA treatment with MAD in over complete upper and partial lower dentures. The patient, a 38-year-old female with mild OSA, was treated with a MAD. The respiratory parameter, such as apnea-hypopnea index, arousal index and oxyhemoglobin saturation was improved after treatment.

No MeSH data available.


Related in: MedlinePlus