Mandibular Advancement Splints

Ahmad A Bamagoos; Kate Sutherland; Peter A Cistulli

doi:10.1016/j.jsmc.2016.04.002

Mandibular Advancement Splints

Sleep Med Clin. 2016 Sep;11(3):343-52. doi: 10.1016/j.jsmc.2016.04.002. Epub 2016 Jun 17.

Authors

Ahmad A Bamagoos¹, Kate Sutherland², Peter A Cistulli³

Affiliations

¹ Department of Respiratory and Sleep Medicine, Royal North Shore Hospital, Reserve Road, St Leonards, New South Wales 2065, Australia; Sleep Group, Charles Perkins Centre, Northern Clinical School, University of Sydney, Johns Hopkins Drive, Camperdown, New South Wales 2050, Australia; Department of Physiology, Faculty of Medicine in Rabigh, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
² Department of Respiratory and Sleep Medicine, Royal North Shore Hospital, Reserve Road, St Leonards, New South Wales 2065, Australia; Sleep Group, Charles Perkins Centre, Sydney Medical School, University of Sydney, Johns Hopkins Drive, Camperdown, New South Wales 2050, Australia.
³ Department of Respiratory and Sleep Medicine, Royal North Shore Hospital, Reserve Road, St Leonards, New South Wales 2065, Australia; Sleep Group, Charles Perkins Centre, Sydney Medical School, University of Sydney, Johns Hopkins Drive, Camperdown, New South Wales 2050, Australia. Electronic address: peter.cistulli@sydney.edu.au.

PMID: 27542880
DOI: 10.1016/j.jsmc.2016.04.002

Abstract

Although mandibular advancement splints (MAS) are not as efficacious as continuous positive airway pressure (CPAP) in reducing obstructive respiratory events, patient adherence and preference are greater than CPAP. Additionally, the effectiveness of both treatments on general health outcomes, cognitive function, and quality of life appears to be equivalent. The main barrier for the implementation of MAS treatment in clinical practice is the interindividual variability in response to MAS treatment. Several prediction tools have been proposed to enhance patient selection for MAS treatment. Phenotyping obstructive sleep apnea patients may reveal patient characteristics that enable the prediction of response to MAS treatment.

Keywords: Mandibular advancement splint; Obstructive sleep apnea treatment; Oral appliance.

Publication types

Review

MeSH terms

Humans
Mandibular Advancement / methods*
Sleep Apnea, Obstructive / therapy*
Splints*