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Mandibular Advancement Appliance for Obstructive Sleep Apnea Treatment

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Respiratory Treatment and Prevention

Part of the book series: Advances in Experimental Medicine and Biology ((NR,volume 944))

Abstract

A combination of abnormal anatomy and physiology of the upper airway can produce its repetitive narrowing during sleep, resulting in obstructive sleep apnea (OSA). Treatment of sleep-breathing disorder ranges from lifestyle modifications, upper airway surgery, continuous positive airway pressure (CPAP) to the use of oral appliances. A proper treatment selection should be preceded by thorough clinical and instrumental examinations. The type and number of specific oral appliances are still growing. The mandibular advancement appliance (MAA) is the most common type of a dental device in use today. The device makes the mandible protrude forward, preventing or minimizing the upper airway collapse during sleep. A significant variability in the patients’ response to treatment has been observed, which can be explained by the severity of sleep apnea at baseline and duration of treatment. In some trials, patients with mild OSA show a similar treatment effect after the use of CPAP or MAA. It is worthwhile to give it a try with an oral appliance of MAA type in snoring, mild-to-moderate sleep apnea, and in individuals who are intolerant to CPAP treatment.

The original version of this chapter has been revised. An erratum to this chapter can be found at DOI 10.1007/978-3-319-44488-8_11

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Conflicts of Interest

The authors declare no conflicts of interest in relation to this article.

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Authors and Affiliations

  1. Department of Prosthodontics, Medical University of Warsaw, Warsaw, Poland

    J. Kostrzewa-Janicka, M. Wojda, D. Rolski & E. Mierzwińska-Nastalska

  2. IV Fourth Clinic of Lung Diseases, Institute of Tuberculosis and Lung Diseases, Warsaw, Poland

    P. Śliwiński

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  1. J. Kostrzewa-Janicka
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  2. P. Śliwiński
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  3. M. Wojda
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  4. D. Rolski
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  5. E. Mierzwińska-Nastalska
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Correspondence to J. Kostrzewa-Janicka .

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Editors and Affiliations

  1. Public Higher Medical Professional School in Opole, Institute of Nursing, Opole, Poland

    Mieczyslaw Pokorski

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Kostrzewa-Janicka, J., Śliwiński, P., Wojda, M., Rolski, D., Mierzwińska-Nastalska, E. (2016). Mandibular Advancement Appliance for Obstructive Sleep Apnea Treatment. In: Pokorski, M. (eds) Respiratory Treatment and Prevention. Advances in Experimental Medicine and Biology(), vol 944. Springer, Cham. https://doi.org/10.1007/5584_2016_61

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