Sleep and Breathing

, Volume 14, Issue 2, pp 171–174 | Cite as

Orthoimplants: an alternative treatment for SAHS?

  • Felix de CarlosEmail author
  • Juan Cobo
  • Maria Pilar Fernandez Mondragon
  • Alberto Alvarez Suarez
  • Juan Calvo Blanco
Case Report



Numerous sleep studies have been published recently regarding the use of intraoral devices (ODs) for the treatment of sleep apnea–hypopnea syndrome (SAHS). The effectiveness of these devices varies, however, according to the series studied (patient characteristics, parameters assessed, type of device, etc.). Two factors should always be assessed: the presence of an appropriate dental support and a possible temporomandibular joint pathology which can, on occasions, contraindicate the use of these devices.


To use orthoimplants as orthodontic anchorages for intermaxillary elastic bands which allow a mandibular advancement to be performed as an alternative treatment to ODs in SAHS patients without appropriate dental support.

Materials and methods

Four orthoimplants were placed in an edentulous SAHS patient who did not tolerate continuous positive airway pressure (CPAP). The mandible is pushed forward using orthodontic elastic bands anchored to the orthoimplants.

Results and conclusions

Although more studies are still required, orthoimplants could be an alternative treatment for reducing snoring and the apnea–hypopnea index and increasing SaO2, which should be considered for patients who do not tolerate CPAP and lack appropriate dental support for attaching intraoral devices.


Sleep apnea Oral appliances Orthodontic mini screws Orthoimplants 


The authors declare that they have no conflict of interest. The authors warrants that the article is original, does not infringe upon any copyright or other proprietary right of any third party, is not under consideration by another journal, has not been previously published, and includes any product that may derive from the published journal, whether print or electronic media.


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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Felix de Carlos
    • 1
    Email author
  • Juan Cobo
    • 1
  • Maria Pilar Fernandez Mondragon
    • 2
  • Alberto Alvarez Suarez
    • 3
  • Juan Calvo Blanco
    • 4
  1. 1.Department of Surgery and Medical-Surgical Specialities, Area of Orthodontics, Faculty of MedicineUniversidad de Oviedo, Clinica Universitaria de OdontologiaOviedoSpain
  2. 2.Patologia y terapeutica dentalEHU-UPVLeioa, VizcayaSpain
  3. 3.Escuela Politécnica Superior de IngenieríaUniversity of OviedoAsturiasSpain
  4. 4.Hospital Universitario central de AsturiasOviedoSpain

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