Skip to main content

Advertisement

Log in

Efficacy and comorbidity of oral appliances in the treatment of obstructive sleep apnea–hypopnea: a systematic review and preliminary results of a randomized trial

  • Short Communication
  • Published:
Sleep and Breathing Aims and scope Submit manuscript

Abstract

The obstructive sleep apnea–hypopnea syndrome (OSAHS) is a common sleep-related breathing disorder characterized by repetitive obstructions of the upper airway during sleep. The modification of pharyngeal patency by oral appliance therapy has been suggested as an alternative to various treatment modalities for OSAHS. To determine the evidence base with respect to the efficacy and comorbidity of the oral appliance therapy in OSAHS, a systematic review of the available literature was conducted. In addition, the preliminary results of a randomized parallel trial are reported on the effectiveness and specific indication of, respectively, the oral appliance and continuous positive airways pressure therapy in OSAHS.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Sindhu F, Carpenter L, Seers K (1997) Development of a tool to rate the quality assessment of randomized controlled trials using a Delphi technique. J Adv Nurs 25:1262–1268

    Article  PubMed  CAS  Google Scholar 

  2. White J, Cates C, Wright J (2001) Continuous positive airways pressure for obstructive sleep apnoea. The Cochrane Database of Systematic Reviews (4): Art. No.: CD001106. DOI: 10.1002/14651858.CD001106

  3. Cistulli PA, Gotsopoulos H, Marklund M, Lowe AA (2004) Treatment of snoring and obstructive sleep apnea with mandibular repositioning appliances. Sleep Med Rev 8:443–457

    PubMed  Google Scholar 

  4. Hoekema A, Stegenga B, De Bont LG (2004) Efficacy and co-morbidity of oral appliances in the treatment of obstructive sleep apnea–hypopnea: a systematic review. Crit Rev Oral Biol Med 15:137–155

    Article  PubMed  CAS  Google Scholar 

  5. Lim J, Lasserson TJ, Fleetham J, Wright J (2004) Oral appliances for obstructive sleep apnoea. The Cochrane Database of Systematic Reviews (4): Art. No.: CD004435. DOI: 10.1002/ 14651858. CD004435. pub2

  6. Tegelberg A, Walker-Engstrom ML, Vestling O, Wilhelmsson B (2003) Two different degrees of mandibular advancement with a dental appliance in treatment of patients with mild to moderate obstructive sleep apnea. Acta Odontol Scand 6:356–362

    Article  Google Scholar 

  7. Barnes M, McEvoy RD, Banks S, Tarquinio N, Murray CG, Vowles N, Pierce RJ (2004) Efficacy of positive airway pressure and oral appliance in mild to moderate obstructive sleep apnea. Am J Respir Crit Care Med 170:656–664

    Article  PubMed  Google Scholar 

  8. Blanco J, Zamarron C, Abeleira Pazos MT, Lamela C, Suarez Quintanilla D (2005) Prospective evaluation of an oral appliance in the treatment of obstructive sleep apnea syndrome. Sleep Breath 9:20–25

    Article  PubMed  CAS  Google Scholar 

  9. Lawton HM, Battagel JM, Kotecha B (2005) A comparison of the Twin Block and Herbst mandibular advancement splints in the treatment of patients with obstructive sleep apnoea: a prospective study. Eur J Orthod 27:82–90

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Aarnoud Hoekema.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hoekema, A. Efficacy and comorbidity of oral appliances in the treatment of obstructive sleep apnea–hypopnea: a systematic review and preliminary results of a randomized trial. Sleep Breath 10, 102–103 (2006). https://doi.org/10.1007/s11325-005-0048-4

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11325-005-0048-4

Keywords

Navigation