Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

An Innovative Design for Mandibular Repositioning Appliance in Treating Obstructive Sleep Apnea and Snoring


Affiliations
1 Department of Prosthodontics, U.P. Dental College and Research Centre, Lucknow, India
     

   Subscribe/Renew Journal


Snoring and Sleep related problems disturb the personal&family life of an individual. Further, it adversely affects the quality of life and efficiency of the person. Obstructive sleep apnea syndrome&associated snoring since long had been taken care of by various removable appliances made for mandibular repositioning and maintaining the patency of airway.

This article describes one such appliance (NKOSA appliance) which gradually shifts the mandible in anteroinferior direction, and was well accepted by the patients and proved to be effective.


Keywords

Mandibular Repositioning Appliance, Monoblock Appliance, nCPAP, NK OSA Appliance, Obstructive Sleep Apnea, OSAS, Snoring
Subscription Login to verify subscription
User
Notifications
Font Size


  • Joseph R. Deatherage, R. David Roden, and Kenneth Zouhary: Normal Sleep Architecture.. Seminar in Orthodontics;vol 15,no. 2, 2009.
  • Vanderveken OM, Devolder A, Marklund M, et al: Comparison of a custom-made and a thermoplastic oral appliance for the treatment of mild sleep apnea. Am J Respir Crit Care Med 178:197-202, 2008
  • Lim J, Lasserson TJ, Fleetham J, et al: Oral appliances for obstructive sleep apnoea. Cochrane Database Syst Rev 1:CD004435, 2006
  • Ferguson KA, Cartwright R, Rogers R, et al: Oral appliances for snoring and obstructive sleep apnea: A review. Sleep 29:244- 262, 2006
  • Liu Y, Zeng X, Fu M, Huang X, et al: Effects of a mandibular repositioner on obstructive sleep apnoea. Am J Orthod Dentofac Orthop 118:248-256, 2000
  • Lowe AA, Fleetham JA, Ryan F, et al: Effects of a mandibular repositioning appliance used in the treatment of obstructive sleep apnea on tongue muscle activity. Prog Clin Biol Res 345:395-405, 1990
  • Barnes M, McEvoy RD, Banks S, et al: Efficacy of positive airway pressure and oral appliances in mild to moderate obstructive sleep apnea. Am J Respir Crit Care Med 170:656-664, 2004
  • Gotsopoulos H, Chen C, Qian A, et al: Oral appliance therapy improves symptoms in obstructive sleep apnea: A randomized, controlled trial. Am J Respir Crit Care Med 166:743-748, 2002
  • Schmidt-Nowara W, Lowe A, Wiegand L, et al: Oral appliances for the treatment of snoring and obstructive sleep apnea: A review. Sleep 18:501-510, 1995
  • Randerath WJ, Heise M, Hinz R, et al: An individually adjustable oral appliance vs continuous positive airway pressure in mild to moderate obstructive sleep apnoea syndrome. Chest 122:569-575, 2002
  • Ichioka M, Tojo N, Yoshizawa M, et al. A dental device for the treatment of obstructive sleep apnea: A preliminary study. Otolaryngol Head Neck Surg 1991;104:555-558.
  • Rider E. Removable Herbst appliance for treatment of obstructive sleep apnea. J Clin Orthod 1988;22:256-257.
  • Clark GT, Arand D, Chung E, et al. Effect of anterior mandibular positioning on obstructive sleep apnea. Am J Respir Crit Care Med 1993;147:624-629.
  • Eveloff SE, Rosenberg CL, Carlisle CC, et al. Efficacy of a Herbst mandibular advancement device in obstructive sleep apnea. Am J Respir Crit Care Med 1994;149:905-909.
  • Schmidt-Nowara W, Lowe A, Wiegand L, et al. Oral appliances for the treatment of snoring and obstructive sleep apnea: A review. Sleep 1995;18:501-510.
  • Standards of Practice Committee of the American Sleep Disorders Association. Practice parameters for the treatment of snoring and obstructive sleep apnea with oral appliances. Sleep 1995;18:511-513.

Abstract Views: 269

PDF Views: 0




  • An Innovative Design for Mandibular Repositioning Appliance in Treating Obstructive Sleep Apnea and Snoring

Abstract Views: 269  |  PDF Views: 0

Authors

Narendra Kumar Gupta
Department of Prosthodontics, U.P. Dental College and Research Centre, Lucknow, India
Ravi Dwivedi
Department of Prosthodontics, U.P. Dental College and Research Centre, Lucknow, India
Amrit Tandan
Department of Prosthodontics, U.P. Dental College and Research Centre, Lucknow, India
Naorem Satish Singh
Department of Prosthodontics, U.P. Dental College and Research Centre, Lucknow, India

Abstract


Snoring and Sleep related problems disturb the personal&family life of an individual. Further, it adversely affects the quality of life and efficiency of the person. Obstructive sleep apnea syndrome&associated snoring since long had been taken care of by various removable appliances made for mandibular repositioning and maintaining the patency of airway.

This article describes one such appliance (NKOSA appliance) which gradually shifts the mandible in anteroinferior direction, and was well accepted by the patients and proved to be effective.


Keywords


Mandibular Repositioning Appliance, Monoblock Appliance, nCPAP, NK OSA Appliance, Obstructive Sleep Apnea, OSAS, Snoring

References