J Korean Assoc Maxillofac Plast Reconstr Surg.  2012 Nov;34(6):426-431.

Assessment of Treatment Outcome after Using Temporary Mandibular Advancement Devices in Obstructive Sleep Apnea Patients

• Park JH
• Oh S
• Hong J
• Kim CS
• Paeng JY

Abstract

PURPOSE
The aim of this study was to evaluate the effect of temporary mandibular advancement devices (MAD) in obstructive sleep apnea (OSA) patients
METHODS
28 patients (male 21, female 7) undergoing temporary mandibular advancement device treatment for OSA were selected from 2011.01. to 2012.02. in the department of Oral & Maxillofacial Surgery at SamsungMedicalCenter. Treatment efficacy was determined by polysomnography (PSG) at baseline & after MAD delivery. The response group was defined as >50% Apnea-Hypopnea Index (AHI) reduction plus post-MAD AHI <10, and the non-response group was defined as <50% AHI reduction. The lateral cephalogram was analysed including SNA, SNB, UL, MPH, PAS, PASU, and PAST using V-ceph(TM) (Cybermed, USA).
RESULTS
The responsers were 23 patients, and non-responsers were 5 patients. The AHI was significantly reduced with temporary MAD (8.08+/-7.93) compared with baseline (28.51+/-20.56) in the response group (n=23). No significant difference was observed between pre MAD and post MAD except SNB on cephalometric analysis. Among 11 patients successfully treated with the temporary device, 9 patients said that using permanent device brings better effect too.
CONCLUSION
These results indicate that the Temporary MAD could not be the only effective tools on OSA but also be used to predict patient's reactivity about permanent appliance treatment. Further studies are warranted to evaluate the relations between temporary MAD and permanent MAD.

Keyword

Mandibular advancement device; Obstructive sleep apnea; Oral appliance

MeSH Terms

Adenine Nucleotides
Female
Humans
Mandibular Advancement
Mycophenolic Acid
Phenazines
Polysomnography
Sleep Apnea, Obstructive
Surgery, Oral
Treatment Outcome
Adenine Nucleotides
Mycophenolic Acid
Phenazines