Department Of Orthodontics, Saraswati Dental College, Lucknow, Uttar Pradesh, India
*Correspondence: Dr Stephen Koshi, Senior Lecturer, Orthodontics, Saraswati Dental College, Lucknow, U.P., India
Online published on 12 June, 2012.
Obstructive sleep apnea(OSA) affects a significant proportion of the general population and particularly the middle aged. The consequences can be severe and even life threatening for both the individual directly affected and those more remotely involved. Adverse sequelae can manifest themselves acutely or in the longer term as a result of obstructive breathing induced hypersomnolence, neurocognitive deficits and cardiovascular abnormalities. The combination of anatomical and neuromuscular risk factors in the pathogenesis of OSA has resulted in a varied approach to its management. One such treatment option is mandibular advancement devices(MADs), which mechanically stabilize the airway. This article aims to consider Obstructive Sleep Apnea(OSA) in brief and the role of Mandibular Advancement Devices (MADs) in detail; their rationale, use, types and precautions to be kept in mind considering their short and long effects on their users. There is no “one for all” mandibular advancement device. Individual considerations of the affected patient must be kept in mind when choosing a mandibular advancement device.
Obstructive Sleep Apnea(OSA), Mandibular Advancement Devices(MADs), Continuous Positive Airway Pressure (CPAP), Apnea Hypopnea Index(AHI), Uvulopalatopharyngoplasty(UPPP)
