Obstructive Sleep Apnea (OSA) is a chronic and widespread disease that generally requires a lifelong treatment. Therefore, a continuous oral appliance (OA) along with behavioral modifi cations as an alternative symptomatic treatment is required for this chronic disease. Patients of this chronic disease should have a regular and continuous follow-up to monitor adherence to therapy, side effects, development of medical systemic complications and constant resolution of symptoms. When considered from this point of view, OA is widely used. In other words, nowadays, patients can tolerate OAs and prefer using them thanks to improvements in OAs. OAs are designed to prevent any kind of obstruction in upper airway by advancing mandibular and thus holding open respiratory tract during sleep. There are increasing evidence that an active OA helps improve daytime sleepiness and apnea/hypopnea severity (sleep disordered breathing data) when compared to an inactive OA (control group). It approaches through mechanical ventilation method (non-invasive, conservative). There are many researches that prove OA to be even more effective. It is declared many times that symptomatic response difference is in favor of OA.
[1] Bailey DR. Dental management of sleep
disorders. Dentistry Today 2002; November:
88-93.
[2] Gelb ML, Bailey DR. Managing snoring
and sleep apnea with the NORAD oral
appliance.
Dental Products Report 2002; December:
100-101.
[3] Gotsopoulos H, Chen C, Qlan J, Clstull PA.
Oral appliance therapy improves symptoms
in obstructive sleep apnea. A randomized,
controlled trial. Am J Respir Crit Care Med
2002; 166: 743-748.
[4] Ivanhoe JR, Cibirka RM, Lefebvre CA,
Parr GR. Dental considerations in upper
airway sleep disorders: a review of the
literature. J Prosthet Dent 1999; 82: 685-698.
[5] Yoshida, K. Oral device therapy for the
upper airway resistance syndrome patient. J
Prosthet Dent 2002; 87: 427-429.
[6] Meyer JB, Knudson RC. The sleep apnea
syndrome. Part I: diagnosis. J Prosthet Dent
1989; 62: 675-679.
[7] Yoshida K. Effect of a prosthetic appliance
for treatment of sleep apnea syndrome on
masticatory and tongue muscle activity. J
Prosthet Dent 1998; 79: 537-544.
[8] Nieto FJ, Young TB, Lind BK et al.
Association of sleep-disordered breathing,
sleep apnea, and hypertension in a large
community-based study. JAMA 2000; 283:
1829-1836.
[9] Eveloff SS, Rosenberg CL, Carlisle CC,
Millman RP. Efficacy of a herbst mandibular
advancement device in obstructive sleep
apnea. Am J Respir Crit Care Med 1994; 149:
905-909.
[10] Johal A, Battagel JM. Current principles
in the management of obstructive sleep apnoea
with mandibular advancement appliances. Br
Dent 2001; 190: 532-536.
[11] Lowe AA, Santamaria JD, Fleetham JA,
Price C. Facial morphology and obstructive
sleep apnoea. Am J Orthod Dentofacial
Orthop 1986; 90: 484-491.
[12] Schmidt-Nowara WW, Mead TT, Hays
MB. Treatment of snoring and obstructive
sleep apnea with a dental orthosis. Chest
1991; 99: 1378-1385.
[13] Garcia-Rio F, Racionero A, Pino J et al.
Sleep apnea and hypertension. Chest 2000;
117: 1417-1425.
[14] Lyons MF, Cameron DA, Banham SW.
Snoring, sleep apnoea and the role of dental
appliances. Dent Update 2001; 28: 254-256.
[15] Ameerican Sleep Disorders Association.
The international classifications of sleep
disorders. 1990; Rochester, MN.
[16] Clark GT, Arand D, Chung E, Tong D.
Effect of anterior mandibular positioning on
obstructive sleep apnea. Am Rev Respir Dis
1993; 147: 624-629.
[17] Grisius R, Moore DJ. Miscellaneous
prostheses, Obstructive sleep apnea. In:
Beumer J, Curtis TM, Marunick MT.
Maxillofacial rehabilitation: Prosthodontic
and surgical considerations. 2th Ed., St. Louis,
Tokyo, 1996, 515.
[18] Eskofi M, Cline C, Nilner M, Israelsson
B. Treatment of sleep apnea in congestive
heart failure with a dental device. The effect
on brain natriuretic peptide and quality of life.
Sleep Breath 2006; 10: 90-97.
[19] Naismith SL, Winter VR, Hickie IB,
Cistulli PA. Effect of oral appliance therapy
on neurobehavioral functioning in obstructive
sleep apnea: a randomized, controlled trial.
JCSM 2005; 1: 374-380.
[20] Mehta A, Qian J, Petocz P, Darendeliler
MA, Cistulli PA. A randomized, controlled
study of a mandibular advancement splint
for obstructive sleep apnea. Am J Respir Crit
Care Med 2001; 163: 1457-1461.
[21] Yamaoka M, Furusawa K, Uematsu
T, Okafiju N, Kayamoto D, Kurihara S.
Relationship of the hyoid bone and posterior
surface of the tongue in prognathism and
micrognathia. J Oral Rehabil 2003; 30: 914-
920.
[22] Ryan CF, Lowe AA, Li D, Fleetham
JA. (1991). Three-dimensional upper airway
tomography in obstructive sleep apnea.
A prospective study in patients treated by
uvulopalatopharyngoplasty. Am Rev Respir
Dis 1991; 144: 428-432.
[23] Neill A, Whyman R, Bannan S, Jeffrey O,
Campbell A. Mandibular advancement splint
improves indices of obstructive sleep apnoea
and snoring but side effects are common.
NZMJ 2002; 115: 1-8.
[24] Pae EK, Lowe AA, Fleetham JA. (1997)
A role of pharyngeal length in obstructive
sleep apnea patients. Am J Orthod Dentofac
Orthop 1997; 111: 12-17.
[25] Nayar S, Knox J. Management of
obstructive sleep apnea in an edentulous
patient with a mandibular advancement splint:
a clinical report. J Prosthet Dent 2005; 94:
108-111.
[26] Johal A, Battagel JM. An investigation
into the changes in airway dimension and
the efficacy of mandibular advancement
appliances in subjects with obstructive
sleep apnoea. Br J Orthodont 1999; 26:
205-210.
[27] Lamont J, Baldwin DR, Hay KD, Veale
GA. Effect of two types of mandibular
advancement splints on snoring and
obstructive sleep apnoea. Eur J Orthod 1998;
20: 293-297.
[28] Millman RP, Rosenberg CL, Kramer NR.
Oral appliances in the treatment of snoring
and sleep apnea. Clin Chest Med 1998; 19:
69-75.
[29] Prinsell JR. Cover story maxillomandibular
advancement surgery for obstructive sleep
apnea syndrome. J Am Dent Assoc 2002; 133:
1489-1497.
[30] L’estrange FR, Battagel JM, Harkness
B, Spratley MH, Nolan PJ, Jorgensen GI.
A method of studying adaptive changes of
the oropharynx to variation in mandibular
position in patients with obstructive sleep
apnoea. J Oral Rehabil 1996; 23: 699-711.
[31] Battagel JM, Johal A, Kotecha B.
A cephalometric comparison of subjects
with snoring and obstructive sleep apnoea,
Cephalometry in sleep disordered breathing.
Eur J Orthod 2000; 22: 353-365.
[32] Pringle MB, Croft CB. A grading
system for patients with obstructive sleep
apnoea based on sleep nasendoscopy. Clin
Otolaryngol 1993; 18: 480-484.
[33] Meyer JB, Knudson RC. (1990). The
sleep apnea syndrome. Part II: treatment. J
Prosthet Dent 1990; 63: 320-324.
[34] Riley RW, Powell NB, Guilleminault
C. Maxillary, mandibular, and hyoid
advancement for treatment of obstructive
sleep apnea: a review of 40 patients, J Oral
Maxillofac Surg 1990; 48: 20-26.
[35] Knudson RC, Meyer JB, Montalvo R.
Sleep apnea prosthesis for dentate patients. J
Prosthet Dent 1992; 68: 109-111.
[36] Hans MG, Nelson S, Luks VG, Lorkovich
P, Baek SJ. Comparison of two dental devices
for treatment of obstructive sleep apnea
syndrome (OSAS). Am J Orthod Dentofacial
Orthop 1997; 111: 562-570.
[37] Clark GT, Nakano M. Dental appliances
for the treatment of obstructive sleep apnea. J
Am Dent Assoc 1989; 118: 611-619.
[38] Schmidt-Nowara W, Lowe A, Wiegand
L, Cartwright R, Perez-Guerra F, Menn S.
Oral appliances for the treatment of snoring
and obstructive sleep apnea: a review. Sleep
1995; 18: 501-510.
[39] Mohsenin N, Mostofi MT, Mohsenin
V. The role of oral appliances in treating
obstructive sleep apnea. J Am Dent Assoc
2003; 134: 442-449.
[40] Mulligan KM. Obstructive sleep apnoea:
a dental perspective. Malta Medical Journal
2003; 15: 32-36.
[41] Endo S, Mataki S, Kurosaki N.
Cepholometric evaluation craniofacial and
upper airway structures in Japanese patients
with obstructive sleep apnea. J Med Dent Sci
2003; 50: 109-120.
[42] Nayar S, Knox J. Management obstructive
sleep apnea in an edentulous patient with a
mandibular advancement splint: a clinical
report. J Prosthet Dent 2005; 94: 108-111.
[43] George P. A modified functional appliance
for treatment of obstructive sleep apnea. J Clin
Orthod 1987; 21: 171-175.
[44] American Sleep Disorders Association
Board of Directors. Practice parameters for
the treatment of snoring and obstructive sleep
apnea with oral appliances. Sleep 1995; 6:
511-513.
[45] Kurtulmuş H. Obstrüktif Uyku Apnesinin
tedavisinde prostodontik uygulamalar. Ege
Üniversitesi Sağlık Bilimleri Enstitüsü, İzmir,
2004, Doktora Tezi.
Year 2018,
Volume: 4 Issue: 2, 47 - 55, 08.10.2018
[1] Bailey DR. Dental management of sleep
disorders. Dentistry Today 2002; November:
88-93.
[2] Gelb ML, Bailey DR. Managing snoring
and sleep apnea with the NORAD oral
appliance.
Dental Products Report 2002; December:
100-101.
[3] Gotsopoulos H, Chen C, Qlan J, Clstull PA.
Oral appliance therapy improves symptoms
in obstructive sleep apnea. A randomized,
controlled trial. Am J Respir Crit Care Med
2002; 166: 743-748.
[4] Ivanhoe JR, Cibirka RM, Lefebvre CA,
Parr GR. Dental considerations in upper
airway sleep disorders: a review of the
literature. J Prosthet Dent 1999; 82: 685-698.
[5] Yoshida, K. Oral device therapy for the
upper airway resistance syndrome patient. J
Prosthet Dent 2002; 87: 427-429.
[6] Meyer JB, Knudson RC. The sleep apnea
syndrome. Part I: diagnosis. J Prosthet Dent
1989; 62: 675-679.
[7] Yoshida K. Effect of a prosthetic appliance
for treatment of sleep apnea syndrome on
masticatory and tongue muscle activity. J
Prosthet Dent 1998; 79: 537-544.
[8] Nieto FJ, Young TB, Lind BK et al.
Association of sleep-disordered breathing,
sleep apnea, and hypertension in a large
community-based study. JAMA 2000; 283:
1829-1836.
[9] Eveloff SS, Rosenberg CL, Carlisle CC,
Millman RP. Efficacy of a herbst mandibular
advancement device in obstructive sleep
apnea. Am J Respir Crit Care Med 1994; 149:
905-909.
[10] Johal A, Battagel JM. Current principles
in the management of obstructive sleep apnoea
with mandibular advancement appliances. Br
Dent 2001; 190: 532-536.
[11] Lowe AA, Santamaria JD, Fleetham JA,
Price C. Facial morphology and obstructive
sleep apnoea. Am J Orthod Dentofacial
Orthop 1986; 90: 484-491.
[12] Schmidt-Nowara WW, Mead TT, Hays
MB. Treatment of snoring and obstructive
sleep apnea with a dental orthosis. Chest
1991; 99: 1378-1385.
[13] Garcia-Rio F, Racionero A, Pino J et al.
Sleep apnea and hypertension. Chest 2000;
117: 1417-1425.
[14] Lyons MF, Cameron DA, Banham SW.
Snoring, sleep apnoea and the role of dental
appliances. Dent Update 2001; 28: 254-256.
[15] Ameerican Sleep Disorders Association.
The international classifications of sleep
disorders. 1990; Rochester, MN.
[16] Clark GT, Arand D, Chung E, Tong D.
Effect of anterior mandibular positioning on
obstructive sleep apnea. Am Rev Respir Dis
1993; 147: 624-629.
[17] Grisius R, Moore DJ. Miscellaneous
prostheses, Obstructive sleep apnea. In:
Beumer J, Curtis TM, Marunick MT.
Maxillofacial rehabilitation: Prosthodontic
and surgical considerations. 2th Ed., St. Louis,
Tokyo, 1996, 515.
[18] Eskofi M, Cline C, Nilner M, Israelsson
B. Treatment of sleep apnea in congestive
heart failure with a dental device. The effect
on brain natriuretic peptide and quality of life.
Sleep Breath 2006; 10: 90-97.
[19] Naismith SL, Winter VR, Hickie IB,
Cistulli PA. Effect of oral appliance therapy
on neurobehavioral functioning in obstructive
sleep apnea: a randomized, controlled trial.
JCSM 2005; 1: 374-380.
[20] Mehta A, Qian J, Petocz P, Darendeliler
MA, Cistulli PA. A randomized, controlled
study of a mandibular advancement splint
for obstructive sleep apnea. Am J Respir Crit
Care Med 2001; 163: 1457-1461.
[21] Yamaoka M, Furusawa K, Uematsu
T, Okafiju N, Kayamoto D, Kurihara S.
Relationship of the hyoid bone and posterior
surface of the tongue in prognathism and
micrognathia. J Oral Rehabil 2003; 30: 914-
920.
[22] Ryan CF, Lowe AA, Li D, Fleetham
JA. (1991). Three-dimensional upper airway
tomography in obstructive sleep apnea.
A prospective study in patients treated by
uvulopalatopharyngoplasty. Am Rev Respir
Dis 1991; 144: 428-432.
[23] Neill A, Whyman R, Bannan S, Jeffrey O,
Campbell A. Mandibular advancement splint
improves indices of obstructive sleep apnoea
and snoring but side effects are common.
NZMJ 2002; 115: 1-8.
[24] Pae EK, Lowe AA, Fleetham JA. (1997)
A role of pharyngeal length in obstructive
sleep apnea patients. Am J Orthod Dentofac
Orthop 1997; 111: 12-17.
[25] Nayar S, Knox J. Management of
obstructive sleep apnea in an edentulous
patient with a mandibular advancement splint:
a clinical report. J Prosthet Dent 2005; 94:
108-111.
[26] Johal A, Battagel JM. An investigation
into the changes in airway dimension and
the efficacy of mandibular advancement
appliances in subjects with obstructive
sleep apnoea. Br J Orthodont 1999; 26:
205-210.
[27] Lamont J, Baldwin DR, Hay KD, Veale
GA. Effect of two types of mandibular
advancement splints on snoring and
obstructive sleep apnoea. Eur J Orthod 1998;
20: 293-297.
[28] Millman RP, Rosenberg CL, Kramer NR.
Oral appliances in the treatment of snoring
and sleep apnea. Clin Chest Med 1998; 19:
69-75.
[29] Prinsell JR. Cover story maxillomandibular
advancement surgery for obstructive sleep
apnea syndrome. J Am Dent Assoc 2002; 133:
1489-1497.
[30] L’estrange FR, Battagel JM, Harkness
B, Spratley MH, Nolan PJ, Jorgensen GI.
A method of studying adaptive changes of
the oropharynx to variation in mandibular
position in patients with obstructive sleep
apnoea. J Oral Rehabil 1996; 23: 699-711.
[31] Battagel JM, Johal A, Kotecha B.
A cephalometric comparison of subjects
with snoring and obstructive sleep apnoea,
Cephalometry in sleep disordered breathing.
Eur J Orthod 2000; 22: 353-365.
[32] Pringle MB, Croft CB. A grading
system for patients with obstructive sleep
apnoea based on sleep nasendoscopy. Clin
Otolaryngol 1993; 18: 480-484.
[33] Meyer JB, Knudson RC. (1990). The
sleep apnea syndrome. Part II: treatment. J
Prosthet Dent 1990; 63: 320-324.
[34] Riley RW, Powell NB, Guilleminault
C. Maxillary, mandibular, and hyoid
advancement for treatment of obstructive
sleep apnea: a review of 40 patients, J Oral
Maxillofac Surg 1990; 48: 20-26.
[35] Knudson RC, Meyer JB, Montalvo R.
Sleep apnea prosthesis for dentate patients. J
Prosthet Dent 1992; 68: 109-111.
[36] Hans MG, Nelson S, Luks VG, Lorkovich
P, Baek SJ. Comparison of two dental devices
for treatment of obstructive sleep apnea
syndrome (OSAS). Am J Orthod Dentofacial
Orthop 1997; 111: 562-570.
[37] Clark GT, Nakano M. Dental appliances
for the treatment of obstructive sleep apnea. J
Am Dent Assoc 1989; 118: 611-619.
[38] Schmidt-Nowara W, Lowe A, Wiegand
L, Cartwright R, Perez-Guerra F, Menn S.
Oral appliances for the treatment of snoring
and obstructive sleep apnea: a review. Sleep
1995; 18: 501-510.
[39] Mohsenin N, Mostofi MT, Mohsenin
V. The role of oral appliances in treating
obstructive sleep apnea. J Am Dent Assoc
2003; 134: 442-449.
[40] Mulligan KM. Obstructive sleep apnoea:
a dental perspective. Malta Medical Journal
2003; 15: 32-36.
[41] Endo S, Mataki S, Kurosaki N.
Cepholometric evaluation craniofacial and
upper airway structures in Japanese patients
with obstructive sleep apnea. J Med Dent Sci
2003; 50: 109-120.
[42] Nayar S, Knox J. Management obstructive
sleep apnea in an edentulous patient with a
mandibular advancement splint: a clinical
report. J Prosthet Dent 2005; 94: 108-111.
[43] George P. A modified functional appliance
for treatment of obstructive sleep apnea. J Clin
Orthod 1987; 21: 171-175.
[44] American Sleep Disorders Association
Board of Directors. Practice parameters for
the treatment of snoring and obstructive sleep
apnea with oral appliances. Sleep 1995; 6:
511-513.
[45] Kurtulmuş H. Obstrüktif Uyku Apnesinin
tedavisinde prostodontik uygulamalar. Ege
Üniversitesi Sağlık Bilimleri Enstitüsü, İzmir,
2004, Doktora Tezi.
Kurtulmuş H. FROM DIAGNOSIS TO TREATMENT DENTISTRY PRACTICES AND THE ROLE OF DENTIST IN OBSTRUCTIVE SLEEP APNEA AND SNORING. Aydin Dental Journal. 2018;4(2):47-55.