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Article: Volume 35 Number 4 Page 230 - May 2008

  Dental Update 354: 230-235  Read article

Miscellaneous:  A Review of the Use of Mandibular Advancement Appliances in Sleep-Disordered Breathing

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Abstract: This paper sets out to provide a review of the provision of mandibular advancement appliances for patients with sleep-disordered breathing. A contemporary overview is provided in relation to: the rationale for their use; guidelines on patient selection; design features; clinical evidence of success; advantages; disadvantages; treatment objectives and follow-up and practical aspects to their provision.

Clinical relevance: Mandibular advancement appliances are now increasingly being recognized by sleep specialists as playing a valuable role in the management of sleep-disordered breathing. The dentist is ideally positioned and, with the appropriate training, could provide this relatively simple form of treatment for patients who suffer what can be a socially-embarrassing condition, with high levels of morbidity.

Author notes: Ama Johal, BDS (Hons), MSc, PhD, FDS RCS(Eng), FDS(Orth) RCS, DMS, Senior Lecturer, Department of Oral Growth and Development, Bart’s and The London School of Medicine and Dentistry, Institute of Dentistry, Queen Mary’s College, London, UK.

Objective: To review the use of mandibular advancement appliances.