Oral appliances for obstructive sleep apnea: Emerging issues, upcoming challenges, and possible solutions.

Apnea/hypopnea index customized maxillary oral appliance mandibular advancement device obstructive sleep apnea polysomnography

Journal

Journal of family medicine and primary care
ISSN: 2249-4863
Titre abrégé: J Family Med Prim Care
Pays: India
ID NLM: 101610082

Informations de publication

Date de publication:
Sep 2021
Historique:
received: 07 01 2021
revised: 05 07 2021
accepted: 09 07 2021
entrez: 11 11 2021
pubmed: 12 11 2021
medline: 12 11 2021
Statut: ppublish

Résumé

As per the current epidemiological studies, the prevalence of obstructive sleep apnea (OSA) among the adult population is very high. Oral appliances (OAs) have emerged as the most recommended alternative treatment option for mild to moderate OSA. The objective of this article is to propose or develop a new design of OA named "customized maxillary oral appliance (CMOA)," for managing moderate OSA syndrome. The design proposed in this article is first of its kind that is fabricated on the maxillary arch. CMOA is developed by combining the principles of the three most popular OAs used in OSA, namely, soft palate lifters, tongue retaining devices, and mandibular advancement devices. Given the potential impact of OSA on general and mental health and the side effects of existing appliances, there is a need for a new remedy to be introduced in the field of sleep medicine. This novel design can provide a new therapeutic option for patients with moderate OSA.

Sections du résumé

BACKGROUND BACKGROUND
As per the current epidemiological studies, the prevalence of obstructive sleep apnea (OSA) among the adult population is very high. Oral appliances (OAs) have emerged as the most recommended alternative treatment option for mild to moderate OSA.
OBJECTIVE OBJECTIVE
The objective of this article is to propose or develop a new design of OA named "customized maxillary oral appliance (CMOA)," for managing moderate OSA syndrome.
METHODS METHODS
The design proposed in this article is first of its kind that is fabricated on the maxillary arch. CMOA is developed by combining the principles of the three most popular OAs used in OSA, namely, soft palate lifters, tongue retaining devices, and mandibular advancement devices.
CONCLUSIONS CONCLUSIONS
Given the potential impact of OSA on general and mental health and the side effects of existing appliances, there is a need for a new remedy to be introduced in the field of sleep medicine. This novel design can provide a new therapeutic option for patients with moderate OSA.

Identifiants

pubmed: 34760725
doi: 10.4103/jfmpc.jfmpc_54_21
pii: JFMPC-10-3172
pmc: PMC8565156
doi:

Types de publication

Journal Article

Langues

eng

Pagination

3172-3175

Informations de copyright

Copyright: © 2021 Journal of Family Medicine and Primary Care.

Déclaration de conflit d'intérêts

There are no conflicts of interest.

Références

Shanghai Kou Qiang Yi Xue. 2020 Apr;29(2):202-207
pubmed: 32626886
Kaohsiung J Med Sci. 2020 Jan;36(1):7-12
pubmed: 31512369
Otolaryngol Clin North Am. 2020 Jun;53(3):319-328
pubmed: 32334878
Otolaryngol Clin North Am. 2020 Jun;53(3):397-407
pubmed: 32223982
JAMA. 2020 Sep 22;324(12):1168-1179
pubmed: 32886102
Eur J Orthod. 2019 Jan 23;41(1):89-100
pubmed: 29901715
J Contemp Dent Pract. 2020 Apr 1;21(4):458-462
pubmed: 32584286
Continuum (Minneap Minn). 2020 Aug;26(4):908-928
pubmed: 32756228
Sleep Breath. 2018 Sep;22(3):555-568
pubmed: 29129030
Neurol India. 2020 Nov-Dec;68(Supplement):S302-S306
pubmed: 33318366
Cranio. 2019 Nov;37(6):347-364
pubmed: 29793390
Sleep Med Clin. 2020 Jun;15(2):241-250
pubmed: 32386698
Am J Respir Crit Care Med. 2013 Apr 15;187(8):879-87
pubmed: 23413266
JAMA. 2020 Apr 14;323(14):1389-1400
pubmed: 32286648
J Clin Sleep Med. 2016 Sep 15;12(9):1209-10
pubmed: 27568904
Respir Res. 2006 Jan 17;7:8
pubmed: 16417639
Respir Med. 2019 Jul - Aug;154:127-132
pubmed: 31252205
Sleep. 1997 Sep;20(9):705-6
pubmed: 9406321
Clin Oral Investig. 2020 Sep;24(9):3069-3076
pubmed: 31863188

Auteurs

Vikram Belkhode (V)

Department of Prosthodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (Meghe), Wardha, Maharashtra, India.

Surekha Godbole (S)

Department of Prosthodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (Meghe), Wardha, Maharashtra, India.

Sharayu Nimonkar (S)

Department of Prosthodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (Meghe), Wardha, Maharashtra, India.

Sameer Parhad (S)

Department of Orthodontics, Dr. Rajesh Ramdasji Kambe Dental College and Hospital, Akola, Maharashtra, India.

Pranali Nimonkar (P)

Trauma Care Centre, Government Medical College and Hospital, Nagpur, Maharashtra, India.

Classifications MeSH