Assessment of Treatment Outcome after Using Temporary Mandibular Advancement Devices in Obstructive Sleep Apnea Patients
- Author:
Joon Hyung PARK
1
;
Suseok OH
;
Jongrak HONG
;
Chang Soo KIM
;
Jun Young PAENG
Author Information
1. Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Korea.
- Publication Type:Original Article
- Keywords:
Mandibular advancement device;
Obstructive sleep apnea;
Oral appliance
- MeSH:
Adenine Nucleotides;
Female;
Humans;
Mandibular Advancement;
Mycophenolic Acid;
Phenazines;
Polysomnography;
Sleep Apnea, Obstructive;
Surgery, Oral;
Treatment Outcome
- From:Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons
2012;34(6):426-431
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.]]>