Sleep Medicine
Volume 10, Issue 3 , Pages 329-336 , March 2009

Efficacy of two mandibular advancement appliances in the management of snoring and mild-moderate sleep apnea: A cross-over randomized study

  • Luc Gauthier

      Affiliations

    • Faculty of Dental Medicine, Université de Montréal, C.P 6128, Succ. Centre-ville, Montréal, Que., Canada H3P 3J7
    • Centre de santé et de services sociaux de Chicoutimi, Saguenay, 305, St-Vallier, Chicoutimi, Que., Canada G7H 3P5
  • ,
  • Luc Laberge

      Affiliations

    • Centre de santé et de services sociaux de Chicoutimi, Saguenay, 305, St-Vallier, Chicoutimi, Que., Canada G7H 3P5
  • ,
  • Michel Beaudry

      Affiliations

    • Centre de santé et de services sociaux de Chicoutimi, Saguenay, 305, St-Vallier, Chicoutimi, Que., Canada G7H 3P5
  • ,
  • Mario Laforte

      Affiliations

    • Centre de santé et de services sociaux de Chicoutimi, Saguenay, 305, St-Vallier, Chicoutimi, Que., Canada G7H 3P5
  • ,
  • Pierre H. Rompré

      Affiliations

    • Faculty of Dental Medicine, Université de Montréal, C.P 6128, Succ. Centre-ville, Montréal, Que., Canada H3P 3J7
  • ,
  • Gilles J. Lavigne

      Affiliations

    • Faculty of Dental Medicine, Université de Montréal, C.P 6128, Succ. Centre-ville, Montréal, Que., Canada H3P 3J7
    • Corresponding Author InformationCorresponding author. Tel.: +1 514 343 2310; fax: +1 514 343 2233.

Received 8 January 2008 ,Revised 18 March 2008 ,Accepted 21 March 2008.

References 

  1. Kushida CA, et al. Practice parameters for the treatment of snoring and obstructive sleep apnea with oral appliances: an update for 2005. Sleep. 2006;29(2):240–243
  2. Lim JJ, Lasserson TJ, Fleetham JJ, Wright JJ. Oral appliances for obstructive sleep apnoea. Cochrane Database Syst Rev. 2006;(1):
  3. Schwarting S, et al. Position paper on the use of mandibular advancement devices in adults with sleep-related breathing disorders: a position paper of the German Society of Dental Sleep Medicine (Deutsche Gesellschaft Zahnaerztliche Schlafmedizin, DGZS). Sleep Breath. 2007;11(2):125–126
  4. Henke KG, Frantz DE, Kuna ST. An oral elastic mandibular advancement device for obstructive sleep apnea. Am J Respir Crit Care Med. 2000;161(2 Pt 1):420–425
  5. Eveloff SE, et al. Efficacy of a Herbst mandibular advancement device in obstructive sleep apnea. Am J Respir Crit Care Med. 1994;149(4 Pt 1):905–909
  6. Ferguson KA, et al. Oral appliances for snoring and obstructive sleep apnea: a review. Sleep. 2006;29(2):244–262
  7. Hoekema A, Stegenga B, De Bont LG. Efficacy and co-morbidity of oral appliances in the treatment of obstructive sleep apnea-hypopnea: a systematic review. Crit Rev Oral Biol Med. 2004;15(3):137–155
  8. Giles TL, et al. Continuous positive airways pressure for obstructive sleep apnoea in adults. Cochrane Database Syst Rev. 2006;(1):CD001106
  9. Ferguson KA, et al. A short-term controlled trial of an adjustable oral appliance for the treatment of mild to moderate obstructive sleep apnoea. Thorax. 1997;52(4):362–368
  10. Gotsopoulos H, et al. Oral appliance therapy improves symptoms in obstructive sleep apnea: a randomized, controlled trial. Am J Respir Crit Care Med. 2002;166(5):743–748
  11. Lawton HM, Battagel JM, Kotecha B. A comparison of the twin block and Herbst mandibular advancement splints in the treatment of patients with obstructive sleep apnoea: a prospective study. Eur J Orthod. 2005;27(1):82–90
  12. Johnston CD, et al. Mandibular advancement appliances and obstructive sleep apnoea: a randomized clinical trial. Eur J Orthod. 2002;24(3):251–262
  13. Bloch KE, et al. A randomized, controlled crossover trial of two oral appliances for sleep apnea treatment. Am J Respir Crit Care Med. 2000;62(1):246–251
  14. Rose E, et al. A comparative study of two mandibular advancement appliances for the treatment of obstructive sleep apnoea. Eur J Orthod. 2002;24(2):191–198
  15. Lamont J, et al. Effect of two types of mandibular advancement splints on snoring and obstructive sleep apnoea. Eur J Orthod. 1998;20(3):293–297
  16. Hans MG, et al. Comparison of two dental devices for treatment of obstructive sleep apnea syndrome (OSAS). Am J Orthod Dentofac Orthop. 1997;111(5):562–570
  17. Fleetham J, et al. Canadian Thoracic Society guidelines: diagnosis and treatment of sleep disordered breathing in adults. Can Respir J. 2006;13(7):387–392
  18. Kryger MaPB. Management of obstructive sleep apnea–hypopnea syndrome: overview. 4th ed.. Principles and practice of sleep medicine. Philadelphia: Elsevier; 2005;
  19. Krupp LB, et al. The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol. 1989;46(10):1121–1123
  20. Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991;14(6):540–545
  21. Weaver TE, et al. An instrument to measure functional status outcomes for disorders of excessive sleepiness. Sleep. 1997;20(10):835–843
  22. Ferguson KA, et al. A randomized crossover study of an oral appliance vs nasal-continuous positive airway pressure in the treatment of mild-moderate obstructive sleep apnea. Chest. 1996;109(5):1269–1275
  23. Parish JM, Lyng PJ, Wisbey J. Compliance with CPAP in elderly patients with OSA. Sleep Med. 2000;1(3):209–214
  24. Lindberg E, et al. CPAP treatment of a population-based sample – what are the benefits and the treatment compliance?. Sleep Med. 2006;7(7):553–560
  25. Barnes M, et al. Efficacy of positive airway pressure and oral appliance in mild to moderate obstructive sleep apnea. Am J Respir Crit Care Med. 2004;170(6):656–664
  26. Gotsopoulos H, Kelly JJ, Cistulli PA. Oral appliance therapy reduces blood pressure in obstructive sleep apnea: a randomized, controlled trial. Sleep. 2004;27(5):934–941
  27. Yoshida K. Effect on blood pressure of oral appliance therapy for sleep apnea syndrome. Int J Prosthodont. 2006;19(1):61–66
  28. Rechtschaffen A, Kales A. A manual of standardized terminology, techniques and scoring system for sleep stages of human sleep. National Institutes of Health, Publ. no. 204, Government Printing Office, Washington 1968.

 Conflict of interest: Dr. G.J. Lavigne was a consultant for Respironics, USA and Wyeth Consumer Healthcare, Canada. The study did not receive financial support from any manufacturer of dental appliances.

PII: S1389-9457(08)00066-X

doi: 10.1016/j.sleep.2008.03.011

Sleep Medicine
Volume 10, Issue 3 , Pages 329-336 , March 2009