{"id":34050,"date":"2023-10-24T11:49:21","date_gmt":"2023-10-24T10:49:21","guid":{"rendered":"https:\/\/www.btitrainingcenter.com\/mandibular-advancement-sleep-apnea\/"},"modified":"2025-01-30T10:22:23","modified_gmt":"2025-01-30T09:22:23","slug":"mandibular-advancement-sleep-apnea","status":"publish","type":"post","link":"https:\/\/www.btitrainingcenter.com\/pt-pt\/mandibular-advancement-sleep-apnea\/","title":{"rendered":"A Multicenter Prospective Study on the Use of a Mandibular Advancement Device in the Treatment of Obstructive Sleep Apnea"},"content":{"rendered":"

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Abstract<\/h3>\n
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The main objective of this prospective study was the evaluation of 1 mm step titration of mandible advancement in the success of treating obstructive sleep apnea (OSA). For that, a multicenter prospective study was designed to recruit patients with OSA who were eligible to receive a mandibular advancement device. Gradual titration of mandibular advancement (steps of 1 mm) from maximum intercuspidation was performed to determine the optimal mandibular advancement (highest reduction in the apnea-hypopnea index (AHI)). The principal variable was the percentage of patients where a reduction \u226550% of the AHI was achieved at the end of the titration phase. A total of 102 patients participated in this study. Fifty-six percent of the participants were males and 67% had a BMI \u2265 25 kg\/m2<\/sup>. Most of the patients (79%) had an age \u2265 50 years and the majority (74%) were either non-smokers or ex-smokers. Excessive daytime sleepiness was reported by 40% of the patients. The mean AHI at baseline was 20.6 \u00b1 12.7 events\/h. The mean advancement of the mandible was 3.1 \u00b1 1.6 mm. The device achieved a reduction in the AHI in 93% of the patients and success (\u226550% reduction in the AHI) in 69% of the patients. Success was achieved in 50%, 81.6%, and 73.3% of the patients with mild, moderate, and severe OSA, respectively. Decreasing the magnitude of mandibular advancement could be possible by controlling the vertical mouth opening and step-by-step titration.<\/p>\n

Keywords: <\/strong>apnea\u2013hypopnea index; mandibular advancement; mandibular advancement device; obstructive sleep apnea; respiratory polygraphy.<\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Figures<\/h3>\n
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Dent J (Basel). 2023 Oct 24;11(11):247.<\/strong> The main objective of this prospective study was the evaluation of 1 mm step titration of mandible advancement in the success of treating obstructive sleep apnea (OSA). For that, a multicenter prospective study was designed to recruit patients with OSA who were eligible to receive a mandibular advancement device.<\/p>\n","protected":false},"author":2002,"featured_media":34044,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[183],"tags":[],"class_list":["post-34050","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-apneia-do-sono-e-roncopatia"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/posts\/34050","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/users\/2002"}],"replies":[{"embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/comments?post=34050"}],"version-history":[{"count":2,"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/posts\/34050\/revisions"}],"predecessor-version":[{"id":35607,"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/posts\/34050\/revisions\/35607"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/media\/34044"}],"wp:attachment":[{"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/media?parent=34050"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/categories?post=34050"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/tags?post=34050"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}