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. 2009 Apr;65(2):123-7.
doi: 10.1016/S0377-1237(09)80123-8. Epub 2011 Jul 21.

Role of Oral Appliances in the Management of Sleep Disorders

B Jayan  1 , Bnbm Prasad  2 , R K Dhiman  3
Affiliations

Role of Oral Appliances in the Management of Sleep Disorders

B Jayan et al. Med J Armed Forces India. 2009 Apr.

Abstract

Background: A study was undertaken with the aim to evaluate the therapeutic and clinical efficacy of oral appliances in the management of upper airway sleep disorders like snoring and obstructive sleep apnea (OSA).

Methods: Oral appliances were prescribed in eight cases of non - apneic snoring and 42 polysomnography (PSG) diagnosed cases of OSA. The cases were assessed on Epworth Sleepiness Scale (ESS) and Apnea - Hypopnea Index (AHI).

Result: 62.5% of the non - apneic snoring cases reported gross reduction/cessation of snoring. In the OSA cases, the mean AHI and ESS scores decreased from 51.48 ± 23.70 to 32.78 ± 18.06 and 12.50 ± 3.57 to 7.20 ± 2.917 respectively. A statistically significant (p<0.0001) improvement in AHI and ESS scores was observed.

Conclusion: Short term therapeutic efficacy of oral appliances therapy in non-apneic snoring and OSA cases was observed.

Keywords: Obstructive sleep apnea; Oral appliances; Snoring.

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Figures

Fig. 1
Fig. 1
Intra oral frontal view of Karwetzky Activator.
Fig. 2
Fig. 2
Intra oral lateral view of Mandibular Advancement Splint.
Fig. 3
Fig. 3
Intra oral frontal view of Tongue Retaining Device
Fig. 4
Fig. 4
Intra oral lateral view of Herbst Appliance
See this image and copyright information in PMC

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