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Mandibular advancement appliances and obstructive sleep apnoea: a randomized clinical trial

2002; Oxford University Press; Volume: 24; Issue: 3 Linguagem: Inglês

10.1093/ejo/24.3.251

1460-2210

Chris Johnston,

Dysphagia Assessment and Management

This randomized placebo‐controlled cross‐over trial assessed the effectiveness of a mandibular advancement appliance (MAA) in managing obstructive sleep apnoea (OSA). Twenty‐one adults, with confirmed OSA, were provided with a maxillary placebo appliance and a MAA for 4–6 weeks each, in a randomized order. Questionnaires at baseline and after each appliance assessed bed‐partners' reports of snoring severity (loudness and number of nights per week), and patients' daytime sleepiness (Epworth Sleepiness Score, ESS). The Apnoea Hypopnoea Index (AHI) and Oxygen Desaturation Index (ODI) were measured at baseline and with each appliance during single night sleep studies.