Background: The high efficacy of continuous positive airway
pressure (CPAP) in treating obstructive sleep apnea (OSA) patients is sometimes
limited because of intolerance. Mandibular advancement devices (MAD) are proven
to be efficient in treating mild to moderate sleep apnea and snoring. We
examined patients who had been treated in Community Dental Care with a titrable
Herbst-type MAD. The aim of the study
was to evaluate the quality of sleep based on self report. Methods: A
questionnaire was mailed to patients (n = 184) who had received
treatment for OSA or snoring between 2007 and2010 inthe Helsinki Health Centre Oral Care Unit. The patients were referred to the
clinic for primary treatment, or because another treatment modality had failed.
Results: Of the respondents (n =
142, 78.4%), OSA had been diagnosed in 74%, while the MAD was applied for
snoring to the remaining. Among all respondents, 78.4% had worn the MAD at
least three nights per week. With the MAD in situ, sleep was felt significantly
less disrupted (p < 0.001) and more restorative (p < 0.001), and snoring
was markedly reduced (p < 0.001). Daytime tiredness was also markedly less
frequent (p < 0.001). Conclusions:
Treatment with a MAD improved perceived sleep quality and awoke alertness in
mild and moderate OSA patients and in snorers. This study supports such
treatment to be initiated and monitored in community dental care.
Cite this paper
Vuorjoki-Ranta, T. , Lobbezoo, F. , Tuomilehto, H. , Könönen, M. , Pihakari, A. and Ahlberg, J. (2013) Mandibular advancement devices in the treatment of obstructive sleep apnea and snoring in community dental care: A pilot study on self-reported sleep quality. Health, 5, 1-5. doi: 10.4236/health.2013.58A2001.
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