A comparison of dental changes produced by mandibular advancement splints in the management of obstructive sleep apnoea
Online veröffentlicht: 14. Dez. 2023
Seitenbereich: 66 - 72
Eingereicht: 01. Juni 2009
Akzeptiert: 01. März 2010
DOI: https://doi.org/10.2478/aoj-2010-0012
© 2010 Hui Ching Ang et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Background
Mandibular advancement splints (MAS) are a recognised and popular treatment option for obstructive sleep apnoea (OSA) due to their simplicity, tolerance and non-invasiveness.
Objectives
To investigate and compare the dental changes associated with the use of monoblock and duoblock appliances.
Methods
Fifty-two pretreatment and follow-up study models of patients from a public hospital and private dental clinic were assessed. Seventeen subjects used a soft elastomeric monoblock appliance (MB), 29 subjects used a hard acrylic duoblock (DB) and six subjects wore a monoblock followed by a duoblock appliance (MB-DB). Measurements of dental and arch changes were obtained and analysed on study models and standardised bitewing radiographs.
Results
A statistically significant reduction was observed in the maxillary intercanine distance in all splint categories, with DB users showing the greatest decrease (
Conclusions
Both MB and DB appliance systems produced similar, but mild dental effects. No particular appliance can be recommended and the choice of appliance should be considered on a case-by-case basis.