A new design of individual mandibular advancement device in the treatment of obstructive sleep apnea

Abstract

Introduction. Mandibular advancement devices are used in the treatment of mild to moderate obstructive sleep apnea. We have created different types of devices over the years and come up with a design of an acrylic two-part adjustable device as the best one so far. New design of the mandibular advancement device. A 36-year-old male patient has been referred for polysomnography to the Sleep Medicine Center of the Institute of Pulmonary Diseases of Vojvodina due to primary problems in the form of drowsiness during the day, reduced concentration and witnessed cessation of breathing during sleep. By evaluating respiratory parameters, the patient was diagnosed with mild obstructive sleep apnea with an Apnea-Hypopnea Index of 10.3. Hygienicdietary regimen of life and the use of mandibular advancement device were prescribed to the patient. Control polysomnography was performed six months after the use of the mandibular advancement device. Evaluation of respiratory parameters has registered the apnea-hypopnea index of 6.2 with predominant hypopneas. The average oxygen blood saturation was 94.4%. Snoring was mild and rare. Patient did not have any long-term side effects of the device and he got used to it easily. Conclusion. Mandibular advancement device is an effective way to treat obstructive sleep apnea in clearly indicated cases. Dentists who indicate and make it must be well educated, informed and they must cooperate with the sleep medicine centers to monitor the effectiveness of the therapy.