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- DOI 10.18231/j.idjsr.11425.1737117570
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CrossMark
Managing obstructive sleep apnea with prosthetic care: The role of Mandibular advancement device
- Author Details:
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Sonal Mehta
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Mrugnayani Patel
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Dhwani Jayeshbhai Patel *
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Azim Gowani
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Mitul Patel
Dhwani Jayeshbhai Patel *
Introduction: Obstructive Sleep Apnea (OSA) is a sleep-related breathing disorder characterized by intermittent upper airway obstruction during sleep, resulting in oxygen desaturation and disrupted sleep. While Continuous Positive Airway Pressure (CPAP), lifestyle modifications, and surgery are conventional treatments, mandibular advancement devices (MADs) offer an effective, non-invasive alternative for patients with mild to moderate OSA, or for that intolerant to CPAP therapy
Case Characteristics: A 64-year-old female presented with a primary complaint of shortness of breath during sleep. She had previously used CPAP therapy, which effectively reduced her AHI but caused significant discomfort, prompting her to seek an alternative solution.
Discussion: Earlier documentation suggest MAD treatment as custom devices have a higher effectiveness than ready-made. The patient has shown 18 mm of protrusion that allowed for forward positioning of the mandible during sleep.
Conclusion: Mandibular advancement devices represent a viable, non-invasive treatment option for patients with mild to moderate OSA, particularly in cases where CPAP therapy is not tolerated. The current case highlights significant clinical improvement and normalization of PSG parameters, supporting the integration of MAD therapy in routine prosthetic care for sleep apnea management.
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