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Article Dans Une Revue Journal of Stomatology, Oral and Maxillofacial Surgery Année : 2019

Long-term effectiveness and side effects of mandibular advancement devices on dental and skeletal parameters

Résumé

INTRODUCTION: Continuous positive airways pressure, generally used to treat obstructive sleep apnea-hypopnea syndrome (OSAHS), is not tolerated well by many patients. An alternative is to treat OSAHS with mandibular advancement devices (MAD). This research assesses the long term (> 2 years) effectiveness and the side effects on dental and skeletal parameters of these devices. MATERIAL AND METHODS: We selected 24 patients with moderate to severe OSAHS. All were treated with MADs for at least 2 years. We gathered cephalometric teleradiographs in centric relation and sleep recordings before and after the patients were treated. We evaluated the patients' apnea-hypopnea indexes (AHI) as well as their Epworth sleepiness scale (ESS) scores. We measured the inclination of the central incisors and the positions of the upper and lower jaws. RESULTS: Mandibular advancement devices were used for more than 2 years (3.9 ± 1.9 years). We observed a statistically significant decrease of the patients' AHI and their ESS scores. We also observed a modification of the inclination of the lower central incisors (+0.521; P = 0.047) and of the position of the maxilla (-0.287; P = 0.039). DISCUSSION: We demonstrated the clinical effectiveness of mandibular advancement devices for treating OSAHS, with a very low rate of side effects on dental and skeletal positions.
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Dates et versions

hal-02172367 , version 1 (03-07-2019)

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G.Vigié Du Cayla, J.M. Collet, V. Attali, J.B. Kerbrat, L. Benslama, et al.. Long-term effectiveness and side effects of mandibular advancement devices on dental and skeletal parameters. Journal of Stomatology, Oral and Maxillofacial Surgery, 2019, 120 (1), pp.7-10. ⟨10.1016/j.jormas.2018.09.005⟩. ⟨hal-02172367⟩
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