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Type: Journal article
Title: A comparison of dental changes produced by mandibular advancement splints in the management of obstructive sleep apnoea
Author: Ang, H.
Dreyer, C.
Citation: Australian Orthodontic Journal, 2010; 26(1):66-72
Publisher: Australian Society of Orthodontists
Issue Date: 2010
ISSN: 0587-3908
Statement of
Hui Ching Ang and Craig Dreyer
Abstract: <h4>Background</h4>Mandibular advancement splints (MAS) are a recognised and popular treatment option for obstructive sleep apnoea (OSA) due to their simplicity, tolerance and non-invasiveness.<h4>Objectives</h4>To investigate and compare the dental changes associated with the use of monoblock and duoblock appliances.<h4>Methods</h4>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.<h4>Results</h4>A statistically significant reduction was observed in the maxillary intercanine distance in all splint categories, with DB users showing the greatest decrease (p < 0.05). The change in the mandibular intercanine distances differed according to splint categories (p < 0.05). MB and MB-DB patients demonstrated a decrease in this measurement variable, whereas an increase was seen in DB users. A statistically significant increase in the mandibular intermolar distance was also observed in all splint categories (p < 0.05), with DB users showing the greatest increase.<h4>Conclusions</h4>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.
Keywords: Dental Arch
Open Bite
Sleep Apnea, Obstructive
Acrylic Resins
Dental Materials
Radiography, Bitewing
Mandibular Advancement
Follow-Up Studies
Prospective Studies
Cross-Sectional Studies
Orthodontic Appliance Design
Occlusal Splints
Middle Aged
Models, Dental
Rights: Copyright status unknown
Appears in Collections:Aurora harvest
Dentistry publications

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