Treatment of obstructive sleep apnea using an adjustable mandibular repositioning appliance fitted to a total prosthesis in a maxillary edentulous patient

This paper reports on the case of an oral appliance used in the treatment of obstructive sleep apnea syndrome (OSAS) fitted to a superior total prosthesis. In this case, the chosen device was the adjustable PMPositioner, a mandibular repositioning appliance. A polysomnogram (PSG) both prior and with...

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Bibliographic Details
Published in:Sleep & breathing 2008-02, Vol.12 (1), p.91-95
Main Authors: Giannasi, Lílian Chrystiane, Magini, Márcio, de Oliveira, Cláudia Santos, de Oliveira, Luis Vicente Franco
Format: Article
Language:English
Subjects:
Biological and medical sciences
Case Report
Cephalometry
Dentistry
Denture, Complete, Upper
Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes
Fundamental and applied biological sciences. Psychology
Humans
Internal Medicine
Male
Mandibular Advancement - instrumentation
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Mouth, Edentulous
Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis
Nervous system (semeiology, syndromes)
Neurology
Occlusal Splints
Otorhinolaryngology
Pediatrics
Pneumology/Respiratory System
Polysomnography
Sleep apnea
Sleep Apnea, Obstructive - therapy
Sleep disorders
Sleep. Vigilance
Vertebrates: nervous system and sense organs
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Summary:This paper reports on the case of an oral appliance used in the treatment of obstructive sleep apnea syndrome (OSAS) fitted to a superior total prosthesis. In this case, the chosen device was the adjustable PMPositioner, a mandibular repositioning appliance. A polysomnogram (PSG) both prior and with the oral appliance “in situ” was applied to evaluate the effect of the adaptation of the adjustable PMPositioner fixed onto a maxillary full denture in decreasing the apnea–hypopnea index from 18.0 to 2.2 as well as increasing the minimum oxygen saturation (SaO2 nadir) from 83 to 92%, proving that the device remained in position during sleep.
ISSN:1520-9512
1522-1709
DOI:10.1007/s11325-007-0134-x