Pulmonology Book


Mandibular Advancement Device

Aka: Mandibular Advancement Device
  1. Indications
    1. Obstructive Sleep Apnea
    2. Not indicated for moderate to severe Sleep Apnea
      1. For mild Sleep Apnea or loud snoring only
  2. Mechanism
    1. Keeps Tongue and Mandible in forward position
  3. Preparations
    1. Fit by dentists and covered by most medical insurance
  4. Cost
    1. Average: $1200 if paid without insurance
  5. Efficacy
    1. More effective than UPPP procedure
      1. Normalization of Sleep Apnea with device: 63%
      2. Normalization of Sleep Apnea with UPPP: 33%
    2. Compliance was only 62%
    3. Walker-Engstrom (2002) Chest 121:739-46 [PubMed]

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