Čes. stomatol. Prakt. zub. lék. (Czech Dental Journal) 2025; 125(2): 35-42 | DOI: 10.51479/cspzl.2025.003

OBSTRUCTIVE SLEEP APNOEA AND THERAPY OPTIONS WITH A MANDIBULAR PROTRACTOR

Řezáčová E.^{1, 2}, Böhmová H.^{1, 2}, Hauer L.^{1, 2}

¹ Stomatologická klinika, Lékařská fakulta v Plzni, Univerzita Karlova

² Stomatologická klinika, Fakultní nemocnice Plzeň

Introduction and aim: Obstructive sleep apnoea (OSA) is nowadays an increasingly recognized health issue, not only due to the rising number of diagnosed cases but also because of new knowledge about its pathophysiology and health consequences. This article aims to provide a review of the current literature and new information regarding conservative therapy of OSA in adult patients, with a focus on the use of mandibular advancement devices (MADs).

Methods: Databases PubMed, Scopus, Google Scholar, and Ebsco were used for literature search. Key information and results from individual studies were summarized.

Results: Currently, an increasing number of scientific articles are being published on OSA and MAD. However, there are no precise recommendations and guidelines regarding the design of the appliance, the type of appliance used or the mode of use, so further research is needed on this topic.

Conclusion: Although continuous positive airway pressure (CPAP) remains the most effective form of treatment, MADs offer a promising alternative for patients who are unable to tolerate CPAP. Our review also suggests that further studies are needed to evaluate the long-term efficacy and safety of MADs in the management of OSA.

Keywords: obstructive sleep apnoea, mandibular protractor, MAD

Received: November 4, 2024; Revised: January 11, 2025; Accepted: January 12, 2025; Prepublished online: May 27, 2025; Published: June 8, 2025  Show citation