Use of mandibular advancement devices for obstructive sleep apnoea treatment in adults

Introduction: This article is based on Clinical Guidelines for obstruc - tive sleep apnoea (OSA) established by a taskforce coordinated by the Brazilian Sleep Association. Objective: The aim of this article is to evaluate the available scien - tific evidence regarding the efficacy, adherence and saf...

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Detalles Bibliográficos
Autores: Chaves Jr., Cauby Maia, Fabbro, Cibele Dal, Machado, Marco Antonio Cardoso, Bruin, Veralice Meireles Sales de, Bruin, Pedro Felipe Carvalhedo de, Gurgel, Marcela Lima, Torgeiro, Sonia Maria Guimarães Pereira, Cevidanes, Lucia, Haddad, Fernanda Louise, Bittencourt, Lia
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:Brasil
Institución:Universidade Federal do Ceará (UFC)
Repositorio:Repositório Institucional da Universidade Federal do Ceará (UFC)
Idioma:inglés
OAI Identifier:oai:repositorio.ufc.br:riufc/26577
Acceso en línea:http://www.repositorio.ufc.br/handle/riufc/26577
Access Level:acceso abierto
Palabra clave:Apneia Obstrutiva do Sono
Sleep Apnea, Obstructive
Avanço Mandibular
Mandibular Advancement
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dc.title.pt_BR.fl_str_mv Use of mandibular advancement devices for obstructive sleep apnoea treatment in adults
title Use of mandibular advancement devices for obstructive sleep apnoea treatment in adults
spellingShingle Use of mandibular advancement devices for obstructive sleep apnoea treatment in adults
Chaves Jr., Cauby Maia
Apneia Obstrutiva do Sono
Sleep Apnea, Obstructive
Avanço Mandibular
Mandibular Advancement
title_short Use of mandibular advancement devices for obstructive sleep apnoea treatment in adults
title_full Use of mandibular advancement devices for obstructive sleep apnoea treatment in adults
title_fullStr Use of mandibular advancement devices for obstructive sleep apnoea treatment in adults
title_full_unstemmed Use of mandibular advancement devices for obstructive sleep apnoea treatment in adults
title_sort Use of mandibular advancement devices for obstructive sleep apnoea treatment in adults
dc.creator.none.fl_str_mv Chaves Jr., Cauby Maia
Fabbro, Cibele Dal
Machado, Marco Antonio Cardoso
Bruin, Veralice Meireles Sales de
Bruin, Pedro Felipe Carvalhedo de
Gurgel, Marcela Lima
Torgeiro, Sonia Maria Guimarães Pereira
Cevidanes, Lucia
Haddad, Fernanda Louise
Bittencourt, Lia
author Chaves Jr., Cauby Maia
author_facet Chaves Jr., Cauby Maia
Fabbro, Cibele Dal
Machado, Marco Antonio Cardoso
Bruin, Veralice Meireles Sales de
Bruin, Pedro Felipe Carvalhedo de
Gurgel, Marcela Lima
Torgeiro, Sonia Maria Guimarães Pereira
Cevidanes, Lucia
Haddad, Fernanda Louise
Bittencourt, Lia
author_role author
author2 Fabbro, Cibele Dal
Machado, Marco Antonio Cardoso
Bruin, Veralice Meireles Sales de
Bruin, Pedro Felipe Carvalhedo de
Gurgel, Marcela Lima
Torgeiro, Sonia Maria Guimarães Pereira
Cevidanes, Lucia
Haddad, Fernanda Louise
Bittencourt, Lia
author2_role author
author
author
author
author
author
author
author
author
dc.subject.por.fl_str_mv Apneia Obstrutiva do Sono
Sleep Apnea, Obstructive
Avanço Mandibular
Mandibular Advancement
topic Apneia Obstrutiva do Sono
Sleep Apnea, Obstructive
Avanço Mandibular
Mandibular Advancement
description Introduction: This article is based on Clinical Guidelines for obstruc - tive sleep apnoea (OSA) established by a taskforce coordinated by the Brazilian Sleep Association. Objective: The aim of this article is to evaluate the available scien - tific evidence regarding the efficacy, adherence and safety of using mandibular advancement devices (MAD) as a therapeutic course for treating obstructive sleep apnoea in adult patients. Method: Active searches were performed in the PubMed/MEDLINE, EMBASE, Scielo/LILACS and Cochrane Library databases. Methodolo - gical aspects were used to rank the levels of evidence according to the criteria of the Centre for Evidence-Based Medicine at Oxford. Results: Mandibular advancement devices offer the best results for patients with primary snoring, upper airway resistance syndrome and mild or moderate OSA (Levels of Evidence I and II). Continuous positive airway pressure (CPAP) is more effective in controlling OSA (Level of Evidence I). However, patients seem to exhibit greater adherence to oral appliances (MAD) than (CPAP) devices. The long-term side effects most observed after the use of MADs are related to changes in the mandibular and dental positions (Levels of Evidence I and II). Conclusion: MAD constitute a therapeutic alternative for OSA and promote favourable results with good efficacy and adherence to treatment. Side effects can arise in the short, medium or long term. Patients must be informed about the possible occurrence of these adverse effects, and the orthodontist must be able to manage any side effects that occur due to the use of these devices.
publishDate 2017
dc.date.accessioned.fl_str_mv 2017-10-11T13:16:55Z
dc.date.available.fl_str_mv 2017-10-11T13:16:55Z
dc.date.issued.fl_str_mv 2017-08
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv CHAVES JUNIOR, C. M. et al. Use of mandibular advancement aevices for obstructive sleep apnoea treatment in adults. International Archives of Medicine, [S.l.], v. 10, n. 232, aug. 2017.
dc.identifier.uri.fl_str_mv http://www.repositorio.ufc.br/handle/riufc/26577
dc.identifier.issn.none.fl_str_mv 1755-7682
identifier_str_mv CHAVES JUNIOR, C. M. et al. Use of mandibular advancement aevices for obstructive sleep apnoea treatment in adults. International Archives of Medicine, [S.l.], v. 10, n. 232, aug. 2017.
1755-7682
url http://www.repositorio.ufc.br/handle/riufc/26577
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv International Archives of Medicine
publisher.none.fl_str_mv International Archives of Medicine
dc.source.none.fl_str_mv reponame:Repositório Institucional da Universidade Federal do Ceará (UFC)
instname:Universidade Federal do Ceará (UFC)
instacron:UFC
instname_str Universidade Federal do Ceará (UFC)
instacron_str UFC
institution UFC
reponame_str Repositório Institucional da Universidade Federal do Ceará (UFC)
collection Repositório Institucional da Universidade Federal do Ceará (UFC)
bitstream.url.fl_str_mv http://repositorio.ufc.br/bitstream/riufc/26577/2/license.txt
http://repositorio.ufc.br/bitstream/riufc/26577/1/2017_art_cmcjunior.pdf
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spelling 2017-10-11T13:16:55Z2017-10-11T13:16:55Z2017-08CHAVES JUNIOR, C. M. et al. Use of mandibular advancement aevices for obstructive sleep apnoea treatment in adults. International Archives of Medicine, [S.l.], v. 10, n. 232, aug. 2017.1755-7682http://www.repositorio.ufc.br/handle/riufc/26577Introduction: This article is based on Clinical Guidelines for obstruc - tive sleep apnoea (OSA) established by a taskforce coordinated by the Brazilian Sleep Association. Objective: The aim of this article is to evaluate the available scien - tific evidence regarding the efficacy, adherence and safety of using mandibular advancement devices (MAD) as a therapeutic course for treating obstructive sleep apnoea in adult patients. Method: Active searches were performed in the PubMed/MEDLINE, EMBASE, Scielo/LILACS and Cochrane Library databases. Methodolo - gical aspects were used to rank the levels of evidence according to the criteria of the Centre for Evidence-Based Medicine at Oxford. Results: Mandibular advancement devices offer the best results for patients with primary snoring, upper airway resistance syndrome and mild or moderate OSA (Levels of Evidence I and II). Continuous positive airway pressure (CPAP) is more effective in controlling OSA (Level of Evidence I). However, patients seem to exhibit greater adherence to oral appliances (MAD) than (CPAP) devices. The long-term side effects most observed after the use of MADs are related to changes in the mandibular and dental positions (Levels of Evidence I and II). Conclusion: MAD constitute a therapeutic alternative for OSA and promote favourable results with good efficacy and adherence to treatment. Side effects can arise in the short, medium or long term. Patients must be informed about the possible occurrence of these adverse effects, and the orthodontist must be able to manage any side effects that occur due to the use of these devices.International Archives of MedicineApneia Obstrutiva do SonoSleep Apnea, ObstructiveAvanço MandibularMandibular AdvancementUse of mandibular advancement devices for obstructive sleep apnoea treatment in adultsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleengreponame:Repositório Institucional da Universidade Federal do Ceará (UFC)instname:Universidade Federal do Ceará (UFC)instacron:UFCinfo:eu-repo/semantics/openAccessChaves Jr., Cauby MaiaFabbro, Cibele DalMachado, Marco Antonio CardosoBruin, Veralice Meireles Sales deBruin, Pedro Felipe Carvalhedo deGurgel, Marcela LimaTorgeiro, Sonia Maria Guimarães PereiraCevidanes, LuciaHaddad, Fernanda LouiseBittencourt, LiaLICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://repositorio.ufc.br/bitstream/riufc/26577/2/license.txt8a4605be74aa9ea9d79846c1fba20a33MD52ORIGINAL2017_art_cmcjunior.pdf2017_art_cmcjunior.pdfapplication/pdf358490http://repositorio.ufc.br/bitstream/riufc/26577/1/2017_art_cmcjunior.pdf4d6ffdfb3e903a92b222172c54a0cf54MD51riufc/265772019-01-25 11:54:28.919oai:repositorio.ufc.br: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Repositório InstitucionalPUBhttp://www.repositorio.ufc.br/ri-oai/requestbu@ufc.br || repositorio@ufc.bropendoar:2019-01-25T14:54:28Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC)false
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