Mandibular Advancement Device (MAD) in Patients With Obstructive Sleep Apnea Syndrome (OSAS), Who Don't Tolerate the Continuous Positive Airways Pressure (CPAP)

CHEST Journal ◽  
2014 ◽  
Vol 145 (3) ◽  
pp. 593A
Author(s):  
Maria Pavón ◽  
Estefania Luque ◽  
Jose María Benitez ◽  
Jesús Sánchez ◽  
Andrés Vega Arias ◽  
...  
2014 ◽  
Vol 62 (4) ◽  
pp. 417-424
Author(s):  
Maiara Medeiros RONSANI ◽  
Thiago Martins MEIRA ◽  
Luiz Roberto GODOLFIM ◽  
Roberto Ramos GARANHANI

The aim of this study is to describe a case report of obstructive sleep apnea syndrome and to describe a logical sequence for the treatment of patients who suffer from this disease. Through an interpretation of the polysomnography examination, case history, and clinical examination and by performing cephalometric analysis for sleep apnea, a safe and effective treatment using an intraoral device was indicated. Along these lines, a mandibular advancement device, the Posicionador Luiz Godolfim (PLG), was constructed. After using the device for 4 weeks, the patient underwent another polysomnography, which showed the absence of obstructive sleep apnea. The steps followed for the treatment in this case highlight the importance of and the need for a correct and careful approach for patients with sleep apnea referred to dental office. The approach and sequence presented ensured the success of treatment in this case.


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