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Sleep Apnea and Mandibular Advancement Devices


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Sleep Apnea Why should it be treated?


Obstructive Sleep Apnea (OSA) is a sleep-disordered breathing in which repeated episodes of upper airway obstruction occur, causing respiratory arrest during sleep. Snoring coupled with respiratory pauses and excessive daytime sleepiness are its most characteristic symptoms. Early diagnosis and proper treatment are key to avoiding the consequences of sleep apnea, which include high blood pressure, cardiac arrhythmias, neurovascular disorders, memory loss, diabetes, accidents... In case of suspicion, you should go to the pulmonologist, the neurophysiologist or the Sleep Unit. If the doctor deems it appropriate, he will prescribe a sleep study by polysomnography or cardiorespiratory polygraphy. There are several treatments used in the diagnosis of sleep apnea, starting with hygienic-dietary measures, however these measures are not always sufficient and depending on the case, it is necessary to use other treatments such as Positive Air Pressure ( PAP) or Mandibular Advancement Devices (MAD) and other alternative treatments.


Today we focus on Mandibular Advancement Devices.


What is Sleep Apnea Treatment with Mandibular Advancement Devices?


A Mandibular Advancement Device or MAD, is an intraoral device, composed of two splints, whose mechanism of action consists of a mandibular advancement to release the airway and allow the passage of air. Mandibular advancement devices are used during sleeping hours in the treatment of obstructive sleep apnea and snoring. According to OrthoApnea, a company with more than 25 years of experience in the design and manufacture of dental appliances and, more specifically, manufacturers of the Noa and Classic Mandibular Advancement Devices, they emphasize the importance of mandibular advancement devices for the treatment of obstructive apnea sleep, are fully customized according to the patient's mandibular biomechanics, that is, "a unique device for each mouth".


Pablo García Romero, Commercial Manager of OrthoApnea explains:

" After several years of research, OrthoApnea has presented the first MAD personalized 100% to the characteristics and needs of patients, thus becoming the safest, most comfortable and effective device for sleep apnea and snoring. This Spanish product is changing the lives of thousands of people around the world."

OrthoApnea is present in more than 45 countries with thousands of patients successfully treated with its new generation devices, designed and manufactured in a 100% digital environment. This, together with the application of the latest technologies, allows us to offer maximum efficiency and comfort in our treatments.


When is the use of Mandibular Advancement Devices indicated?


According to the latest International Consensus Document on Obstructive Sleep Apnea (ICD), 2021, the first step after obtaining a diagnosis with a sleep test will always be for the sleep medicine specialist to consider the adequacy of the sleep measures for the patient. sleep hygiene and obesity treatment, as well as to evaluate their particular conditions. In cases where it is necessary to advance in other types of measures, in general terms, Mandibular Advancement Devices could be indicated in adult patients with mild to moderate Obstructive Sleep Apnea, in adult patients with severe Obstructive Sleep Apnea intolerant to other treatments and in adult snoring patients. After the prescription of treatment with MAD, a dentist specializing in this type of device will assess its suitability for that particular case.

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