SIDE-EFFECTS IN DENTAL OCCLUSION AND ORAL FUNCTION IN
ADULT PATIENTS WITH OBSTRUCTIVE SLEEP APNOEA TREATED
WITH A MANDIBULAR ADVANCEMENT DEVICE
Obstructive sleep apnoea (OSA) is one of the most common
sleep-related breathing disorders and may cause daytime
sleepiness and tiredness which can aect everyday activities
and trac safety. Continuous Positive Airway Pressure (CPAP)
is the standard treatment of adult patients with OSA but on
the right indication a removable mandibular advancement
device (MAD) can be used in treatment of mild to moderate
OSA. MAD is an active, functional appliance, similar to the ap-
pliance used in orthodontic treatment of children and adults.
The successful eect of MAD in orthodontic treatment is of-
ten seen as side eects in MAD- treatment of adult patients
with OSA. The aim of the present article is to describe occlus-
al and functional side eects after MAD treatment of adult
patients with OSA. The literature review of the present article
is based on previous published scientic articles including
MAD treatment in adult patients with OSA. Short-term side
eects after MAD may appear as discomfort in teeth and
gingiva, tenderness in the temporomandibular joint and mas-
ticatory muscles, temporarily joint sounds, dryness of the
mouth or excessive salivation. Long-term side eects may
appear as reduced overjet and overbite, posterior rotation of
the mandible, increased anterior face height, Angle Class III
malocclusion and reduction in number of occlusal contacts
of the teeth. Before MAD-treatment a sleep test and detailed
diagnostics of the dento-craniofacial area is essential. The
actual treatment, control and follow-up should be performed
by specially trained dentists in order to reduce side eects
and obtain optimal eect of treatment