A1 Refereed original research article in a scientific journal

Reasons for failure of mandibular advancement splint therapy in the treatment of obstructive sleep apnea




AuthorsPalotie Tuula, Peltomaa Anni, Bachour Adel, Bachour Patrick, Mäkitie Antti, Peltomaa Miikka, Vallittu Pekka

PublisherTAYLOR & FRANCIS LTD

Publication year2024

JournalCranio

Journal name in sourceCRANIO-THE JOURNAL OF CRANIOMANDIBULAR & SLEEP PRACTICE

Journal acronymCRANIO

Volume42

Issue2

First page 185

Last page189

Number of pages5

ISSN0886-9634

eISSN2151-0903

DOIhttps://doi.org/10.1080/08869634.2021.1922810(external)

Web address https://doi.org/10.1080/08869634.2021.1922810(external)

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/59540478(external)


Abstract
Objective: To investigate the reasons for poor adaptation to mandibular advancement splint (MAS) treatment.
Methods: The study consisted of 44 patients with obstructive sleep apnea who had unsuccessful MAS treatment. Data were collected on age, body mass index, gender, general and mental diseases, continuous positive airway pressure (CPAP) tryout, usage of occlusal splint, dental overjet, temporomandibular disorders, shortened dental arch, sleep apnea severity, and Apnea-Hypopnea Index. Sixty patients who underwent successful MAS treatment were controls.
Results: Patients with missing molars failed significantly more often in MAS therapy than the controls (p = 0.020). Patients with CPAP tryout prior to MAS treatment had a tendency to fail MAS treatment. MAS treatment was more likely to be successful in patients with prior occlusal splint experience (p = 0.050).
Conclusion: The study could not identify a single reason for MAS failure.

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Funding information in the publication
This work was supported by an HUH research grant.


Last updated on 2025-13-02 at 14:31