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CC BY-NC-ND 4.0 · Sleep Sci 2018; 11(02): 118-122
DOI: 10.5935/1984-0063.20180022
CASE REPORT

Severe obstructive sleep apnea treatment with mandibular advancement device: A case report

Maria de Lourdes Rabelo Guimarães
1   Universidade Federal de Minas Gerais, Faculdade de Odontologia - Belo Horizonte, MG, Brasil.
,
Ana Paula Hermont
1   Universidade Federal de Minas Gerais, Faculdade de Odontologia - Belo Horizonte, MG, Brasil.
,
Thais Moura Guimarães
2   Universidade Federal de São Paulo, Departamento de Psicobiologia - São Paulo, SP, Brasil.
,
Cibele Dal-Fabbro
2   Universidade Federal de São Paulo, Departamento de Psicobiologia - São Paulo, SP, Brasil.
,
Lia Bittencourt
2   Universidade Federal de São Paulo, Departamento de Psicobiologia - São Paulo, SP, Brasil.
,
Cauby Maia Chaves Junior
3   Universidade Federal do Ceará, Departamento de Clínica odontológica - Fortaleza, CE, Brasil.
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Mandibular advancement device (MAD) has been described as an alternative treatment to the severe obstructive sleep apnea (OSA), once it is not as effective as the continuous positive airway pressure therapy (CPAP) in reducing the apnea and hypopnea index (AHI). The objective of this study is to report a case using a MAD in a CPAP-intolerant patient suffering from severe OSA. Polysomnography exams were performed before and after treatment. Five months after fitting and titrating the MAD, the AHI was reduced from 80.5 events/hour to 14.6 events/hour and the minimum oxyhemoglobin saturation (SpO2) increased from 46% to 83%. A two-year assessment of therapy revealed an AHI of 8 events/hour and SpO2 of 85%.

Sleep Apnea, Obstructive - Polysomnography - Mandibular Advancement


Publication History

Received: 18 July 2017

Accepted: 20 March 2018

Article published online:
13 October 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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