Pharm

Mandibular Advancement Device

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Mandibular Advancement Device

  • Indications
  1. Obstructive Sleep Apnea
  2. Not indicated for moderate to severe Sleep Apnea
    1. For mild Sleep Apnea or loud snoring only
  • Mechanism
  1. Keeps Tongue and Mandible in forward position
  • Preparations
  1. Fit by dentists and covered by most medical insurance
  • Cost
  1. Average: $1200 if paid without insurance
  • Efficacy
  1. More effective than UPPP procedure
    1. Normalization of Sleep Apnea with device: 63%
    2. Normalization of Sleep Apnea with UPPP: 33%
  2. Compliance was only 62%
  3. Walker-Engstrom (2002) Chest 121:739-46 [PubMed]