Review of oral appliances for treatment of sleep-disordered breathing

Sleep and Breathing

Volumn 11, Issue 1, 2007, Pages 1-22

  Hoffstein, Victor ^a  

^a ST MICHAEL'S HOSPITAL   (Canada)

Author keywords

Continuous positive airway pressure; Oral appliance; Sleep apnea

Indexed keywords

CLINICAL TRIAL; DEVICE; EPWORTH SLEEPINESS SCALE; FOLLOW UP; HUMAN; HYPERSALIVATION; METHODOLOGY; PATIENT COMPLIANCE; PHARYNX RECONSTRUCTION; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; PUBLICATION; REVIEW; SLEEP APNEA SYNDROME; SLEEP DISORDERED BREATHING; SNORING; TOOTH DISEASE; VASCULAR DISEASE;

CONTINUOUS POSITIVE AIRWAY PRESSURE; HUMANS; ORTHODONTIC APPLIANCES, REMOVABLE; OUTCOME ASSESSMENT (HEALTH CARE); POLYSOMNOGRAPHY; RANDOMIZED CONTROLLED TRIALS; RESEARCH DESIGN; SLEEP APNEA, OBSTRUCTIVE; SNORING; TREATMENT OUTCOME;

EID: 33947575754     PISSN: 15209512     EISSN: 15221709     Source Type: Journal    
DOI: 10.1007/s11325-006-0084-8     Document Type: Review

References (127)

1. Hoekema A, Stegenga B, De Bont LG (2004) Efficacy and co-morbidity of oral appliances in the treatment of obstructive sleep apnea-hypopnea: A systematic review. Crit Rev Oral Biol Med 15:137-155
2. Ferguson KA (2003) The role of oral appliance therapy in the treatment of obstructive sleep apnea. Clin Chest Med 24:355-364
3. Mohsenin N, Mostofi MT, Mohsenin V (2003) The role of oral appliances in treating obstructive sleep apnea. J Am Dent Assoc 34:442-449
4. Ivanhoe JR, Attanasio R (2001) Sleep disorders and oral devices. Dent Clin North Am 45:733-758
5. Lindman R, Bondemark L (2001) A review of oral devices in the treatment of habitual snoring and obstructive sleep apnoea. Swed Dent J 25:39-51
6. Schoem SR (2000) Oral appliances for the treatment of snoring and obstructive sleep apnea. Otolaryngol Head Neck Surg 122:259-262
7. Bian H (2004) Knowledge, opinions, and clinical experience of general practice dentists toward obstructive sleep apnea and oral appliances. Sleep Breath 8:85-90
8. Catlin G (1872) The breath of life. Wiley, New York
9. Robin P (1902) Demonstration pratique sur la construction et la mise enbouche d'un Nouvelle appareil de redressement. Revue de Stomatologie (Paris) 9:561-590
10. Robin P (1934) Glossoptosis due to atresia and hypotrophy of the mandible. Am J Dis Child 48:541-547
11. Cartwright RD, Samelson CF (1982) The effects of a nonsurgical treatment for obstructive sleep apnea. The tongue-retaining device. JAMA 248:705-709
12. Schwab RJ (2003) Sleep apnea is an anatomic disorder. Am J Respir Crit Care Med 168:270-271
13. Strohl KP (2003) Con: Sleep apnea is not an anatomic disorder. Am J Respir Crit Care Med 168:271-272
14. Ryan CF, Love LL, Fleetham JA, Lowe AA (1999) Mandibular advancement oral appliance therapy for obstructive sleep apnea: Effect on awake calibre of the velopharynx. Thorax 54:972-977
15. Gale DJ, Sawyer RH, Woodcock A, Stone P, Thompson R, O'Brien K (2000) Do oral appliances enlarge the airway in patients with obstructive sleep apnea? A prospective computerized tomographic study. Eur J Orthod 22:159-168
16. Kato J, Isono S, Tanaka A, Watanabe T, Araki D, Tanzawa H, Nishino T (2000) Dose-dependent effects of mandibular advancement on pharyngeal mechanics and nocturnal oxygenation in patients with sleep-disordered breathing. Chest 117:1065-1072
17. Hiyama S, Tsuiki S, Ono T, Kuroda T, Ohyama K (2003) Effects of mandibular advancement on supine airway size in normal subjects during sleep. Sleep 26:440-445
18. Ng AT, Gotsopoulos H, Qian J, Cistulli PA (2003) Effect of oral appliance therapy on upper airway collapsibility in obstructive sleep apnea. Am J Respir Crit Care Med 168:238-241
19. Battagel JM, Johal A, Kotecha BT (2005) Sleep nasendoscopy as a predictor of treatment success in snorers using mandibular advancement splints. J Laryngol Otol 119:106-112
20. Petit FX, Pépin JL, Bettega G, Sadek H, Raphaël B, Lévy P (2002) Mandibular advancement devices: Rate of contraindications in 100 consecutive obstructive sleep apnea patients. Am J Respir Crit Care Med 166:274-278
21. Cartwright R, Venkatesan TK, Caldarelli D, Diaz F (2000) Treatments of snoring: A comparison of somnoplasty and an oral appliance. Laryngoscope 110:1680-1683
22. Cartwright RD (1985) Predicting response to the tongue retaining device for sleep apnea syndrome. Arch Otolaryngol 111(6):385-388
23. Caldarelli DD, Cartwright RD, Lilie JK (1985) Obstructive sleep apnea: variations in surgical management. Laryngoscope 95(9 Pt 1):1070-1073
24. Soll BA, George PT (1985) Treatment of obstructive sleep apnea with a nocturnal airway-patency appliance. N Engl J Med 313:386-387
25. Kloss W, Meier-Ewert K, Schäfer H (1986) Zur therapie des obstruktiven schlaf-apnoe-syndroms. Fortschr Neurol Psychiatr 54:267-271
26. Meier-Ewert K, Brosig B (1987) Treatment of sleep apnea by prosthetic mandibular advancement. In: Peter H, Podszus T, von Wichert P (eds) Sleep related disorders and internal medicine. Springer, Berlin Heidelberg New York, pp 341-345
27. George PT (1987) A modified functional appliance for treatment of obstructive sleep apnea. J Clin Orthod 21:171-175
28. Bonham PE, Currier GF, Orr WC, Othman J, Nanda RS (1988) The effect of a modified functional appliance on obstructive sleep apnea. Am J Orthod Dentofacial Orthop 94:384-392
29. Bernstein AK, Reidy RM (1988) The effects of mandibular repositioning on obstructive sleep apnea. Cranio 6:179-181
30. Cartwright R, Stefoski D, Caldarelli D, Kravitz H, Knight S, Lloyd S, Samelson C (1988) Toward a treatment logic for sleep apnea: The place of the tongue retaining device. Behav Res Ther 26(2):121-126
31. Lowe AA, Fleetham JA, Ryan F, Mathews B (1990) Effects of a mandibular repositioning appliance used in the treatment of obstructive sleep apnea on tongue muscle activity. Prog Clin Biol Res 345:395-404
32. Cartwright R, Ristanovic R, Diaz F, Caldarelli D, Adler G (1991) A comparative study of treatments for positional sleep apnea. Sleep 14:546-552
33. Ichioka M, Tojo N, Yoshizawa M, Chida M, Miyazato I, Taniai S, Marumo F, Nakagawa K, Hasegawa M (1991) A dental device for the treatment of obstructive sleep apnea: A preliminary study. Otolaryngol Head Neck Surg 104:555-558
34. Schmidt-Nowara WW, Meade TE, Hays MB (1991) Treatment of snoring and obstructive sleep apnea with dental orthosis. Chest 99:1378-1385
35. Nakazawa Y, Sakamoto T, Yasutake R, Yamaga K, Kotorii T, Miyahara Y, Ariyoshi Y, Kameyama T (1992) Treatment of sleep apnea with prosthetic mandibular advancement. Sleep 15:499-504
36. Knudson RC, Meyer JB (1993) Managing obstructive sleep apnea. J Am Dent Assoc 124:75-78
37. George PT (1993) Treatment of snoring and obstructive sleep apnea with a dental device. Gen Dent 41:294-298
38. Clark GT, Arand D, Chung E, Tong D (1993) Effect of anterior mandibular positioning on obstructive sleep apnea. Am Rev Respir Dis 147:624-629
39. Eveloff SE, Rosenberg CL, Carlisle CC, Millman RP (1994) Efficacy of a Herbst mandibular advancement device in obstructive sleep apnea. Am J Respir Crit Care Med 149:905-909
40. Yoshida K (1994) Prosthetic therapy for sleep apnea syndrome. J Prosthet Dent 72:296-302
41. Sjöholm TT, Polo OJ, Rauhala ER, Vuoriluoto J, Helenius HY (1994) Mandibular advancement with dental appliances in obstructive sleep apnea. J Oral Rehabil 21:595-603
42. O'Sullivan RA, Hillman DR, Mateljan R, Pantin C, Finucane KE (1995) Mandibular advancement splint: An appliance to treat snoring and obstructive sleep apnea. Am J Respir Crit Care Med 151:194-198
43. Osseiran HS (1995) Treating obstructive sleep apnea: Can an intraoral prosthesis help? J Am Dent Assoc 126:461-466
44. Mayer G, Meier-Ewert K (1995) Cephalometric predictors for orthopaedic mandibular advancement in obstructive sleep apnea. Eur J Orthod 17:35-43
45. Clark GT, Blumenfeld I, Yoffe N, Peled E, Lavie P (1996) A crossover study comparing the efficacy of continuous positive airway pressure with anterior mandibular positioning devices on patients with obstructive sleep apnea. Chest 109:1477-1483
46. Ferguson KA, Ono T, Lowe A, Keenan SP, Fleetham JA (1996) A randomized crossover trial of an oral appliance vs nasal-continuous positive airway pressure in the treatment of mild-moderate obstructive sleep apnea. Chest 109:1269-1275
47. Menn SJ, Loube DI, Morgan TD, Mitler MM, Berger JS, Erman MK (1996) The mandibular repositioning device: Role in the treatment of obstructive sleep apnea. Sleep 19:794-800
48. Miles PG, Nimkarn Y, De Leeuw BJ (1996) Dentistry's role in obstructive sleep apnea. Review and case report. Aust Dent J 41:248-251
49. Schönhofer B, Stoohs RA, Rager H, Wenzel M, Wenzel G, Köhler D (1997) A new tongue advancement technique for sleep-disrodered breathing: Side effects and efficacy. Am J Respir Crit Care Med 155:732-738
50. Ferguson KA, Ono T, Lowe AA, al-Majed S, Love LL, Fleetham JA (1997) A short-term controlled trial of an adjustable oral appliance for the treatment of mild to moderate obstructive sleep apnea. Thorax 52:362-368
51. Esaki K, Kanegae H, Uchida T, Mizuma H, Sakamoto T, Kameyama T (1997) Treatment of sleep apnea with a new separated type of dental appliance (mandibular advancing positioner). Kurume Med J 44:315-319
52. Arai H, Furuta H, Koshino Y, Sano J (1997) Long-term effects of a dental appliance therapy: A case of obstructive sleep apnea syndrome with enuresis. Sleep 20:158-159
53. Lamont J, Baldwin DR, Hay KD, Veale AG (1998) Effect of two types of mandibular advancement splints on snoring and obstructive sleep apnoea. Eur J Orthod 20:293-297
54. Marklund M, Franklin KA, Sahlin C, Lundgren R (1998) The effect of mandibular advancement device on apneas and sleep in patients with obstructive sleep apnea. Chest 113:707-713
55. Millman RP, Rosenberg CL, Carlisle CC, Kramer NR, Kahn DM, Bonitati AE (1998) The efficacy of oral appliances in the treatment of persistent sleep apnea after uvulopalatopharyngoplasty. Chest 113:992-996
56. Cohen R (1998) Obstructive sleep apnea: Oral appliance therapy and severity of condition. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 85:388-392
57. Stradling JR, Negus TW, Smith D, Langford B (1998) Mandibular advancement devices for the control of snoring. Eur Respir J 11:447-450
58. Pellanda A, Despland PA, Pasche P (1999) The anterior mandibular positioning device for the treatment of obstructive sleep apnoea syndrome: Experience with the Serenox. Clin Otolaryngol Allied Sci 24:134-141
59. Wilhelmsson B, Tegelberg A, Walker-Engstrom ML, Ringqvist M, Andersson L, Krekmanov L, Ringqvist I (1999) A prospective randomized study of a dental appliance compared with uvulopalatopharyngoplasty in the treatment of obstructive sleep apnea. Acta Otolaryngol 119:503-509
60. Pancer J, Al-Faifi S, Al-Faifi M, Hoffstein V (1999) Evaluation of variable mandibular advancement appliance for treatment of snoring and sleep apnea. Chest 116:1511-1518
61. Gao X, Zeng X, Fu M (1999) Magnetic resonance imaging in dental appliance treatment of obstructive sleep apnea syndrome. Zhonghua Kou Qiang Yi Xue Za Zhi 34:347-350
62. Ryan CF, Love LL, Peat D, Fleetham JA, Lowe AA (1999) Mandibular advancement oral appliance therapy for obstructive sleep apnea: Effect on awake caliber of the velopharynx. Thorax 54:972-977
63. Henke KG, Frantz DE, Kuna ST (2000) An oral elastic mandibular advancement device for obstructive sleep apnea. Am J Respir Crit Care Med 161:420-425
64. Kato J, Isono S, Tanaka A, Watanabe T, Araki D, Tanzawa H, Nishino T (2000) Dose-dependent effects of mandibular advancement on pharyngeal mechanics and nocturnal oxygenation in patients with sleep-disordered breathing. Chest 117:1065-1072
65. Barthlen GM, Brown LK, Wiland MR, Sadeh JS, Patwari J, Zimmerman M (2000) Comparison of three oral appliances for treatment of severe obstructive sleep apnea syndrome. Sleep Med 1:299-305
66. Shadaba A, Battagel JM, Owa A, Croft CB, Kotecha BT (2000) Evaluation of the Herbst mandibular advancement splint in the management of patients with sleep-related breathing disorders. Clin Otolaryngol Allied Sci 25:404-412
67. Lowe AA, Sjoholm TT, Ryan CF, Fleetham JA, Ferguson KA, Remmers JE (2000) Treatment, airway and compliance of a titratable oral appliance. Sleep 23(Suppl 4):S172-S178
68. Bloch KE, Iseli A, Zhang JN, Xie X, Kaplan V, Stoeckli PW, Russi EW (2000) A randomized, controlled corssover trial of two oral appliances of sleep apnea treatment. Am J Respir Crit Care Med 162:246-251
69. Maurer JT, Hirth K, Mattinger C, Riedel F, Werner B, Hormann K (2000) Use of an intraoral snoring therapy device of thermolabile plastic. HNO 48:302-308
70. Yoshida (2000) Effects of a mandibular advancement device for the treatment of sleep apnea syndrome and snoring on respiratory function and sleep quality. Cranio 18:98-105
71. Liu Y, Park YC, Lowe AA, Fleetham JA (2000) Supine cephalometric analysis of adjustable oral appliance used in the treatment of obstructive sleep apnea. Sleep Breath 4:59-66
72. Mehta A, Qian J, Petocz P, Darendeliler MA, Cistulli PA (2001) A randomized, controlled study of a mandibular advancement splint for obstructive sleep apnea. Am J Respir Crit Care Med 163:1457-1461
73. Fritsch KM, Iseli A, Russi EW, Bloch KE (2001) Side effects of mandibular advancement devices for sleep apnea treatment. Am J Respir Crit Care Med 164:813-818
74. Yoshida K (2001) Influence of sleep posture on response to oral appliance therapy for sleep apnea syndrome. Sleep 24:538-544
75. Johnston CD, Gleadhill IC, Cinnamond MJ, Peden WM (2001) Oral appliances for the management of severe snoring: A randomized controlled trial. Eur J Orthod 23:127-134
76. Marklund M, Sahlin C, Stenlund H, Persson M, Franklin KA (2001) Mandibular advancement device in patients with obstructive apnea: long-term effects on apnea and sleep. Chest 120:162-169
77. Pitsis AJ, Darendeliler MA, Gotsopoulos H, Petocz P, Cistulli PA (2002) Effect of vertical dimension on efficacy of oral appliance therapy in obstructive sleep apnea. Am J Respir Crit Care Med 166:860-864
78. Pételle B, Vincent G, Gagnadoux F, Rakotonanahary D, Meyer B, Fleury B (2002) One-night mandibular advancement titration for obstructive sleep apnea syndrome. Am J Respir Crit Care Med 165:1150-1153
79. Walker-Engström ML, Tegelberg Å, Wilhelmsson B, Ringqvist I (2002) 4-year follow-up of treatment with dental appliance or uvulopalatopharyngoplasty in patients with obstructive sleep apnea: A randomized study. Chest 121:739-746
80. Rose EC, Barthlen GM, Staats R, Jonas IE (2002) Therapeutic efficacy of an oral appliance in the treatment of obstructive sleep apnea: A 2-yr follow-up. Am J Orthod Dentofacial Orthop 121:273-279
81. Rose EC, Staats R, Virchow C Jr, Jonas IE (2002) Occlusal and skeletal effects of an oral appliance in the treatment of sleep apnea. Chest 122:871-877
82. Gotsopoulos H, Chen C, Qian J, Cistulli PA (2002) Oral appliance therapy improves symptoms in obstructive sleep apnea: A randomized, controlled trial. Am J Respir Crit Care Med 166:743-748
83. de Almeida FR, Bittencourt LR, de Almeida CI, Tsuiki S, Lowe AA, Tufik S (2002) Effects of mandibular posture on obstructive sleep apnea severity and the temporomandibular joint in patients fitted with an oral appliance. Sleep 25:507-513
84. Randerath WJ, Heise M, Hinz R, Ruehle KH (2002) An individually adjustable oral appliance vs. continuous positive airway pressure in mild-to-moderate obstructive sleep apnea syndrome. Chest 122:569-575
85. Engleman HM, McDonald JP, Graham D, Lello GE, Kingshott RN, Coleman EL, Mackay TW, Douglas NJ (2002) Randomized crossover trial of two treatments for sleep apnea/hypopnea syndrome: Continuous positive pressure and mandibular reposition splint. Am J Respir Crit Care Med 166:855-859
86. Johnston CD, Gleadhill IC, Cinnamond MJ, Gabbey J, Burden DJ (2002) Mandibular advancement appliances and obstructive sleep apnea: A randomized clinical trial. Eur J Orthod 24:251-262
87. Smith DM, Stradling JR (2002) Can mandibular advancement devices be a satisfactory substitute for short term use in patients on nasal continuous positive airway pressure? Thorax 57:305-308
88. Tan YK, L'Estrange PR, Luo YM, Smith C, Grant HR, Simonds AK, Spiro SG, Battagel JM (2002) Mandibular advancement splints and continuous positive airway pressure in patients with obstructive sleep apnoea: A randomized cross-over trial. Eur J Orthod 24:239-249
89. Walker-Engström ML, Ringqvist I, Vestling O, Wilhelmsson B, Tegelberg Å (2003) A prospective randomized study comparing two different degrees of mandibular advancement with a dental appliance in treatment of severe sleep apnea. Sleep Breath 3:119-130
90. Tegelberg Å, Walker-Engström ML, Ringqvist I, Vestling O, Wilhelmsson B (2003) Two different degrees of mandibular advancement with a dental appliance in treatment of patients with mild to moderate obstructive sleep apnea. Acta Odontol Scand 61:356-362
91. Wade PS (2003) Oral appliance therapy for snoring and sleep apnea: preliminary report on 86 patients fitted with an anterior mandibular positioning device, the Silencer. J Otolaryngol 32:110-113
92. Barnes M, McEvoy RD, Banks S, Tarquinio N, Murray CG, Vowles N, Pierce RJ (2004) Efficacy of positive airway pressure and oral appliance in mild to moderate obstructive sleep apnea. Am J Respir Crit Care Med 170:656-664
93. Fleury B, Rakotonanahary D, Petelle B, Vincent G, Pelletier Fleury N, Meyer B, Lebeau B (2004) Mandibular advancement titration for obstructive sleep apnea: Optimization of the procedure by combining clinical and oximetric parameters. Chest 125:1761-1767
94. Tsai WH, Vazquez JC, Oshima T, Dort L, Roycroft B, Lowe AA, Hajduk E, Remmers JE (2004) Remotely controlled mandibular positioner predicts efficacy of oral appliances in sleep apnea. Am J Respir Crit Care Med 170:366-370
95. Marklund M, Stenlund H, Franklin KA (2004) Mandibular advancement devices in 630 men and women with obstructive sleep apnea and snoring: tolerability and predictors of treatment success. Chest 125:1270-1278
96. Smith AM, Battagel JM (2004) Non-apneic snoring and the orthodontist: the effectiveness of mandibular advancement splints. J Orthod 31:115-123
97. Vanderveken OM, Boudewyns AN, Braem MJ, Okkerse W, Verbraecken JA, Willemen M, Wuyts FL, De Backer WA, Van de Heyning PH (2004) Pilot study of a novel mandibular advancement device for the control of snoring. Acta Otolaryngol 124:628-633
98. Rose EC, Germann M, Sorichter S, Jonas IE (2004) Case control study in the treatment of obstructive sleep-disordered breathing with a mandibular protrusive appliance. J Orofac Orthop 65:489-500
99. Eskafi M, Cline C, Israelsson B, Nilner M (2004) A mandibular advancement device reduces sleep disordered breathing in patients with congestive heart failure. Swed Dent J 28:155-163
100. Lawton HM, Battagel JM, Kotecha B (2005) A comparison of the Twin Block and Herbst mandibular advancement splints in the treatment of patients with obstructive sleep apnoea: A prospective study. Eur J Orthod 27:82-90
101. de Almeida FR, Lowe AA, Tsuiki S, Otsuka R, Wong M, Fastlicht S, Ryan CF (2005) Long term compliance and side effects of oral appliances used for the treatment of snoring and obstructive sleep apnea syndrome. J Clin Sleep Med 1:143-152
102. McGown AD, Makker HK, Battagel JM, L'Estrange PR, Grant HR, Spiro SG (2001) Long-term use of mandibular advancement splints for snoring and obstructive sleep apnea: A quesionnaire survey. Eur Respir J 17:462-466
103. Pantin CG, Hillman DR, Tennant M (1999) Dental side effects of an oral device to treat snoring and obstructive sleep apnea. Sleep 22:237-240
104. Clark GT, Sohn JW, Hong CN (2000) Treating obstructive sleep apnea and snoring: Assessment of an anterior mandibular positioning device. J Am Dent Assoc 131:765-771
105. Minhas SS, Dutt SN, Deakin P, Pahor AL (2001) Mandibular advancement prosthesis: First-line alternative to surgery in snoring. J Laryngol Otol 115:548-551
106. Dort LC, Hussein J (2004) Snoring and obstructive sleep apnea: compliance with oral appliance therapy. J Otolaryngol 33:172-176
107. Walker-Engström ML, Wilhelmsson B, Tegelberg Å, Dimenäs E, Ringqvist I (2000) Quality of life assessment of treatment with dental appliance or UPPP in patients with mild to moderate obstructive sleep apnoea. A prospective randomized 1-year follow-up study. J Sleep Res 9:303-308
108. Bondemark L, Lindman R (2000) Craniomandibular status and function in patients with habitual snoring and obstructive sleep apnea after nocturnal treatment with a mandibular advancement splint: A 2-year follow-up. Eur J Orthod 22:53-60
109. Robertson CJ (2001) Dental and skeletal changes associated with long-term mandibular advancement. Sleep 24:531-537
110. Marklund M, Franklin KA, Persson M (2001) Orthodontic side-effects of mandibular advancement devices during treatment of snoring and sleep apnea. Eur J Orthod 23:135-144
111. Ringqvist M, Walker-Engström ML, Tegelberg Å, Ringqvist I (2003) Dental and skeletal changes after 4 years of obstructive sleep apnea treatment with mandibular advancement device: A prospective, randomized study. Am J Orthod Dentofacial Orthop 124:53-60
112. Robertson C, Herbison P, Harkness M (2003) Dental and occlusal changes during mandibular advancement splint therapy in sleep disordered patients. Eur J Orthod 25:371-376
113. Gotsopoulos H, Kelly JJ, Cistulli PA (2004) Oral appliance therapy reduces blood pressure in obstructive sleep apnea: A randomized, controlled trial. Sleep 27:934-941
114. Kuna ST, Giarraputo PC, Stanton DC, Levin LM, Frantz D (2006) Evaluation of an oral mandibular advancement titration appliance. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 101:593-603
115. Bates CJ, McDonald JP (2006) Patients' and sleeping partners' experience of treatment for sleep-related breathing disorders with a mandibular repositioning splint. Br Dent J 200:95-101
116. Liu Y, Lowe AA, Fleetham JA, Park YC (2001) Cephalometric and physiologic predictors of the efficacy of an adjustable oral appliance for treating obstructive sleep apnea. Am J Orthod Dentofacial Orthop 120:639-647
117. Otsuka R, Almeida FR, Lowe AA, Ryan F (2006) A comparison of responders and nonresponders to oral appliance therapy for the treatment of obstructive sleep apnea. Am J Orthod Dentofacial Orthop 129:222-229
118. Marklund M (2006) Predictors of long-term orthodontic side effects from mandibular advancement devices in patients with snoring and obstructive sleep apnea. Am J Orthod Dentofacial Orthop 129:214-221
119. de Almeida FR, Lowe AA, Otsuka R, Fastlicht S, Farbood M, Tsuiki S (2006) Long-term sequellae of oral appliance therapy in obstructive sleep apnea patients: Part 2. Study-model analysis. Am J Orthod Dentofacial Orthop 129:205-213
120. Horiuchi A, Suzuki M, Ookubo M, Ikeda K, Mitani H, Sugawara J (2005) Measurement techniques predicting the effectiveness of an oral appliance for obstructive sleep apnea hypopnea syndrome. Angle Orthod 75:1003-1011
121. Hoekema A, de Lange J, Stegenga B, de Bont LG (2006) Oral appliances and maxillomandibular advancement surgery: An alternative treatment protocol for the obstructive sleep apnea-hypopnea syndrome. J Oral Maxillofac Surg 64:886-891
122. Naismith SL, Winter VR, Hickie IB, Cistulli PA (2005) Effect of oral appliance therapy on neurobehavioral functioning in obstructive sleep apnea: A randomized controlled trial. J Clin Sleep Med 1:374-380
123. Ng AT, Qian J, Cistulli PA (2006) Oropharyngeal collapse predicts treatment response with oral appliance therapy in obstructive sleep apnea. Sleep 29:666-671
124. Kushida CA, Morgenthaler TI, Littner MR, Alessi CA, Bailey D, Coleman J Jr, Friedman L, Hirshkowitz M, Kapen S, Kramer M, Lee-Chiong T, Owens J, Pancer JP (2006) Practice parameters for the treatment of snoring and obstructive sleep apnea with oral appliances: An update for 2005. Sleep 29:240-243
125. Ferguson KA, Cartwright R, Rogers R, Schmidt-Nowara W (2006) Oral appliances for snoring and sleep apnea: A review. Sleep 29:244-262
126. Yoshida K (2006) Effect on blood pressure of oral appliance therapy for sleep apnea syndrome. Int J Prosthodont 19:61-66
127. Hou HM, Sam K, Hägg U, Rabie ABM, Bendeus M, Yam LYC, Ip MS (2006) Long-term dentofacial changes in Chinese obstructive sleep apnea patients after treatment with mandibular advancement device. Angle Orthod 73:432-440