title: Treatment of obstructive sleep apnea using an adjustable mandibular repositioning appliance fitted to a total prosthesis in a maxillary edentulous patient.
abstract: This paper reports on the case of an oral appliance used in the treatment of obstructive sleep apnea syndrome (OSAS) fitted to a superior total prosthesis. In this case, the chosen device was the adjustable PMPositioner, a mandibular repositioning appliance. A polysomnogram (PSG) both prior and with the oral appliance "in situ" was applied to evaluate the effect of the adaptation of the adjustable PMPositioner fixed onto a maxillary full denture in decreasing the apnea-hypopnea index from 18.0 to 2.2 as well as increasing the minimum oxygen saturation (SaO2 nadir) from 83 to 92%, proving that the device remained in position during sleep.
authors.affiliation: IP&D-Institute for Research and Development, University of Vale do Paraíba, São José dos Campos, São Paulo, Brazil. odontogiannasi@uol.com.br
authors.forename: Lílian Chrystiane
authors.initials: LC
authors.lastname: Giannasi
authors.forename: Márcio
authors.initials: M
authors.lastname: Magini
authors.forename: Cláudia Santos
authors.initials: CS
authors.lastname: de Oliveira
authors.forename: Luis Vicente Franco
authors.initials: LV
authors.lastname: de Oliveira
mesh_terms: D002508:Cephalometry; D003827:Denture, Complete, Upper; D006801:Humans; D008297:Male; D019186:Mandibular Advancement / Q000295:instrumentation*; D008875:Middle Aged; D009066:Mouth, Edentulous; D017090:Occlusal Splints; D017286:Polysomnography; D020181:Sleep Apnea, Obstructive / Q000628:therapy*