title: Management of snoring and obstructive sleep apnea with mandibular repositioning appliances: a prosthodontic approach.
abstract: Dentists are becoming increasingly aware of the importance of the detection and management of obstructive sleep apnea. The anatomic and neuromuscular risk factors in the pathogenesis of obstructive sleep apnea are reviewed with particular emphasis on oral findings. Mandibular repositioning appliances hold an important role in the treatment of this condition; however, knowledge of indications and contraindications for treatment, potential areas of oropharyngeal obstruction, appliance design, and treatment steps are vital to ensure maximum treatment success. A review of the steps involved in treatment and management with particular emphasis on collaborative care with physicians is presented.
authors.affiliation: Private Practice, 9300 Southeast 91st Avenue, Suite 403, Portland, OR 97086, USA. Electronic address: drb@fusiondentalspecialists.com.
authors.forename: Reva Malhotra
authors.initials: RM
authors.lastname: Barewal
authors.forename: Chad Cameron
authors.initials: CC
authors.lastname: Hagen
mesh_terms: D006801:Humans; D008334:Mandible; D016382:Orthodontic Appliance Design; D009968:Orthodontic Appliances, Removable; D011476:Prosthodontics / Q000379:methods*; D020181:Sleep Apnea, Obstructive / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D012913:Snoring / Q000628:therapy*
keywords: Mandibular advancement; Oral appliances; Practice guidelines; Review; Sleep apnea; Snoring