Mandibular advancement device for obstructive sleep apnea and its relationship with Temporomandibular Disorders
Keywords:
mandibular advancement device, mandibular advancement splints, Obstructive sleep apnea, temporomandibular disordersAbstract
Objective: To analyze the state of the art of Mandibular advancement device (MAD) and its relationship with the presence of Temporomandibular Disorders (TMD).
Materials and Methods: A search was made using PubMed, Lilacs, Cochrane, and Scielo databases using the terms "mandibular advancement device", "mandibular advancement splints", "Obstructive sleep apnea" , and "temporomandibular disorders". Inclusion criteria were articles published in the last 5 years on humans, language (English / Spanish). Exclusion criteria: Articles that did not address TMDs, Studies conducted on children.
Results: 17 articles were found, 2 were duplicates, and 7 were eliminated by manual review of titles and abstracts; of the remaining 8, 3 were excluded by PRISMA regimen and the selection criteria, obtaining 5 studies. For the analysis, the parameters were: type of study, sample, percentage of mandibular protrusion, TMD presence, and conclusions.
Conclusion: MADs prove to be safe for the treatment of OSAHS, despite generating fatigue and muscle pain in the initial period. Statistically, significant evidence is lacking to associate them with TMD. Moreover, protocols that standardize MAD and the percentage of mandibular advancement are lacking.
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