A mandibular advancement splint for treatment of sleep apnea
Other names
MAS
[edit on Wikidata]
A mandibi splint or mandibi advancement splint is a prescription custom-made medical device worn in the mouth used to treat sleep-related breathing disorders including: obstructive sleep apnea (OSA), snoring, and TMJ disorders. These devices are also known as mandibular advancement devices, sleep apnea oral appliances, oral airway dilators, and sleep apnea mouth guards.
The American Academy of Sleep Medicine (AASM) and the American Academy of Dental Sleep Medicine (AADSM) recommend that sleep physicians should prescribe sleep apnea oral appliances for adult patients who need treatment for their primary snoring (without obstructive sleep apnea) rather than no treatment and for patients who have obstructive sleep apnea but are intolerant to CPAP therapy or otherwise prefer alternate therapy.[1]
Vanderveken et al (2008) researched prescription custom-made splints head-to-head with thermoplastic over-the-counter splints: "Our results suggest that the thermoplastic device cannot be recommended as a therapeutic option nor can it be used as a screening tool to find good candidates for mandibular advancement therapy."[2]
^Ramar K, Dort LC, Katz SG, Lettieri CJ, Harrod CG, Thomas SM, Chervin RD (July 2015). "Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy: An Update for 2015". J Clin Sleep Med. 11 (7): 773–827. doi:10.5664/jcsm.4858. PMC 4481062. PMID 26094920.
^Vanderveken, Olivier M.; Devolder, Annick; Marklund, Marie; Boudewyns, An N.; Braem, Marc J.; Okkerse, Walter; Verbraecken, Johan A.; Franklin, Karl A.; De Backer, Wilfried A. (2008-07-15). "Comparison of a Custom-made and a Thermoplastic Oral Appliance for the Treatment of Mild Sleep Apnea". American Journal of Respiratory and Critical Care Medicine. 178 (2): 197–202. doi:10.1164/rccm.200701-114OC. ISSN 1073-449X. PMID 17673699.
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