Consideration of oral appliance to achieve successful treatment outcome of patients with obstructive sleep apnea

Lim, Hyun-Dae

doi:2021.59.12.751

J Korean Dent Assoc > Volume 59(12); 2021 > Article

The Journal of The Korean Dental Association 2021;59(12):751-758.
DOI: https://doi.org/10.22974/jkda.2021.59.12.006 Published online November 30, 2021.

폐쇄성 수면무호흡증 환자에서 성공적인 치료 결과에 도달하기 위한 구강장치 치료의 고려사항

임현대

원광대학교 치과대학 구강내과학교실, 원광치의학연구소, 원광치의학교육연구센터

Consideration of oral appliance to achieve successful treatment outcome of patients with obstructive sleep apnea

Hyun-Dae Lim

Department of Oral Medicine, college of Dentistry, Wonkwang Univ. Wonkwang Dental Research Institute, Wonkwang Research Institute of Dental Education

Correspondence: Hyun-Dae Lim
Email: denthd94@wku.ac.kr

Abstract

Oral appliances are the main alternative to continuous positive airway pressure (CPAP) for the treatment of obstructive sleep apnea(OSA). Treatment of OSA with oral appliance (OA) could provide an equivalent health benefit to achieve the best possible health outcomes. But not all outcome of OA treatment is successful. The challenge of predicting which patients will not receive therapeutic benefit from OA remains a barrier to the more widespread use of this therapy. This review summarizes some of the putative action mechanisms related to oral appliance effectiveness, side effects and its management, and on patient acceptability and treatment adherence are discussed.

Key Words: Obstructive sleep apnea; oral appliance; side effects; adherence; precision medicine