Sleep dentistry: allied appliances in the treatment of apnea and obstructive sleep hypopnea with emphasis - AAR-ITO and HGS-RA

Abstract

Obstructive sleep apnea syndrome (OSAS) is characterized as a chronic disease that affects the general population, being more frequent in middle-aged people, with a prevalence of 4% in men and 2% in women. In addition to the social problems associated with snoring and excessive daytime sleepiness, it is also a cause for concern due to the pulmonary hypertension and heart failure that it can trigger. To evaluate the available scientific evidence on the use of intraoral devices for mandibular advancement in the treatment of snoring and OSAS. Methods: an electronic search strategy was performed using keywords and predefined criteria, including studies published up to 2012. Although a significant number of studies have analyzed the subject, 26 articles presented methodological quality to be included in this review. Intraoral devices are widely indicated for the treatment of snoring and OSAS as the main or alternative therapy in those patients who cannot tolerate positive airway pressure therapy used during sleep, with emphasis on HGS-RA and AAR-ITO highlighting the mechanism of operation, effectiveness and limitations of this therapy.