COMPARISON OF CPAP AND INTRAORAL APPLIANCE FOR TREATMENT OF OBSTRUCTIVE SLEEP APNEA
sleep apnea, mandibular advancement device (MAD), continuous positive airway pressure (CPAP)
Resumo (inglês): “The research referred to the evaluation of an innovative mandibular advancement device (SilentSleep) manufactured by digital flow in Dentistry for the treatment of obstructive sleep apnea (OSA). The study was carried out on 40 participants, divided into a control group and a treatment group. The treatment group corresponded to 20 individuals who had already been diagnosed with OSA based on type I polysomnography and who had not adapted to treatment with CPAP (Continuous Positive Airway Pressure) or who wanted an alternative to this treatment. The control group corresponded to 20 individuals without a diagnosis of apnea. The participants had their arches scanned to print the individualized mandibular advancement device in the third dimension. The advance was made gradually. This study aimed to evaluate the effectiveness of the mandibular advancement device (MAD) in reducing the oxygen desaturation rate and snoring; comparing the benefits of this device in relation to continuous positive airway pressure (CPAP) generating equipment, comparative analysis of tooth movement and chewing efficiency after the use of MAD for one year. The effectiveness of treatments was assessed using type IV polysomnography (Biologix Sistemas LTDA, Sensor Oxistar BX1, Serdia Eletrônica Industrial, Brazil) at different times during sleep: 1) without any intervention; 2) with the use of CPAP; 3) with the use of an intraoral appliance for mandibular advancement. Results were analyzed using descriptive statistics and an ANOVA.