THE CHALLENGES OF MANDIBULAR ADVANCEMENT DEVICES - A NEW DESIGN ADJUSTABLE DENTAL APPLIANCE FOR THE TREATMENT OF OBSTRUCTIVE SLEEP APNEA

Introduction: Obstructive Sleep Apnea is one of the prevalent breathing sleep disorders, especially among the elderly population of the modern world. Obstructive sleep apnea is defined as the occurrence of five or more episodes of complete or partial upper airway obstructions per hour during sleep....

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Main Authors: Lyubomir Grozev, Tanya Bozhkova, Nina Musurlieva, Kiril Terziyski, Aneliya Draganova
Format: Article
Language:English
Published: Peytchinski Publishing 2025-06-01
Series:Journal of IMAB
Subjects:
Online Access:https://www.journal-imab-bg.org/issues-2025/issue2/2025vol31-issue2_6165-6271.pdf
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author Lyubomir Grozev
Tanya Bozhkova
Nina Musurlieva
Kiril Terziyski
Aneliya Draganova
author_facet Lyubomir Grozev
Tanya Bozhkova
Nina Musurlieva
Kiril Terziyski
Aneliya Draganova
author_sort Lyubomir Grozev
collection DOAJ
description Introduction: Obstructive Sleep Apnea is one of the prevalent breathing sleep disorders, especially among the elderly population of the modern world. Obstructive sleep apnea is defined as the occurrence of five or more episodes of complete or partial upper airway obstructions per hour during sleep. Over the years, we have seen many different appliances that target treating patients with apnea syndrome.The result is that they all seem to deal with the problem at hand on a scale from mild to moderate OSA. Aim: The goal we set was to create a new design ofan adjustable dental appliance which will help patients with obstructive sleep apnea. Materials and Methods: Impressions of the mandible and maxilla were obtained to create the specific dental appliance. The special design of the appliance includes an adjustable metal bar that is placed frontally to the anterior upper teeth and can be adjusted to the different levels of mandibular advancement.Adam's clasps have been affixed to the first lower molars, and two occlusal splints to the occlusal surfaces of all lower teeth in order to secure the device in place. To prevent mouth opening during sleep, two barriers have been built into the vestibular surfaces of the upper premolars and molars. Conclusion: With the help of this innovative appliance design, dental professionals may now properly position and make necessary corrections in patients who suffer from obstructive sleep apnea and snoring.
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publishDate 2025-06-01
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spelling doaj-art-2d1304882d5541b0bdca4d162b1bbb642025-08-20T02:06:31ZengPeytchinski PublishingJournal of IMAB1312-773X2025-06-013126265627110.5272/jimab.2025312.6265THE CHALLENGES OF MANDIBULAR ADVANCEMENT DEVICES - A NEW DESIGN ADJUSTABLE DENTAL APPLIANCE FOR THE TREATMENT OF OBSTRUCTIVE SLEEP APNEALyubomir Grozev0https://orcid.org/0000-0001-8391-3689Tanya Bozhkova1https://orcid.org/0000-0002-6905-239XNina Musurlieva2https://orcid.org/0009-0000-8237-5815Kiril Terziyski3https://orcid.org/0000-0003-1314-7039Aneliya Draganova4https://orcid.org/0000-0001-6696-875XDepartment of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University – Plovdiv, Bulgaria.Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University – Plovdiv, Bulgaria.Department of Social Medicine and Public Health, Faculty of Public Health, Medical University – Plovdiv, Bulgaria.Department of Pathophysiology, Faculty of Medicine, Medical University – Plovdiv, Bulgaria.Department of Pathophysiology, Faculty of Medicine, Medical University – Plovdiv, Bulgaria.Introduction: Obstructive Sleep Apnea is one of the prevalent breathing sleep disorders, especially among the elderly population of the modern world. Obstructive sleep apnea is defined as the occurrence of five or more episodes of complete or partial upper airway obstructions per hour during sleep. Over the years, we have seen many different appliances that target treating patients with apnea syndrome.The result is that they all seem to deal with the problem at hand on a scale from mild to moderate OSA. Aim: The goal we set was to create a new design ofan adjustable dental appliance which will help patients with obstructive sleep apnea. Materials and Methods: Impressions of the mandible and maxilla were obtained to create the specific dental appliance. The special design of the appliance includes an adjustable metal bar that is placed frontally to the anterior upper teeth and can be adjusted to the different levels of mandibular advancement.Adam's clasps have been affixed to the first lower molars, and two occlusal splints to the occlusal surfaces of all lower teeth in order to secure the device in place. To prevent mouth opening during sleep, two barriers have been built into the vestibular surfaces of the upper premolars and molars. Conclusion: With the help of this innovative appliance design, dental professionals may now properly position and make necessary corrections in patients who suffer from obstructive sleep apnea and snoring.https://www.journal-imab-bg.org/issues-2025/issue2/2025vol31-issue2_6165-6271.pdfobstructive sleep apneamandibular advancement devicestreatment of sleep apnea
spellingShingle Lyubomir Grozev
Tanya Bozhkova
Nina Musurlieva
Kiril Terziyski
Aneliya Draganova
THE CHALLENGES OF MANDIBULAR ADVANCEMENT DEVICES - A NEW DESIGN ADJUSTABLE DENTAL APPLIANCE FOR THE TREATMENT OF OBSTRUCTIVE SLEEP APNEA
Journal of IMAB
obstructive sleep apnea
mandibular advancement devices
treatment of sleep apnea
title THE CHALLENGES OF MANDIBULAR ADVANCEMENT DEVICES - A NEW DESIGN ADJUSTABLE DENTAL APPLIANCE FOR THE TREATMENT OF OBSTRUCTIVE SLEEP APNEA
title_full THE CHALLENGES OF MANDIBULAR ADVANCEMENT DEVICES - A NEW DESIGN ADJUSTABLE DENTAL APPLIANCE FOR THE TREATMENT OF OBSTRUCTIVE SLEEP APNEA
title_fullStr THE CHALLENGES OF MANDIBULAR ADVANCEMENT DEVICES - A NEW DESIGN ADJUSTABLE DENTAL APPLIANCE FOR THE TREATMENT OF OBSTRUCTIVE SLEEP APNEA
title_full_unstemmed THE CHALLENGES OF MANDIBULAR ADVANCEMENT DEVICES - A NEW DESIGN ADJUSTABLE DENTAL APPLIANCE FOR THE TREATMENT OF OBSTRUCTIVE SLEEP APNEA
title_short THE CHALLENGES OF MANDIBULAR ADVANCEMENT DEVICES - A NEW DESIGN ADJUSTABLE DENTAL APPLIANCE FOR THE TREATMENT OF OBSTRUCTIVE SLEEP APNEA
title_sort challenges of mandibular advancement devices a new design adjustable dental appliance for the treatment of obstructive sleep apnea
topic obstructive sleep apnea
mandibular advancement devices
treatment of sleep apnea
url https://www.journal-imab-bg.org/issues-2025/issue2/2025vol31-issue2_6165-6271.pdf
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