Management of obstructive sleep apnea with implant retained mandibular advancement device

Abstract

© 2014 Jaypee Brothers Medical Publishers (P) Ltd. All rights reserved. Obstructive sleep apnea (OSA) is a condition which occurs from the narrowing of the upper airway. Obstructive sleep apnea in the edentulous patient can be caused by the anatomical obstruction of oropharyngeal space. In the elderly patients, the muscles of soft palate can easily be collapsed which can result in obstruction in respiratory passage. Oral appliance, namely, mandibular advancement device (MAD) is the recommended treatment appliance for the patient with mild to moderate OSA. In the elderly edentulous patients, OSA is worsening as these patients are difficult to treat with oral appliance due to with diminished vertical dimension and lack of retention for MAD. The use of osseointegrated dental implants and the locator attachments aid in the retention of the appliance provides support to the denture and the device, and also prevent trauma to the underlying mucosa. This case reports the technique of fabrication of MAD with elastic mandibular advancement (EMA) device to treat moderate OSA from implant retained complete dentures in maxilla and mandible in complete edentulous patient.