Snoring and sleep apnea are chronic conditions. This article describes the use of cobalt chrome mandibular advancement appliances as a long-term, robust addition to the appliances used to treat these conditions. The clinical indications, appliance design, construction stages and special features of using cast alloy bases are described.
L'EstrangePR, BattagelJM, NolanPJ, HarknessB, JorgensenGI. The importance of a multidisciplinary approach to the assessment of patients with obstructive sleep apnoea. J Oral Rehab1996; 23: 72–7.
2.
American Sleep Disorders Association Report.Practice parameters for the treatment of snoring and obstructive sleep apnea with oral appliances. Sleep1995; 18: 511–13.
3.
ClarkGT, BlumenfieldI, YoffeN, PeledE, LaviePA crossover study to compare the efficacy of continuous positive airway pressure with anterior mandibular positioning devices on patients with obstructive sleep apnea. Chest1996; 109: 1477–83.
4.
MehtaA, QianJ, PetoczP, Ali DarendelilerM, CistulliPA. A randomized controlled study of a mandibular advancement splint for obstructive sleep apnea. Am J Respir Crit Care Med2001; 163: 1457–61.
5.
Schmidt-NowaraWW, LoweAA, WieglandL, CartwrightR, Perez-GuerraF, MennS.Oral appliances for the treatment of snoring and obstructive sleep apnoea: A review. Sleep1995; 18: 501–10.
6.
FergusonKA, LoveLL, RyanFEffect of mandibular and tongue protrusion on upper airway size during wakefulness. Am J Respir Crit Care Med1997; 155: 1748–54.
7.
MillmanRP, RosenbergCL, KramerNROral appliances in the treatment of snoring and sleep apnea. Clin Chest Med1998; 19: 69–75.
