Management of Obstructive Sleep Apnea in Children and Adults

In recent years, increasing interest has developed in sleep related breathing disorders such as snoring and obstructive sleep apnea (OSA). Nasal Continuous Positive Airway Pressure (CPAP) is sometimes the treatment of choice, but it's cumbersome nature makes tolerance and compliance less than optimal. This gives rise to the need for other alternatives such as oral appliances that may be equally effective, but more tolerable. Mandibular Advancement Splints (MAS) were found successful in 63% of OSA patients. Tongue Stabilizing Device (TSD) has also showed promising results in the management of OSA. TSD is more indicated in edentulous and periodontally compromised patients, who have no or reduced dental anchorage. Jaw orthopedics in growing and orthognathic surgery in adult patients helps in treating OSA. Dr. Darendeliler will discuss different types of oral appliances, their effectiveness, their short- and long-term side effects and clinical management.