OSA: Who is suitable for a mandibular device?

Although patients may prefer this therapy to CPAP, it doesn't work for everyone, researchers say

One in three patients with sleep apnoea fail to improve with a mandibular advancement device, so it is important to know the patient characteristics associated with treatment success, researchers say.

mandibular advancement device

An international team, including sleep and respiratory physiologist Professor Danny Eckert of Flinders University, Adelaide, carried out a systematic review and meta-analysis of 41 studies examining the therapy.

They defined the ideal patient phenotype for increased odds of success as:

  • Female

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