Its high prevalence, currently estimated as affecting nearly 1 billion people worldwide, imposes significant morbidity and mortality, such that OSA has clearly emerged as a major public health issue, while leading to major financial and social burden on both healthcare systems and society in general 2. Obstructive sleep apnea (OSA), the most prevalent clinical entity in the spectrum of sleep-disordered breathing among adults and children, is defined by the presence of repeated episodes of complete or partial obstruction of the upper airways during sleep, despite ongoing respiratory efforts 1. Therefore, the main focus of this paper is to focus on the general concepts and mechanisms of action of MAD, while highlighting important characteristics in the context of their use as a viable and effective treatment option for OSA patients. Yet, improved understanding of MAD regarding design, construction, and mechanisms of action is an important requirement to successfully implement MAD as a therapeutic tool. Mandibular advancement devices (MADs) have been proposed not only as a first line therapy for symptomatic snoring patients, but also for those suffering from mild to moderate OSA, or those who refuse or do not tolerate CPAP. Continuous positive airway pressure (CPAP) therapy is still the gold standard treatment for OSA, but patient acceptance and adherence are often poor due to a multitude of factors, thereby compromising treatment success. The patient’s remaining teeth should have sufficient height of contour for the device to gain retention at the gingival third, and the edentulous ridge must be fully captured in the impression.Obstructive sleep apnea (OSA) is the most prevalent sleep-disordered breathing in the adult population and if untreated remains a significant cause of morbidity and mortality.
#Elastic mandibular advancement device full
The EMA is indicated for patients with either a full or partial set of natural teeth. Due to the varying elastic bands, nonrestricted lateral and protrusive movement is possible while wearing the device. The 36 different straps allow for the most effective repositioning of the jaw with maximum comfort. The shorter the strap, the farther the mandible is advanced. It has many options for advancement with nine strap lengths (13–21 mm) and four different elastic tension options, indicated by color. The EMA does not interfere with breathing through the mouth, even in cases of congested nasal passages. The appliance is designed to both advance the mandible and open the bite to allow for less restricted airflow during sleep.ĮMA devices help promote a deeper, more restful sleep by preventing snoring and relieving the symptoms of OSA. The EMA ® (Elastic Mandibular Advancement) oral appliance is a customized removable appliance created for the noninvasive treatment of snoring and obstructive sleep apnea (OSA).
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