| Abstract [eng] |
The purpose of this literature review is to analyse the methods of prosthetic interventions used for the treatment of obstructive sleep apnea (OSA). The literature search was conducted in PubMed, Science Direct, Research Gate, and Google Scholar databases, enhanced by specific research in dental journals and libraries. The search strategy was based on keywords such as “OSA”, “MAD”, “TRD”, and “CPAP”. Scientific literature sources were selected based on their methodological quality and relevance to the topic, including retrospective analyses and meta-analytical and systematic reviews. Firstly, obstructive sleep apnea and its risk factors were defined. In the second part, the two most common prosthetic appliances used for the management of obstructive sleep apnea – mandibular advancement device (MAD) and tongue-retaining device (TRD), their advantages and drawbacks were reviewed. Also, patient-centred outcomes, comparing oral appliances to continuous positive airway pressure (CPAP) therapy were described. It was concluded that MAD therapy should be considered as a first-line treatment option for OSA due to its comparable efficacy and superior adherence rates compared with CPAP. |
