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Mandibular Advancement Device

Indications
1. Obstructive Sleep Apnea
2. Not indicated for moderate to severe Sleep Apnea
  1. For mild Sleep Apnea or loud snoring only
Mechanism
1. Keeps Tongue and mandible in forward position
Preparations
1. Fit by dentists and covered by most medical insurance
Cost
1. Average: $1200 if paid without insurance
Efficacy
1. More effective than UPPP procedure
  1. Normalization of Sleep Apnea with device: 63%
  2. Normalization of Sleep Apnea with UPPP: 33%
2. Compliance was only 62%
3. Walker-Engstrom (2002) Chest 121:739

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This page was written by Scott Moses, MD. This page was last revised on 11/16/2007 11:18:47 AM. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.