Evaluation of a Mandibular Advancement Device in the Treatment of Obstructive Sleep Apnea Syndrome

Prospective Evaluation of Mandibular Advancement by Herbst Device in the Treatment of Moderate Obstructive Sleep Apnea Syndrome

The purpose of this study is to determine if the mandibular advancement by Herbst device is effective in the treatment of moderate obstructive sleep apnea patients.

Inclusion Criteria:

• Moderate sleep apnea syndrome (10 < Respiratory Disorder Index < 30)
• Body mass index (BMI) < 35 Kg/m2
• Able to give their informed consent

Exclusion Criteria:

• Pregnant women
• Professional drivers requiring continuous positive airway pressure (CPAP) treatment
• Psychiatric disorders, and patients unable to realise to study
• Severe respiratory pathology which could interfere with the study
• Morpheic epilepsy
• Benzodiazepines intake
• Chronic nasal obstruction
• Ear, nose, and throat (ENT) pathology requiring surgery
• Previous uvulopalatoplasty surgery
• Temporomandibular joint pathology
• Gum disease
• Insufficient number of teeth to apply the oral appliance
• Mobile teeth