Efficacy of Different Treatments for Obstructive Sleep Apnea

Efficacy of Different Treatment Modalities for Obstructive Sleep Apnea: a Randomized Controlled Clinical Trial

This was a prospective randomized controlled clinical trial that aimed to evaluate the efficacy of three treatments for obstructive sleep Apnea OSA:

1. Conventionally constructed mandibular advancement device (MAD).
2. Digitally constructed mandibular advancement device (CAD CAM).
3. Uvulopalatopharyngeoplasty (UPPP).

Inclusion Criteria:

• Adequate nasal air flow capacity as determined by qualified otolaryngologist
• Cases showing improvement in airway with mandibular advancement on Acoustic Pharyngometry (AP)
• Patients with the minimum component of dentition to support MDSA.
• Patients with the mandibular protrusive movement of more than 5 mm
• Body mass index (BMI) less than 30 kg/m2

Exclusion Criteria:

• Severe nasal passage obstructions or allergies
• Obesity (BMI greater than 30 kg/m2 )
• Cases with Mallampati score greater than Class 1
• Systemic complications, syndrome, or disease affecting airway
• Severe periodontal disease