The DOI matches its Crossref record; 56 of the 56 references it cites were found in a registry or an index.
Oral Appliances for the Treatment of Snoring and Obstructive Sleep Apnea: A Review
Abstract
This paper, which has been reviewed and approved by the Board of Directors of the American Sleep Disorders Association, provides the background for the Standards of Practice Committee's parameters for the practice of sleep medicine in North America. The 21 publications selected for this review describe 320 patients treated with oral appliances for snoring and obstructive sleep apnea. The appliances modify the upper airway by changing the posture of the mandible and tongue. Despite considerable variation in the design of these appliances, the clinical effects are remarkably consistent. Snoring is improved and often eliminated in almost all patients who use oral appliances. Obstructive sleep apnea improves in the majority of patients; the mean apnea-hypopnea index (AHI) in this group of patients was reduced from 47 to 19. Approximately half of treated patients achieved an AHI of < 10; however, as many as 40% of those treated were left with significantly elevated AHIs. Improvement in sleep quality and sleepiness reflects the effect on breathing. Limited follow-up data indicate that oral discomfort is a common but tolerable side effect, that dental and mandibular complications appear to be uncommon and that long-term compliance varies from 50% to 100% of patients. Comparison of the risk and benefit of oral appliance therapy with the other available treatments suggests that oral appliances present a useful alternative to continuous positive airway pressure (CPAP), especially for patients with simple snoring and patients with obstructive sleep apnea who cannot tolerate CPAP therapy.
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Citations
Cites
The Occurrence of Sleep-Disordered Breathing among Middle-Aged Adults
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Pathogenesis of upper airway occlusion during sleep
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Rules of Evidence and Clinical Recommendations on the Use of Antithrombotic Agents
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Objective Measurement of Patterns of Nasal CPAP Use by Patients with Obstructive Sleep Apnea
Kribbs, N. B., Pack, A. I., Kline, L. R., Smith, P. L., Schwartz, A. R., Schubert, N. M., Redline, S., Henry, J. N., Getsy, J. E., & Dinges, D. F. (1993) · American Review of Respiratory Disease · doi:10.1164/ajrccm/147.4.887 · Cited by 1,339
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Mezzanotte, W. S., Tangel, D. J., & White, D. P. (1992) · Journal of Clinical Investigation · doi:10.1172/jci115751 · Cited by 769
Obstructive sleep apnea syndrome: a review of 306 consecutively treated surgical patients
Riley, R. W., Powell, N. B., & Guilleminault, C. (1993) · Otolaryngology–Head and Neck Surgery · doi:10.1177/019459989310800203 · Cited by 601
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Cephalometric Analyses and Flow-Volume Loops in Obstructive Sleep Apnea Patients
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Cited by
A Randomized, Controlled Study of a Mandibular Advancement Splint for Obstructive Sleep Apnea
MEHTA, A., QIAN, J., PETOCZ, P., DARENDELILER, M. A., & CISTULLI, P. A. (2001) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.163.6.2004213 · Cited by 514
Ferguson, K. A., Ono, T., Lowe, A. A., Keenan, S. P., & Fleetham, J. A. (1996) · Chest · doi:10.1378/chest.109.5.1269 · Cited by 495
Self-citationFerguson, K. A., Ono, T., Lowe, A. A., al-Majed, S., Love, L. L., & Fleetham, J. A. (1997) · Thorax · doi:10.1136/thx.52.4.362 · Cited by 391
Self-citationMandibular Advancement Devices in 630 Men and Women With Obstructive Sleep Apnea and Snoring
Marklund, M., Stenlund, H., & Franklin, K. A. (2004) · Chest · doi:10.1378/chest.125.4.1270 · Cited by 372
Oral Appliance Therapy Improves Symptoms in Obstructive Sleep Apnea: A Randomized, Controlled Trial
Gotsopoulos, H., Chen, C., Qian, J., & Cistulli, P. A. (2002) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200203-208oc · Cited by 331
Metadata
- Authors
- Schmidt-Nowara, W., Lowe, A., Wiegand, L., Cartwright, R., Perez-Guerra, F., & Menn, S.
- Venue
- Sleep
- Publisher
- Oxford University Press (OUP)
- Published
- 1995-08
- Volume
- 18
- Issue
- 6
- Pages
- 501-510
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- OpenAlex
- W185591369
- Cited by
- 543
- References
- 56
- FWCI
- 10.98
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Oral Appliances for the Treatment of Snoring and Obstructive Sleep Apnea: A Review. https://app.cochat.ai/papers/10.1093/sleep/18.6.501
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- Schmidt-Nowara, W., Lowe, A., Wiegand, L., Cartwright, R., Perez-Guerra, F., & Menn, S. (1995). Oral Appliances for the Treatment of Snoring and Obstructive Sleep Apnea: A Review. Sleep. https://doi.org/10.1093/sleep/18.6.501
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
