An Algorithm for Clinical Management of Obstructive Sleep Apnea

Mohsin Shaikh; Mohit Kheur; Tabrez Lakha; Khatija Memon; Sana Kazi

doi:10.36437/ijdrd.2021.3.2.F

Mohsin Shaikh Post-Graduate Student, Department of Prosthodontics, Crown and Bridge, M.A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India.
Mohit Kheur Professor, Department of Prosthodontics, Crown and Bridge, M.A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India.
Tabrez Lakha Senior Lecturer, Department of Prosthodontics, Crown and Bridge, M.A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India.
Khatija Memon Post-Graduate Student, Department of Conservative Dentistry & Endodontics, M.A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India.
Sana Kazi Post-Graduate Student, Department of Prosthodontics, Crown and Bridge, M.A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India.

DOI: https://doi.org/10.36437/ijdrd.2021.3.2.F

Keywords: Algorithm, Apnea, Airway Pressure, Continuous Positive, Mandibular Advancement, Oral Appliances, Obstructive Sleep.

Abstract

Purpose: Different approaches for treating obstructive sleep apnea (OSA) have been reported over the years. This review summarizes an overview of the current literature available on the treatment of OSA and proposes an algorithm or clinical workflow for the management of the same.

Methods: Peer-reviewed publications were searched on PubMed and MEDLINE. Articles published in the English language were considered for the review. The keywords used were Obstructive Sleep Apnea, Continuous Positive Airway Pressure, Oral Appliances, Mandibular repositioning appliance, and Management of Obstructive Sleep Apnea.

Results: Behaviour management, continuous positive airway pressure (CPAP), oral devices, and other interventions have been reported to control Obstructive Sleep Apnea. Clinicians should make a treatment plan depending on the clinical diagnosis and the severity of the symptoms of the patient.

Conclusion: Apnoea/Hypopnea index (AHI) should be used by the clinicians for assessing the severity of the disorder prior to treatment. As per the current literature, it was observed that patients have a higher compliance rate with oral appliance therapy as compared to Continuous Positive Airway Pressure.