The Use of Remotely Controlled Mandibular Positioner as a Predictive Screening Tool for Mandibular Advancement Device Therapy in Patients with Obstructive Sleep Apnea through Single-Night Progressive Titration of the Mandible: A Systematic Review.

摘要: STUDY OBJECTIVES To perform a review of the current evidence regarding use remotely controlled mandibular positioner (RCMP) and to analyze efficacy RCMP as predictive selection tool in treatment obstructive sleep apnea (OSA) with oral appliances that protrude mandible (OAm), exclusively relying on single-night titration. METHODS An extensive literature search is performed through PubMed.com, Thecochranelibrary.com (CENTRAL only), Embase.com, recent conference meeting abstracts field. RESULTS A total 254 OSA patients from four full-text articles 5 contribute data review. Criteria for successful test success OAm differed between studies. Study populations were not fully comparable due range-difference baseline apneahypopnea index (AHI). However, all studies elimination airway obstruction events during by titration predicted therapy determination most effective target protrusive position (ETPP). statistically significant association found mean AHI outcome polysomnographic or portable monitoring evaluation (p < 0.05). CONCLUSIONS The existing indicates it might be possible progressively under poly(somno)graphic observation until respiratory are eliminated without disturbing arousing patient. ETPP measured was significantly associated reported promising instrument predicting targeting degree advancement needed.