Determining the Therapeutic Position of an OA-Determining the Therapeutic Position of an OA Webinar Slides

Determining the Therapeutic Position of an OA Webinar Slides

Pdf Summary

The document is a summary of a study conducted by the American Academy of Dental Sleep Medicine (AADSM) on determining the therapeutic position of an oral appliance (OA) for the treatment of sleep-related breathing disorders. The study was conducted by a task force composed of dental sleep medicine professionals.<br /><br />The study reviewed various methods used to identify the therapeutic position of an OA, including initial mandibular position (IMP), evaluation of subjective symptoms, pulse oximetry (PO), home sleep apnea tests (HSAT), and polysomnograms (PSG).<br /><br />The task force developed guidelines and protocols for each method, outlining the steps and goals for implementation. The study found that these methods were effective in determining the therapeutic position of an OA and resolving sleep-related symptoms. However, some methods, such as maximum comfortable protrusion (MCP) and imaging techniques, lacked sufficient evidence to support their use.<br /><br />The study also suggested two potential pathways for the deployment of these methods, either using a single method or combining multiple methods. The task force recognized the need for a standardized definition of treatment success and further research on the value of objective assessments during the OA advancement period.<br /><br />Overall, the study provided valuable insights into the identification of the therapeutic position of an OA and recommended further exploration of imaging techniques and the updating of recommendations as research continues to evolve.

Keywords

American Academy of Dental Sleep Medicine

oral appliance

sleep-related breathing disorders

therapeutic position

task force

mandibular position

subjective symptoms

pulse oximetry

home sleep apnea tests

polysomnograms