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 Table of Contents  
CASE REPORT COMPETITION
Year : 2018  |  Volume : 18  |  Issue : 5  |  Page : 40-41

CRC13: Management of snoring with novel mandibular advancement device in a bruxing patient: A case report


Date of Web Publication31-Oct-2018

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-4052.244668

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How to cite this article:
,. CRC13: Management of snoring with novel mandibular advancement device in a bruxing patient: A case report. J Indian Prosthodont Soc 2018;18, Suppl S1:40-1

How to cite this URL:
,. CRC13: Management of snoring with novel mandibular advancement device in a bruxing patient: A case report. J Indian Prosthodont Soc [serial online] 2018 [cited 2018 Nov 20];18, Suppl S1:40-1. Available from: http://www.j-ips.org/text.asp?2018/18/5/40/244668



Sayfaldeen Kashmoola1, Tengku Fazrina Tengku Mohd Ariff1, Yoshinobu Shoji2

1Centre for Restorative Dentistry Studies, Faculty of Dentistry, Universiti Teknologi MARA, Malaysia, 2Centre for Oral & Maxillofacial Diagnostics & Medicine, Faculty of Dentistry, Universiti Teknologi MARA, Malaysia

Introduction: Snoring either on its own or associated with mild obstructive sleep apnea can be managed with oral appliance. We reported a case which utilized a novel Mandibular Advancement Device (MAD) to manage snoring with sleep bruxism.

Case description: A 52-years old lady was referred to Postgraduate Prosthodontics clinic for management of snoring. Patient was diagnosed with primary snoring without apnea, and sleep-bruxism. She was previously provided with a two-piece type commercially-available MAD with position-fixed adjuster but it repeatedly fractured at the connector due to inability to withstand forces resulted from bruxism. A novel MAD was fabricated to address her problem. Slight muscular pain was resolved with occlusal adjustments during post-insertion visits. Patient was reviewed regularly after a week, 1-month and 3-months. She self-reported 70-80% reduction in snoring intensity with improved sleep quality. She tolerated appliance comfortably with compliance. Bedpartners assessment also revealed improvement in reduction of snoring.

Discussion: With the aim of reducing snoring intensity and managing sleep-bruxism, a two-piece novel MAD was fabricated. Separate arch piece with clasp-fixers allows free lateral movements without simply being dislodged. Continuous-screw-adjuster permits easy adjustment of mandibular advancement to the most comfortable position. Small arch conforming design made with heat-cured acrylic resin gives superiority to comfort and strength. It was also designed to be in simultaneous contact to act as a splint for bruxism. In addition, it is relatively straight forward to fabricate and cost-effective.

Conclusion: The novel mandibular advancement device delivers positive improvements in the management of snoring in patient with bruxism without appliance breakage.






 

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