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Oral Appliances

Supplier: MDSA

Currently there are in excess of 200 different types of appliances available. Universally they all have similar effect of repositioning and holding the mandibular (lower jaw) in a protruded position during sleep. This concept was first published and reported back in the early 1980's ( Pancherez et al , Clarke et al, Halstrom et al, Lowe et al ). Earlier patents and published evidence confirmed the efficacy of this.

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Oral Appliances

By holding the lower jaw forward tends to also bring the tongue forward and exert tension on the muscles of the tongue making it more rigid and less floppy overcoming obstruction of the throat.

Of these 200 appliances they tend to fall into 5 categories, defined by their individual design application.

The real question is which is best for each patient and which have medical evidence to support their claims.

Unfortunately as most research studies define the appliance used in the generic of MAS or MAD all appliances tend to reference any study published as applicable to their product.

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