Section Review Articles

Obstructive sleep apnea: oral appliances and materials

Srilekha Cheruku
Chalapathi Rao Duggineni
G Harilal
Pavani Lukka



For the dental profession in general and in prosthodontists speciality, the subject of sleep medicine continues to offer great challenges and opportunities in diagnosis, treatment planning, and treatment based on qualitative evidence. Though the role contends by the prosthodontists is still in its infancy, there is a lot to find out and understand in the rapidly evolving field of sleep medicine because the recognition of co-managing patients with sleep disorders by the prosthodontists is quick changing into a reality. This article discusses the prosthodontic perspectives, particularly on obstructive sleep apnea.


Author Biographies

Srilekha Cheruku, Mamata Dental College

Postgraduate Student, Department of Prosthodoontics

Chalapathi Rao Duggineni, Mamata Dental College

Professor, Department of Prosthodontics

G Harilal, Mamata Dental College

Reader, Postgraduate Student, Department of Prosthodontics

Pavani Lukka, Mamata Dental College

Senior Lecturer, Department of Prosthodontics

DOI: 10.37983/IJDM.2021.3204
Published: 2021-05-15
How to Cite
Cheruku, S., Duggineni, C. R., Harilal, G., & Lukka, P. (2021). Obstructive sleep apnea: oral appliances and materials. International Journal of Dental Materials, 3(2), 58-63.


  1. Friedman M. Sleep apnea and snoring: Surgical and nonsurgical therapy. Saunders; 2008(2);1-10.
  2. Dhingra PL, Dhingra S. Diseases of Ear, Nose and Throat-eBook. Elsevier India; 2014 Oct 10:277.
  3. Young T, Skatrud J, Peppard PE. Risk factors for obstructive sleep apnea in adults. JAMA. 2004;291(16):2013-6.
  4. Padma A, Ramakrishnan N, Narayanan V. Management of obstructive sleep apnea: A dental perspective. Ind J Dent Res. 2007;18(4):201.
  5. Chandra SD, Raj KS, Prema et al. Obstructive sleep apnea and its prosthodontic management- an overview. Int J Health Sci Res. 2018; 8(3):259-265.
  6. Garg R, Singh A, Prasad R, Saheer S, Jabeed P, Verma R. A comparative study on the clinical and polysomnographic pattern of obstructive sleep apnea among obese and non-obese subjects. Ann Thorac Med. 2012;7(1):26.
  7. Young T, Peppard PE, Gottlieb DJ. Epidemiology of obstructive sleep apnea: a population health perspective. Am J Respir Crit Care Med. 2002;165(9):1217-39.
  8. Schwab RJ, Gupta KB, Gefter WB, Metzger LJ, Hoffman EA, Pack AI. Upper airway and soft tissue anatomy in normal subjects and patients with sleep-disordered breathing. Significance of the lateral pharyngeal walls. Am J Respir Crit Care Med. 1995;152(5):1673-89.
  9. Caples SM, Somers VK. Obstructive Sleep Apnea and Stroke. Ann. Intern. Med. 2005;143(5):390.
  10. Deberry?Borowiecki B, Kukwa A, Blanks RH. Cephalometric analysis for diagnosis and treatment of obstructive sleep apnea. The Laryngoscope. 1988;98(2):226-34.
  11. Imes NK, Orr WC, Smith RO, Rogers RM. Retrognathia and sleep apnea: a life-threatening condition masquerading as narcolepsy. JAMA. 1977;237(15):1596-7.
  12. Miles PG, Vig PS, Weyant RJ, Forrest TD, Rockette Jr HE. Craniofacial structure and obstructive sleep apnea syndrome—a qualitative analysis and meta-analysis of the literature. Am J Orthodont Dentofac Orthoped. 1996;109(2):163-72.
  13. Strohl KP, Redline S. Recognition of obstructive sleep apnea. Am J Resp Critic Care Med. 1996;154(2):279-89.
  14. Tregear S, Reston J, Schoelles K, Phillips B. Obstructive sleep apnea and risk of motor vehicle crash: systematic review and meta-analysis. J Clin Sleep Med. 2009;5(6):573-81.
  15. Chervin RD, Murman DL, Malow BA, Totten V. Cost-utility of three approaches to the diagnosis of sleep apnea: polysomnography, home testing, and empirical therapy. Anna Int Med. 1999;130(6):496-505.
  16. Chiner E, Signes-Costa J, Arriero JM, Marco J, Fuentes I, Sergado A. Nocturnal oximetry for the diagnosis of the sleep apnoea hypopnoea syndrome: a method to reduce the number of polysomnographies. Thorax. 1999;54(11):968-71.
  17. Li HY, Engleman H, Hsu CY, Izci B, Vennelle M, Cross M, Douglas NJ. Acoustic reflection for nasal airway measurement in patients with obstructive sleep apnea-hypopnea syndrome. Sleep. 2005;28(12):1554-9.
  18. Sandeep C, Gopinadh A, Babu MS, Ravuri K. Revival of the eclipsed: The 5th dimension of a prosthodontist. Int. J. Dent. Clin. 2011;3(1):71-4.
  19. Qureshi A, Ballard RD, Nelson HS. Obstructive sleep apnea. J. Allergy Clin. Immunol.. 2003;112(4):643-51.
  20. Sunitha C, Kumar SA. Obstructive sleep apnea and its management. Ind J Dent Res. 2010;21(1):119.
  21. Wang W, Di C, Mona S, Wang L, Hans M. Tongue Function: An Underrecognized Component in the Treatment of Obstructive Sleep Apnea with Mandibular Repositioning Appliance. Can Respir J. 2018;2018.
  22. Rogers RR. Oral appliance therapy for the management of sleep disordered breathing. Sleep Breath 2000;4:79-84.
  23. Vitalariu A, Tatarciuc M, Diaconu D, Checherita LE. Acrylic Coustom Made Oral Appliances in Obstructive Sleep Apnea Therapy. Revista Materiale Plastice. 2015;52(2):204-8.
  24. Cilil VR, Varma NS, Gopinath S, Ajith VV. Efficacy of custom made oral appliance for treatment of obstructive sleep apnea. Contemp Clin Dent. 2015;6(3):341.
  25. Robin P. A fall of the base of the tongue considered as a new cause of nasopharyngeal respiratory impairment: Pierre Robin sequence, a translation. 1923. Plast Reconstr Surg 1994;93(6):1301-3.
  26. Cartwright RD, Samelson CF. The effects of a nonsurgical treatment for obstructive sleep apnea: the tongue-retaining device. JAMA. 1982;248(6):705-9.
  27. Bhalla G, Arya D, Chand P, Singh K, Tripathi S. Management of obstructive sleep apnea with a palatal lift prosthesis. International journal of Stomatology and Occlusion Medicine. 2013;6(3):101-5.
  28. Doff MH, Finnema KJ, Hoekema A, et al. Long-term oral appliance therapy in obstructive sleep apnea syndrome: a controlled study on dental side effects. Clin Oral Investig 2013;17(2):475–82.
  29. Lowe AA. Titratable oral appliances for the treatment of snoring and obstructive sleep apnea. J Can Dent Assoc 1999;65:571-4.
  30. Giannasi LC, de Mattos LC, Magini M, Costa MS, de Oliveira CS, de Oliveira LV. The impact of the Adjustable PM Positioner appliance in the treatment of obstructive sleep apnoea. Archiv Med Sci. 2008;4(3):336.
  31. Thornton WK, Roberts DH. Nonsurgical management of the obstructive sleep apnea patient. J Oral Maxillofac Surg. 1996;54(9):1103-8.
  32. Eveloff SE, Rosenberg CL, Carlisle CC, Millman RP. Efficacy of a Herbst mandibular advancement device in obstructive sleep apnea. Am J Respir Critic Care Med. 1994;149(4):905-9.
  33. Itzhaki S, Dorchin H, Clark G, Lavie L, Lavie P, Pillar G. The effects of 1-year treatment with a herbst mandibular advancement splint on obstructive sleep apnea, oxidative stress, and endothelial function. Chest. 2007;131(3):740-9.
  34. Wade PS. Oral Appliance Therapy for Snoring and Sleep Apnea: Preliminary Report on 86 Patients with an Anterior Mandibular Positioning Device, The Silencer. Journal of Otolaryngology. 2003;32(2).
  35. Schönhofer B, Stoohs RA, Rager H, Wenzel M, Wenzel G, Köhler D. A novel tongue advancement technique for obstructive sleep apnea and snoring: Side effects and efficacy. Am J Respir Crit Care Med. 1997;155:732-8.
  36. Loube DI. Oral appliance treatment for obstructive sleep apnea. Clinical Pulmonary Medicine. 1998;5(2):124-8.
  37. Ivanhoe JR. Treatment of upper airway sleep disorder patients with dental devices. Clinical Maxillofacial Prosthetics. Quintessence: Chicago. 2000:215-31.