The journal SLEEP February 2006 (1) recommendations of the American Academy of Sleep Medicine validated the indications for mandibular advancement splints in sleep disordered breathing.
Severe OSA :
- Treatment in the case of refusal or intolerance of CPAP
- Surgical Treatments may be initiated before oral devices for some patients with strong predictors of success.
Contraindications:
- Biomechanics: number and arrangement of elements of the remaining dentition, denture.
- Fully removable bottom (unless attached to implants)Infectious : Infectious diseases and complications of local dentition and periodontium
- Functional : Some dental problems , musculo-articular skeletal neurological or psychiatric
- Allergic: known allergies to silicone and / or epoxy
Temporary contraindications:
- Undergoing dental restorations, requiring or recent dental extractions.