Factores estructurales predictores de eficacia de los dispositivos de avance mandibular en la apnea obstructiva del sueño.la importancia del torus mandibular

Abstract

In obstructive sleep apnoea (OSA), treatment with mandibular advancement devices (MADs) reduces patients' apnoea-hypopnoea index (AHI) and improves sleepiness and quality of life. MADs are non-invasive alternatives for patients who cannot tolerate traditional continuous positive airway pressure (CPAP) therapy. The variability of responses to these devices makes it necessary to search for predictors of success. The aim of this doctoral thesis was to develop a clinical research study to evaluate the presence of structural efficacy factors for these devices, with structural being understood as cephalometric factors and mandibular torus (MT). It was found that the existence of MT nearly triples the likelihood of success of this therapy. MT assessment is the simplest and most beneficial test for the efficacy of MAD therapy in patients with OSA.