discover the mandibular advancement device

Snoring or sleep apnea problems? Discover the mandibular advancement device (MAD). To reduce obstructions and free air passage in the pharynx, this device holds the lower jaw in a forward position. This treatment comes in the form of mouthpieces to be placed in the mouth at night.

What is a mandibular advancement device?

A medical device, the mandibular advancement device is only given on medical prescription to treat snoring and respiratory pauses or obstructive sleep apnea. Its purpose is to clear the airways, particularly the airway intersection between the pharynx and the larynx. This dentally anchored device is made of strong and flexible polymer (resin). It includes two semi-rigid aligners attached to each other by an advancement system. It also has interchangeable adjustment rods to control mandibular advancement and a hinge at the back depending on the occlusion of the teeth. The mandibular advancement device is custom-made according to the patient's dental impressions. It is like a mouthguard, but it is less bulky with lower and upper parts that can be moved and fixed together to keep the lower jaw or mandible in a more forward position than normal. The advancement of the mandible to which the tongue is attached allows the airways to open by preventing the tongue from falling to the back of the throat during sleep, which obstructs the airways.

Conditions for fitting the mandibular advancement device

Certain conditions must be met to be able to fit a mandibular advancement device . You must have enough teeth, at least 6 per jaw, for this device to be well retained. You must also have a healthy periodontium, without gum inflammation. You must also not have joint problems, significant prognathism or cardiovascular disease. Wearing this device during sleep is recommended in cases of mild to moderate sleep apnea. If it is severe, continuous positive airway pressure ventilation is required.

Good hygiene measures against snoring

With good hygiene measures, it is possible to stop snoring during sleep. It is important to stop smoking, as it causes inflammation of the mucous membranes in the throat and nose, and to reduce alcoholic beverage consumption in the evening, as they cause the throat muscles to relax during sleep. Tranquilizers and sleeping pills should also be avoided because they relax the throat muscles and make breathing difficult during sleep. Sleeping on your back can also cause the base of the tongue to drop backward, which reduces airflow, which is what promotes snoring. It is best to sleep on your side. Being overweight also causes snoring, as the tissues of the pharynx obstruct the passage of air.

The mandibular advancement splint requires daily maintenance. After each use, rinse it with warm water, brush it with a soft toothbrush like the one available from Caliquo, rinse it again, and dry it with a tissue before putting it back in its box.

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