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- W3012238013 abstract "Introduction: Snoring either on its own or associated with mild obstructive sleep apnea can be managed with oral appliance. We reported a case which utilized a novel Mandibular Advancement Device (MAD) to manage snoring with sleep bruxism. Case description: A 52-years old lady was referred to Postgraduate Prosthodontics clinic for management of snoring. Patient was diagnosed with primary snoring without apnea, and sleep-bruxism. She was previously provided with a two-piece type commercially-available MAD with position-fixed adjuster but it repeatedly fractured at the connector due to inability to withstand forces resulted from bruxism. A novel MAD was fabricated to address her problem. Slight muscular pain was resolved with occlusal adjustments during post-insertion visits. Patient was reviewed regularly after a week, 1-month and 3-months. She self-reported 70-80% reduction in snoring intensity with improved sleep quality. She tolerated appliance comfortably with compliance. Bedpartners assessment also revealed improvement in reduction of snoring. Discussion: With the aim of reducing snoring intensity and managing sleep-bruxism, a two-piece novel MAD was fabricated. Separate arch piece with clasp-fixers allows free lateral movements without simply being dislodged. Continuous-screw-adjuster permits easy adjustment of mandibular advancement to the most comfortable position. Small arch conforming design made with heat-cured acrylic resin gives superiority to comfort and strength. It was also designed to be in simultaneous contact to act as a splint for bruxism. In addition, it is relatively straight forward to fabricate and cost-effective. Conclusion: The novel mandibular advancement device delivers positive improvements in the management of snoring in patient with bruxism without appliance breakage." @default.
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- W3012238013 date "2018-01-01" @default.
- W3012238013 modified "2023-09-28" @default.
- W3012238013 title "CRC13: Management of snoring with novel mandibular advancement device in a bruxing patient: A case report" @default.
- W3012238013 doi "https://doi.org/10.4103/0972-4052.244668" @default.
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