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ORIGINAL ARTICLE
Year : 2021  |  Volume : 33  |  Issue : 4  |  Page : 391-396

A comparative study of alternative therapies and mandibular advancement device in the management of obstructive sleep apnea


1 Department of Oral Medicine, Diagnosis and Radiology, Pacific Dental College and Hospital, Udaipur, Rajasthan, India
2 Department of Prosthodontics, Geetanjali Dental and Research Institute, Udaipur, Rajasthan, India
3 Department of Dentistry, Pacific Institute of Medical Sciences, Udaipur, Rajasthan, India

Correspondence Address:
Dr. Deeptanshu Daga
Department of Oral Medicine and Radiology, Pacific Dental College and Hospital, Debari, Udaipur, Rajasthan - 313 024
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jiaomr.jiaomr_182_21

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Introduction: Patients suffering from obstructive sleep apnea (OSA) face the challenge of getting the correct diagnosis and treatment. Snoring is the most common giveaway. Aim: The aim of the study was to evaluate the quality of sleep before and after the use of the appliance and while practicing yoga based on the STOP-BANG questionnaire for sleep quality, Pittsburgh Sleep Quality Index (PSQI), and Epworth Sleepiness Scale (ESS). Methodology: A total of 100 patients visiting the outpatient department (OPD) were divided into two groups of 50 each. The first group who fulfilled the criteria for the device was given a mandibular advancement device (MAD) and the second group was assigned yoga and pranayamas. Results: The first group showed a significant increase in the airway space on lateral cephalogram also with more immediate overall scores in all three questionnaires compared to the second group. Conclusion: MAD offers an inexpensive, comfortable treatment option for patients requiring immediate relief but has poor appliance compliance. However, yoga and pranayama yielded very good results although took a long time. On follow-up, the recurrence of OSA was negligible. MAD would provide immediate relief in OSA but for sustained overall benefit yoga and pranayama should be practiced.


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