Implementation of the Obstructive Sleep Apnea (OSA) Treatments by Mandibular Advancement Appliances

Abstract

The herbst mandibular advancement orthosis on thermoformed gutters is a recognized device for its effectiveness in reducing the apnea-hypopnea index. But its effect may be undermined by poor attendance on the part of the patient. This article poses this problem between the expected effects and those obtained by the healthcare team. It describes some practical solutions to solve them.