[Mandibular advancement device: a 5-year long experience in XXXX ].

@entity1 @entity27
INTRODUCTION: We assessed the effectiveness of mandibular advancement device (MAD) on 113 @entity1 having consulted in our specialized unit for @entity27 ( @entity27 ), from January 2005 to January 2010. METHODS: We included all adult @entity1 referred by pulmonologists for @entity27 . The data collected were gender, age, BMI, dental occlusion, presentation of retromandibulism, @entity27 index (AHI) at diagnosis, and MAD effectiveness (AHI, compliance, satisfaction, tolerance). RESULTS: One hundred and thirteen @entity1 were included, 83 @entity1 and 30 @entity1 , with an average age of 53.6 years, and average BMI of 26.9. Fifty-eight @entity1 (55.8%) used the MAD regularly, 17 (16.4%) irregularly, and 29 (27.9%) stopped using it. Fifty-seven @entity1 (54.8%) were very satisfied, 20 (19.2%) somewhat satisfied, and 27 (26%) not at all. The average AHI with MAD was 13.3 (  10.3) and the average improvement of AHI was 19 (  14.1). Twenty-seven @entity1 (28.7%) were cured, 46 (48.9%) presented with an AHI decrease greater than 50%, and for 21 (22.3%) the treatment failed. DISCUSSION: The sample of @entity1 in this study has the same characteristics as the general apneic population. Adherence and satisfaction were satisfactory. AHI results were also good but seemed low compared to other studies. This was due to more stringent criteria for cure, more in line with the overall management. No criterion for inclusion was predictive of good tolerance and no score predictive of success could be established. However, the improvement in AHI was significantly correlated to the @entity1 's BMI and its diagnostic AHI.
