Oral Sphere

Journal of Dental and Health Sciences

Obstructive Sleep Apnea and Dentistry: A Detailed Review of Current Perspectives and Clinical Impact

Review Article

Abstract

 Major effects on oral and systemic health resulting from the challenging sleep-associated respiratory disorder known as obstructive sleep apnea (OSA) are related to:  Research revealing similar anatomical and functional areas between dentistry and sleep medicine underscores the increasing relevance of the dental practitioner in OSA treatment.  Combining insights from multiple patient backgrounds, this overview presents the current knowledge on the objectives of dentistry in the screening, diagnosis, and treatment of obstructive sleep apnea (OSA). Together with craniofacial risk factors and intraoral symptoms observed in dental examinations, the pathogenesis and typical clinical characteristics of OSA are discussed in the review. Oral appliance treatment is being closely examined in conjunction with continuous positive airway pressure (CPAP) therapy, with an emphasis on design modifications, clinical efficacy, and long-term outcomes. Utilizing maxillomandibular advancement and interceptive orthodontics, this research explores orthodontic and surgical treatment options. These methods demonstrate the extent to which structural dental alterations increase airway patency. The paper addresses current challenges to effective use, including constraints in the area of practice, patient adherence issues, and instructional gaps. Ultimately, it advances research on digital technologies, outcome monitoring, and interprofessional training projects.  By orienting dental practitioners as cooperative participants in OSA treatment, this research highlights the importance of developing integrated clinical pathways and strengthening training frameworks to facilitate evidence-based practice in dental sleep medicine.

 

Keywords: Craniofacial Risk Factors, Interprofessional Collaboration, Obstructive Sleep Apnea, Oral Appliance Therapy

References
  1. Cumpston E et al. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. [Available from: https://www.ncbi.nlm.nih.gov/sites/books/NBK564431/]
  2. Kohli P et al. Curr Atheroscler Rep. 2011 Apr;13(2):138-46. [DOI: 10.1007/s11883-011-0161-8]
  3. Alrejaye NS et al. Int J Environ Res Public Health. 2022 Dec 2;19(23):16126. [DOI: 10.3390/ijerph192316126]
  4. Maniaci A et al. Biomedicines 2024, 12, 1382. [DOI:10.3390/biomedicines12071382]
  5. Francis CE  et al. Pulm Ther. 2021 Jun;7(1):25-36. [DOI: 10.1007/s41030-020-00137-2]
  6. Heit T et al. Children (Basel). 2022 Jul 15;9(7):1057. [DOI: 10.3390/children9071057]
  7. Azagra-Calero E et al. Med Oral Patol Oral Cir Bucal. 2012 Nov 1;17(6):e925-9. [DOI: 10.4317/medoral.17706]
  8. Puri S et al. Exp Neurol. 2021 Jul;341:113709. [DOI: 10.1016/j.expneurol.2021.113709]
  9. Abbasi A et al. Sleep Sci. 2021 Apr-Jun;14(2):142-154. [DOI: 10.5935/1984-0063.20200056]
  10. McNicholas WT et al. J Sleep Res. 2022 Aug;31(4):e13616. [DOI: 10.1111/jsr.13616]
  11. Rundo JV et al. Handb Clin Neurol. 2019;160:381-392. [DOI: 10.1016/B978-0-444-64032-1.00025-4]
  12. Setty AR et al. J Clin Sleep Med. 2017 Apr 15;13(4):531-532. [DOI: 10.5664/jcsm.6534]
  13. Romem A E et al. J Clin Sleep Med. 2014 Mar 15;10(3):285-90. [DOI: 10.5664/jcsm.3530]
  14. Institute of Medicine (US) Committee on Sleep Medicine and Research. Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem. Colten HR, Altevogt BM, editors. Washington (DC): National Academies Press (US); 2006. [PMID: 20669438]
  15. Lonia L et al. Medicina (Kaunas). 2020 Jun 30;56(7):324. [DOI: 10.3390/medicina56070324]
  16. Johal A et al. Eur Respir Rev. 2023 Jun 21;32(168):220257. [DOI: 10.1183/16000617.0257-2022]