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Applied Sciences
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Challenges and Perspectives in Dental Sleep Medicine
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Challenges and Perspectives in Dental Sleep Medicine

A special issue of Applied Sciences (ISSN 2076-3417). This special issue belongs to the section "Applied Dentistry and Oral Sciences".

Deadline for manuscript submissions: closed (20 April 2025) | Viewed by 1545

Special Issue Editor

Dr. Serena Incerti Parenti

E-Mail Website
Guest Editor
Unit of Orthodontics and Sleep Dentistry, Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, 40125 Bologna, Italy
Interests: orthodontics and dental sleep medicine
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Dental sleep medicine is a rapidly growing discipline.

Idnetifying obstructive sleep apnea (OSA) provides an opportunity for a dentist to have a life-changing and life-saving impact on a patient.

The role of the dentist in the screening and recognition of OSA has been increasingly emphasized, as dentists are able to identify patients at risk of OSA and refer them to sleep medicine physicians.

It has also been recognized that it is important for the dentist to be qualified in dental sleep medicine in order to manage the treatment of OSA with a mandibular advancement device. Recent research has also focused on the possible beneficial effects of orthopedic and functional orthodontics in pediatric OSA in the concomitant presence of maxillary transverse deficiency and/or mandibular retrusion.

This Special Issue will focus not only on the most up-to-date scientific evidence related to the management of children and adults with OSA, but also on the role of the dentist, in close collaboration with sleep medicine physicians, in the screening of OSA. The key issues and current challenges will be discussed here, along with new perspectives for future research to advance the field of dental sleep medicine.

Dr. Serena Incerti Parenti
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Applied Sciences is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • dental sleep medicine
  • obstructive sleep apnea
  • mandibular advancement device
  • orthopedic and functional orthodontic treatment
  • sleep bruxism and sleep-related disorders

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Published Papers (1 paper)

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Research

12 pages, 1282 KiB  
Article
Upper Airway Collapsibility during Sleep Endoscopy with a Titratable Mandibular Advancement Simulator in Obstructive Sleep Apnea Patients
by Matteo Cameli, Chiara Stipa, Irene Pelligra, Daniela Rita Ippolito, Giovanni Sorrenti, Giulio Alessandri-Bonetti and Serena Incerti Parenti
Appl. Sci. 2024, 14(11), 4710; https://doi.org/10.3390/app14114710 - 30 May 2024
Viewed by 1126
Abstract
Drug-induced sleep endoscopy (DISE) has been progressively used to determine the individual patient responsiveness to therapy with a mandibular advancement device (MAD) for obstructive sleep apnea (OSA). This retrospective cohort study compared the general and polygraphic characteristics, as well as the sites, degrees, [...] Read more.
Drug-induced sleep endoscopy (DISE) has been progressively used to determine the individual patient responsiveness to therapy with a mandibular advancement device (MAD) for obstructive sleep apnea (OSA). This retrospective cohort study compared the general and polygraphic characteristics, as well as the sites, degrees, and patterns of upper airway collapse, in patients who responded to advancement with a titratable mandibular advancement (TMA) simulator during DISE—referred to as responders—to those in non-responders. The sample included 335 OSA patients (307 males) with a mean age of 49.98 (SD = 9.88) years, and a mean AHI of 34.14 (SD = 18.61). Once the TMA simulator customized to the patient’s dental arches was inserted and the examination was performed at 0%, 25%, 50%, and 75% of the patient’s range of antero-posterior mandibular excursion, the simulator was removed and the upper airway behavior was studied in the baseline situation. Without TMA simulator non-responders had a higher percentage of oropharyngeal complete latero-lateral and complete concentric velopharyngeal collapse. With TMA simulators, there was a significant difference between responders and non-responders in individual obstructive sites at velopharyngeal, oropharyngeal, and epiglottis levels, while at the tongue level, responders and non-responders showed the same response tendency. If confirmed in future prospective studies, these results suggest that the presence of complete latero-lateral obstruction at the oropharynx level and complete circular obstruction at the velopharynx level could be adverse phenotypes for MAD treatment outcomes in OSA patients and MAD treatment should not be considered in these patients (at least as a single therapy). Full article
(This article belongs to the Special Issue Challenges and Perspectives in Dental Sleep Medicine)
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