European Journal of Prosthodontics and Restorative Dentistry

Mandibular Distalisation for Tooth Wear in Patients Requiring Mandibular Protrusion for Sleep Apnoea


Background: Pathological tooth wear is an increasing concern and may require intervention and occlusal rehabilitation. Often the treatment includes distalisaton of the mandible to restore the dentition in centric relation. Obstructive sleep apnoea (OSA) is another condition treated my mandibular repositioning but in this case by an advancement appliance. The authors have a concern that there could be a group of patients with both conditions where distalisation for their tooth wear management would be contrary to their OSA treatment. This paper aims to look at this potential risk. Methods: A literature search was carried out using the following keywords (OSA or sleep apnoea or apnea or snoring or AHI or Epworth score) and for tooth surface loss (TSL or distalisation or centric relation or tooth wear or full mouth rehabilitation). Results: No studies were identified which considered the effect of mandibular distalisation on OSA. Conclusion: There
is a theoretical risk that dental treatment involving distalisation may adversely affect patients at risk of OSA or worsening their condition due to the modification of airway patency. Further study is recommended.

Tooth Surface Loss
Full Mouth Rehabilitation
Sleep Apnoea
Centric Relation


Brian J. Millar, David Parmenter

Articles from this issue

Title / DOI Access Page Start Page End Purchase
Antimicrobial Activity in Chitosan-Treated Prosthetic Materials: A Systematic Review
no access 214 223 £10.00
Prevention of Caries in Cancer Patients: A Systematic Review on the Effectiveness of Dental Materials
no access 224 233 £
Mandibular Distalisation for Tooth Wear in Patients Requiring Mandibular Protrusion for Sleep Apnoea
no access 234 238 £10.00
Changes in Tooth Mobility and Position in an Established Dentition Following Placement of a New Restoration
no access 239 247 £10.00
Finishing and Polishing Procedures and Glaze Application on Physical Properties of a Fine-Structure Feldspathic Ceramic
no access 248 253 £10.00
The Effect of Ethanol Associated with Universal Adhesive on Resin Composite Adhesion to Different Dentin Depths: A Long-Term In Vitro Study
no access 254 261 £10.00
A Passive Noise Attenuation Earplug Designed to Minimise Unwanted Air Turbine Driven High-Speed Dental Drill Noise
no access 262 277 £10.00
Mechanical Characteristics of Composite Resins Produced by Additive and Subtractive Manufacturing
no access 278 285 £10.00
The Effect of Denture Adhesives on Denture Quality and Occlusal Force
no access 286 295 £10.00
An in vitro Comparison of Accuracy Between Three Different Face Scanning Modalities
no access 296 307 £10.00
Influence of Layer and Sintering Temperature on the Optical Properties of Multilayered Zirconia Materials
no access 308 320 £10.00
  • free access Free Access
  • no access No Access
  • full access Full Access