Les orthèses d'avancée mandibulaire (OAM)

The mandibular advancement device is an oral appliance derived from the orthodontic philosophy and techniques (Class II activator). It is used successfully in the treatment of snoring and moderate SAS since 1990. The indications to its usage are now well codified and the limitations are now partially eliminated due to technical improvements. The purpose of this article is to identify the common and specific criteria of MAD (mode of action, type of gutter, rigid, full), to set 10 criteria to help the choice of the correct oral appliance for a singular patient to optimize the success of the treatment and to define the side effects encountered in my experience.