Objective: To assess reduction in Epworth Sleepiness Score and patient satisfaction with the provision of a Mandibular Advancement Design(MAD).
Methods: A prospective audit of patients(n = 28) suffering from Obstructive Sleep Apnoea who were provided with a MAD. Patients’ satisfaction, benefit of treatment and reduction in Epworth Score were assessed by means of a confidential questionnaire completed by all patients three months after the MAD was fitted. Other variables such BMI and cost of MAD were also assessed.
Results: 82% of patients treated reported a net benefit with MAD and 71.5% and 28.5% responded as very satisfied and satisfied respectively with the service provided. Significant reduction in the Epworth score (p = 0.002, Wilcoxon signed rank sum test) was achieved after three months of MAD wear with mean declining from 10.56 to 7.44. There was no significant difference (p = 0.28) in the BMI score.
Conclusion: The provision of MAD is a simple, cost effective and successful method of treatment of Obstructive Sleep Apnoea in selected patients.