Abstract
Patient: A 48-year-old male patient complained of snoring, sleep disorders, and arousal that were characterized by obstructive sleep apnea syndrome (OSAS). Oral appliance (OA) therapy provided an important treatment choice and was also the preferred initial treatment, but two types of OAs made the patient uncomfortable. Therefore treatment was subsituted with an anterior repositioning splint (ARS) for OA. The effect of the ARS was evaluated with polysomnography, and the influence on platelet activation regarding OSAS was investigated by conducting a platelet aggregation test (PAT).
Discussion: The use of an ARS put the patient's jaw in a protrusive mandibular position and secured the airway, resulting in a reduction of the apnea hypopnea index.
Conclusion: The use of an ARS reduced the chief complaint regarding OSAS, and the PAT test produced a negative reaction. Nevertheless, the patient should be reevaluated post-treatment and followed-up closely by a physician on a long-term basis.
