Evidence map›Paper›PMID 31113410›Full record

ArticleBMC oral health2019

Antero-posterior mandibular position at different vertical levels for mandibular advancing device design.

P Mayoral, M O Lagravère, M Míguez-Contreras, M Garcia

Open access · goldAbstract read
In one paragraph

Article in BMC oral health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Comparison of side effects of different mandibular advancement devices for patients with obstructive sleep apnea: a systematic review and meta-analysis.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Pooled it
  2. Trial
  3. Tailored Mandibular Advancement Therapy Guided Through a Mandibular Positioner: Predictive Value in Obstructive Sleep Apnea.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Tridimensional upper airway assessment in male patients with OSA using oral advancement devices modifying their vertical dimension.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2020
    Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 2 countries.

P MayoralCatholic University of Murcia UCAM, Faculty of Medicine and Dentistry, School of Dentistry and Scientific Committee Orthoapnea, Flauta Mágica 22, 29006, Málaga, Spain.
M O LagravèreUniversity of Alberta, Faculty of Medicine and Dentistry, School of Dentistry, ECHA 5-524, 11405-87 Avenue, Edmonton, Alberta, T6G 1C9, Canada. mlagravere@ualberta.ca.
M Míguez-ContrerasCatholic University of Murcia UCAM, Faculty of Medicine and Dentistry, School of Dentistry, Madrid, Spain.
M GarciaUniversity of Malaga, Faculty of Engineering and Scientific Committee Orthoapnea, Flauta Mágica 22, 29006, Málaga, Spain.
Universidad Católica San Antonio de Murcia · ESUniversidad de Málaga · ESUniversidad de Murcia · ESUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMandibular Advancement Devices (MAD) have been reported to be an alternative treatment to CPAP in moderate to severe obstructive sleep apnea (OSA) cases. The design of MAD has a major influence on its success rate on the patient, and design features that have an influence on efficacy, tolerance, and compliance. The aim of this study was to determine the range of mandibular protrusion at different vertical points; 2, 5, 8 and 11 mm in a young adult population.

methodsFifty two students aged 19 to 23 years (mean 21.3 ± 1.7; 29 females and 23 males), with full permanent dentition participated in the study. The absolute range of maximal mandibular protrusion and retrusion was measured (mm) with the use of the George Gauge. Descriptive statistics, ANOVA and paired t-test using SPSS were used.

resultsRange of mandibular advancement was possible to be determined for the 4 levels of vertical opening with the gauges: 2 mm fork mean mandibular advance 13,10 mm ± 0.604; 5 mm mean 11.98 mm ± 1.075; 8 mm mean 11.20 mm ± 1.369; 11 mm mean 9.87 mm ± 1.886. No significant differences were found between class I, II, and III.

conclusionsThere is an impact of increased inter-incisal distance of effective mandibular protrusion when constructing a MAD. As vertical dimension increases the mandible rotates posteriorly and places itself in a more retrusive location, and the range of mandibular advancement reduces (0.3 mm for every 1 mm of vertical increase).

Indexed as

Mandibular AdvancementSleep Apnea, ObstructiveAdultEquipment DesignFemaleHumansMaleMandibleTreatment OutcomeVertical DimensionYoung AdultObstructive sleep apnea. Mandibular advancement device. Oral appliance design. Mandibular positionVertical opening. Mandibular protrusion

Identifiers

PMID31113410
PMCPMC6530129
OpenAlexW2947835339

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.