Evidence map›Paper›PMID 42857585›Full record

ReviewCureus2026

Mandibular Advancement Devices With Remote Monitoring Technologies: Expanding the Dentist's Role in the Management of Obstructive Sleep Apnea.

Joanna Guzman, Sandy Arias-Arias, Josue Santoyo, Milagros Lares, Paulina Ochoa, Gabriela Mirabal, Luisana S Rodriguez

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Joanna GuzmanDentistry, Universidad Central del Este, San Pedro de Macorís, DOM.
Sandy Arias-AriasOrthodontics, University of Cartagena, Cartagena, COL.
Josue SantoyoDentistry, Universidad Iberoamericana, Santo Domingo, DOM.
Milagros LaresDentistry, Universidad Nacional Experimental de los Llanos Centrales Rómulo Gallegos, San Juan de los Morros, VEN.
Paulina OchoaDentistry, Universidad de Antioquia, Medellín, COL.
Gabriela MirabalOrthodontics, Central University of Venezuela, Caracas, VEN.
Luisana S RodriguezDentistry, Universidad de Carabobo, Valencia, VEN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obstructive sleep apnea (OSA) is a prevalent disorder with significant systemic and quality-of-life consequences. Mandibular advancement devices (MADs) are an established treatment option, but conventional follow-up often relies on intermittent visits and self-reported adherence. Sensor-integrated MADs and remote monitoring may enable objective adherence assessment and personalized longitudinal care, although their additional clinical value remains uncertain. This narrative review critically appraises current evidence on sensor-integrated MADs with remote monitoring for OSA, focusing on treatment adherence, objective monitoring, personalized therapy, and dentists' evolving role in longitudinal multidisciplinary care. We searched PubMed/MEDLINE, Embase, Scopus, and the Cochrane Library through 2025 for English-language studies on MADs, sensor-integrated oral appliances, and remote monitoring in OSA. We synthesized evidence across six domains spanning pathophysiology, clinical practice, and digital innovation. The evidence indicates that MADs improve respiratory and patient-reported outcomes, while integrating sensor-based and remote monitoring technologies offers additional opportunities for objective assessment of adherence and nightly appliance use. Remote monitoring and feedback may improve the consistency of MAD use, although increases in total nightly wearing time have not been consistently demonstrated. Emerging smart MADs can also monitor parameters such as sleep duration, sleep position, and respiratory events, while adaptive systems may enable individualized adjustment of mandibular advancement. However, current evidence does not yet establish that smart MADs provide superior long-term physiological, cardiovascular, or patient-reported outcomes compared with conventional MAD therapy. Smart MADs may nonetheless strengthen adherence assessment, expand the dentist's role in longitudinal care, and support personalized, multidisciplinary OSA management; further clinical validation and standardized long-term studies are needed to determine their incremental therapeutic value.

Indexed as

adherenceartificial intelligencemandibular advancement deviceobstructive sleep apneaoral appliance therapyprecision dentistryremote monitoringsmart devices

Identifiers

PMID42857585
PMCPMC13651444

What OpenQuestion holds

Textmetadata
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.