Sammanfattning
Oral appliance therapy (OA) is a relatively new treatment modality for obstructive sleep apnea (OSA) in Norway. Continuous positive airway pressure (CPAP) is considered the first line treatment, and oral appliance therapy is commonly offered to patients non-compliant to CPAP. The use of acoustic pharyngometry (AP) may enhance both objective and subjective outcomes of OA therapy in treatment of OSA. AP determines the position of the mandible in the vertical and horizontal plane where the airway space is maximized and at which position the OA should be fitted. Compared to standard technique for delivering oral appliances, acoustic pharyngometry may more readily result in an adequate or more superior treatment. This case report illustrates enhancement of the treatment efficacy by replacement of an existing ineffective OA in a more optimal position using AP.