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	<title>21st Century Dental Blog &#187; MADs</title>
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	<description>More of a Q&#38;A with our patients and the dentists we teach</description>
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		<title>Dental Appliances for Central Sleep Apnea</title>
		<link>http://www.21stcenturydental.com/wp/dental-appliances-for-central-sleep-apnea/</link>
		<comments>http://www.21stcenturydental.com/wp/dental-appliances-for-central-sleep-apnea/#comments</comments>
		<pubDate>Mon, 25 May 2009 17:32:06 +0000</pubDate>
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				<category><![CDATA[Snoring and Sleep Apnea]]></category>
		<category><![CDATA[central sleep apnea]]></category>
		<category><![CDATA[CSA]]></category>
		<category><![CDATA[MADs]]></category>
		<category><![CDATA[mandibular advancement devices]]></category>
		<category><![CDATA[obstructive sleep apnea]]></category>

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		<description><![CDATA[Q: Can a MAD improve CSA as opposed to OSA?
Dr. Smith: Yes, there is more and more literature coming out showing that not only can mandibular advancement devices improve obstructive sleep apnea, but they can have a positive effect on central sleep apnea as well. 
 From articles like this one, it becomes clear that [...]]]></description>
			<content:encoded><![CDATA[<p><strong>Q:</strong> Can a MAD improve CSA as opposed to OSA?</p>
<p><strong>Dr. Smith:</strong> Yes, there is more and more literature coming out showing that not only can mandibular advancement devices improve obstructive sleep apnea, but they can have a positive effect on central sleep apnea as well. </p>
<p> From articles like <a href="http://www.chestjournal.org/content/131/2/595.full.pdf+html">this one</a>, it becomes clear that a) Obstructions that create a decrease in respiratory motor output will b) decrease respiratory drive, leading to c) CSA. Therefore, anything that removes obstructions, such as a MAD, can improve CSA. </p>
<p>Additionally, OSA leads to arousals, which leads to hyperventilation, which leads to hypocapnia, which leads to a decreased respiratory drive, which leads to CSA. So, control OSA with a MAD, and you can lessen the likelihood of CSA manifestation.</p>
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