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CC BY-NC-ND 4.0 · Sleep Sci 2021; 14(03): 291-295
DOI: 10.5935/1984-0063.20200077
CASE REPORTS

Resolution of fibromyalgia by controlling obstructive sleep apnea with a mandibular advancement device

Fernanda Vantine
1   Universidade do Vale do Paraíba, Dental School - São José dos Campos - São Paulo - Brazil.
,
Dominik Ettlin
2   University of Zurich, Center of Dental Medicine - Zurich - Zurich - Switzerland.
4   Faculdade São Leopoldo Mandic, Laboratory of Neuroimmune Interface of Pain Research - Campinas - São Paulo - Brazil.
,
Miguel Meira-e-Cruz
3   Centro Cardiovascular da Universidade de Lisboa, Lisbon School of Medicine, Sleep Unit - Lisboa - Lisboa - Portugal.
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ABSTRACT

Fibromyalgia (FM) is a chronic, often disabling disorder characterized by multisite pain along with sleep problems and fatigue. Pain and sleep exhibit a reciprocal relationship. When FM and obstructive sleep apnea/hypopnea (OSA) co-exist, treatment options include continuous positive airway pressure or mandibular advancement device. We present a patient experiencing fibromyalgia and OSA whose symptoms vanished wearing a Mandibular Advancement Device (MAD) during sleep. To our knowledge, this is the first documented case of FM symptom resolution by MAD treatment.

Keywords:

Mandibular Advancement - Sleep Apnea - Obstructive - Fibromyalgia


Publication History

Received: 04 June 2020

Accepted: 13 November 2020

Article published online:
30 November 2023

© 2021. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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