RT Journal Article T1 Kinematics of mandibular advancement devices (MADs): Why do some MADs move the lower jaw backward during mouth opening? A1 Cabrera-Carrillo, Juan Antonio A1 Bataller-Torras, Alex A1 Postigo-Pozo, Sergio A1 García Reyes, Marcos K1 Mandíbula K1 Boca K1 Sueño - Trastornos K1 Ingeniería mecánica AB Mandibular advancement devices (MADs) are widely used treatments for obstructive sleep apnea. MADs function by advancing the lower jaw to open the upper airway. To increase patient comfort, most patients allow the mouth to be opened. However, not all systems maintain the lower jaw in a forward position during mouth opening, which results in the production of a retrusion that favors the collapse of the upper airway. Furthermore, the kinematic behavior of the mechanism formed by the mandible-device assembly depends on jaw morphology. This means that, during mouth opening, some devices cause lower jaw protrusion in some patients, but cause its retraction in others. In this study, we report the behavior of well-known devices currently on the market. To do so, we developed a kinematic model of the lower jaw device assembly. This model was validated for all devices analyzed using a high-resolution camera system. Our results show that some of the devices analyzed here did not produce the correct behavior during patient mouth opening. PB Springer YR 2024 FD 2024 LK https://hdl.handle.net/10630/32483 UL https://hdl.handle.net/10630/32483 LA eng NO Cabrera, J.A., Bataller, A., Postigo, S. et al. Kinematics of mandibular advancement devices (MADs): Why do some MADs move the lower jaw backward during mouth opening?. Bio-des. Manuf. (2024). https://doi.org/10.1007/s42242-024-00288-0 NO Funding for open access charge: Universidad de Málaga / CBUA. A substantial part of this work was supported by the research contracts 806/31.4830 and 806/31.5511 between the private company Laboratorio Ortoplus S.L. and the University of Malaga. DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 24 ene 2026