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Jaw-Widening device may ease sleep apnea without surgery
NCT ID NCT07734688
First seen Jul 29, 2026 · Last updated Jul 30, 2026 · Updated 1 time
Summary
This trial tests whether a miniscrew-assisted rapid palatal expander (MARPE) can reduce obstructive sleep apnea severity in people aged 16 to 60. Participants are randomly assigned to receive either standard care alone or standard care plus the expander, which widens the upper jaw over three months. Researchers measure changes in breathing during sleep, daytime sleepiness, and quality of life to see if the device offers added benefit.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a dental device called a miniscrew-assisted rapid palatal expander (MARPE) that widens the upper jaw
- What this could lead to
- If it works, MARPE could offer a non-surgical way to improve breathing and reduce sleep apnea severity in adults.
- What could go wrong
- This is a small early trial with only 24 participants, so results may not apply to everyone. The device requires daily activation and may cause discomfort or dental side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 24 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Feb 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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16 to 60 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. AHI ≥ 5 2. Aged ≥ 16 and ≤ 60 years old 3. Presence of the upper first permanent molars 4. Presence of unilateral or bilateral posterior crossbite or maxillary transverse deficiency (considering intermolar width measurements, posterior teeth buccolingual incli- nation, and posterior crossbites) allowing meaningful maxillary expansion of at least 5mm 5. Willingness to undergo MARPE treatment under the standard fee structure of the Faculty of Dentistry, Universiti Malaya Exclusion Criteria: 1. BMI ≥ 30 kg/m2 2. Basic Periodontal Examination (BPE) ≥ 3 or BPE markers\* (root bifurcation lesions) 3. Mobile teeth (Mobility grade ≥ 1) 4. Pathology in the maxilla, such as substantial maxillary bone defects, or maxillary bone defects due to space-occupying cysts, tumors, etc. 5. Significant true skeletal asymmetry 6. Presence of significant root resorption of upper first permanent molars due to previous orthodontic treatments 7. Concurrent on-going treatment for OSA such CPAP 8. Previous treatment for OSA such as soft tissue or hard tissue surgery within the past 4 months 9. Significant mandibular retrognathic (SNB less than normal value cephalometrically) 10. General chronic medical illnesses like cardiac failure, kidney failure, stroke etc. 11. Medication 12. Syndromic 13. Presence of neuropsychiatric illnesses such insomnia, narcolepsy, parasomnia etc. 14. Presence of neuromuscular diseases such multiple schlerosis, epilepsy, Parkinson's disease. \-
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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Other studies related to the condition(s) this trial covers.
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