{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T02:52:08Z","timestamp":1772160728918,"version":"3.50.1"},"reference-count":57,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T00:00:00Z","timestamp":1759449600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study investigates the interaction between the motor endplate of the genioglossus and the hypoglossal nerve in an obstructive sleep apnea (OSA) model and explores the mechanism of mandibular advancement devices (MAD) in treating OSA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      18 male New Zealand white rabbits were randomly divided into three groups\u2014control,\n                      <jats:styled-content style=\"fixed-case\">OSA<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">MAD<\/jats:styled-content>\n                      (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20096 each).\n                      <jats:styled-content style=\"fixed-case\">OSA<\/jats:styled-content>\n                      was induced in the\n                      <jats:styled-content style=\"fixed-case\">OSA<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">MAD<\/jats:styled-content>\n                      groups by injecting gel into the soft palate. The\n                      <jats:styled-content style=\"fixed-case\">MAD<\/jats:styled-content>\n                      group received\n                      <jats:styled-content style=\"fixed-case\">MAD<\/jats:styled-content>\n                      treatment. Cone\u2010beam computed tomography (\n                      <jats:styled-content style=\"fixed-case\">CBCT<\/jats:styled-content>\n                      ) and polysomnography (\n                      <jats:styled-content style=\"fixed-case\">PSG<\/jats:styled-content>\n                      ) confirmed\n                      <jats:styled-content style=\"fixed-case\">MAD<\/jats:styled-content>\n                      efficacy. Rabbits underwent 2\u2009h of sleep induction daily for 8\u2009weeks. Electrophysiological signals of the genioglossus and hypoglossal nerve were recorded. Morphological assessments of nerve fibres and motor endplates used gold chloride, acetylcholine and haematoxylin\u2013Eosin (\n                      <jats:styled-content style=\"fixed-case\">HE)<\/jats:styled-content>\n                      staining. Immunofluorescence and acetylcholinesterase (\n                      <jats:styled-content style=\"fixed-case\">AChE<\/jats:styled-content>\n                      ) staining evaluated nerve conduction.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content style=\"fixed-case\">OSA<\/jats:styled-content>\n                      symptoms were successfully induced and reversed by\n                      <jats:styled-content style=\"fixed-case\">MAD<\/jats:styled-content>\n                      . Structural and functional impairments of the hypoglossal nerve and motor endplates in the\n                      <jats:styled-content style=\"fixed-case\">OSA<\/jats:styled-content>\n                      group were alleviated by\n                      <jats:styled-content style=\"fixed-case\">MAD<\/jats:styled-content>\n                      , improving nerve impulse conduction and muscle function.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content style=\"fixed-case\">MAD<\/jats:styled-content>\n                      treatment mitigates\n                      <jats:styled-content style=\"fixed-case\">OSA<\/jats:styled-content>\n                      \u2010induced damage to the hypoglossal nerve and genioglossus motor endplates, enhancing structure and function.\n                    <\/jats:p>\n                  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