Oral Appliance/Cpap

Oral appliances that treat snoring and obstructive sleep apnea are small devices that are worn in the mouth, similar to orthodontic retainers or sports mouth guards these are custom made. These appliances help prevent the collapse of the tongue and soft tissues in the back of the throat, keeping the airway open during sleep and promoting adequate air intake. Currently there are approximately 70 different oral appliances available which can be custom made for you. Oral appliances may be used alone or in combination with other means of treating OSA, including general health and weight management, CPAP or surgery.

Types of Oral Appliances
With so many different oral appliances available, selection of a specific appliance may appear somewhat overwhelming. Nearly all appliances fall into one of two categories. The diverse variety is simply a variation of a few major themes. Oral appliances can be classified by mode of action or design variation.

*Tongue Retaining Appliances - tongue retaining appliances function by holding the tongue in a forward position by means of a suction bulb. When the tongue is in a forward position it serves to keep the back of the tongue from collapsing during sleep and obstructing the airway in the throat.

*Mandibular Repositioning Appliances - Mandibular repositioning appliances function to reposition and maintain the lower jaw (mandible) in a protruded position during sleep . This serves to open the airway by indirectly pulling the tongue forward, stimulating activity of the muscles in the tongue and making it more rigid. It also holds the lower jaw and other structures in a stable position to prevent opening of the mouth.

Advantages of Oral Appliance Therapy
Oral appliance therapy has several advantages over other forms of therapy:
  • Oral appliances are comfortable and easy to wear. Most people find that it takes only a couple of weeks to become acclimated to wearing the appliance.
  • Oral appliances are small and convenient making them easy to carry when traveling.
  • Treatment with oral appliances is reversible and non-invasive.
A Summary of the Treatment Options

  • A thorough evaluation and accurate diagnosis is the key to successful treatment of snoring and sleep apnea. See our doctor for a complete assessment.
  • Treatments for snoring.
    • Positional therapy
    • Oral appliance therapy
    • Palatal therapy
  • Treatments for mild OSA
    • Oral appliance therapy
    • CPAP
    • Palatal therapy

Treatments for moderate to severe OSA

  • CPAP
  • Oral appliance therapy (if CPAP cannot be tolerated)
  • Oral appliance therapy combined with CPAP
  • Oral appliance therapy combined with palatal surgery
  • CPAP combined with palatal surgery
  • Telegnathic(jaw) surgery( if non- surgical treatment not successful)

To learn more about The American Academy of Sleep Medicine, please visit:    http://www.aasmnet.org/
To learn more about The American Academy of Dental Sleep Medicine, please visit:  http://www.aadsm.org/


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