Oral appliances are devices that prevent the narrowing or collapse of the airway. They maintain the airway open by repositioning the jaw forward and or by maintaining the tongue in a forward position during sleep. The oral or dental appliance is used to treat snoring and obstructive apnea. The device can also be used for the treatment of the upper airway resistance syndrome.
Types of Oral Appliances:
The tongue retainer has a suction property that brings the tongue upfront, creating more space in the back of the throat.
Mandibular Repositioning Devices
This type of device brings the jaw forward. And maintains the tongue and the muscle tone of the airway at a more favorable position. This combined effect prevents the narrowing of the upper airway.
The sleep center does not make dental devices. The patients need to have a dental evaluation first. The appliances are done and managed by the dentist. The sleep center can test the efficacy of the appliance once the dentists considers that evaluation appropriate.
Standards of Care for Dental Devices
Patients with primary snoring or mild OSA who do not respond to, or are not appropriate candidates for treatment with behavioral measures such as weight loss or sleep-position change.
Patients with moderate to severe OSA should have an initial trial of nasal CPAP, due to greater effectiveness with the use of oral appliances.
Patients with moderate to severe OSA who are intolerant of or refuse treatment with nasal CPAP. Oral appliances are also indicated for patients who refuse treatment, or are not candidates for tonsillectomy and adenoidectomy, cranofacial operations, or tracheostomy.
Oral Appliance Therapy for Sleep Apnea
- Diagnostic Testing
- Appliance Titrations
- Home Sleep Test
- Combination Therapy