Snoring & Sleep Apnea Oral Appliance Therapy

Snoring and obstructive sleep apnea arise when the upper airway narrows during sleep. Oral appliances hold the lower jaw (and tongue base) slightly forward to help keep the airway open. Diagnosis and severity must be established by a sleep physician through a sleep study; appliance therapy is one option among several and is not suitable for every patient.

Highlights

Custom, adjustable mandibular advancement device
An option for snoring and mild-to-moderate OSA
Alternative for selected patients intolerant of CPAP
Coordinated diagnosis and follow-up with a sleep physician

Who is it for?

Oral appliances are most relevant for simple snoring and mild-to-moderate OSA. Severe apnea, significant obesity, or major comorbidities usually favor CPAP first. Suitability depends on dental status, periodontal health, jaw-joint condition, and the sleep study findings.

Process and follow-up

After the sleep physician's diagnosis, a dental, periodontal, and jaw-joint examination is performed along with records. The device is fabricated and the advancement is titrated gradually. Temporary jaw or tooth tenderness and transient bite changes can occur and are managed at follow-up visits. Effectiveness may be confirmed with a follow-up sleep study when indicated.