Oral Appliance Therapy

ORAL APPLIANCE is a custom designed mouth guard-like device that fits on the upper and/or lower teeth and repositions the jaw and tongue in a slightly forward position to keep the airway open. The oral appliance has been shown to be highly effective and successful in the treatment and management of snoring, mild to moderate obstructive sleep apnea, and some cases of severe sleep apnea. It is known as the best alternative treatment modality to patients who are intolerant to CPAP or surgery.

Types of Oral Appliances

The following are different types of oral appliances available to meet each patient's individual needs:

MANDIBULAR REPOSITIONING DEVICE (MRD): the most commonly used oral appliance: It is a custom made oral appliance that fits over the upper and lower teeth to reposition the lower jaw and tongue in a forward position to keep the airway open.

TONGUE RETAINING DEVICE: this device works by holding the tongue forward by gentle suction, preventing it from falling back against the throat, keeping the airway open and enabling air to the lungs. This therapy is commonly used in cases there are not enough teeth or no teeth to use MRD.

TONGUE RESTRAINING DEVICE: this device fits over the upper or lower teeth and restrains the tongue from moving back, opening the airway and enabling air to the lungs.

COMBINATION THERAPY: a combined therapy utilizing the madibular repositioning device and the CPAP device. This treatment modality is most commonly used in severe sleep apnea cases. The benifit to combination therapy is that the oral applinace opens the airway passage, allowing the CPAP pressure to be lowered to a more tolerable setting.

Oral appliance therapy offers several advantages over CPAP and surgical therapy: non-surgical complications, non-invasive, non-forceful air supply, natural way of breathing, comfortable, easy to use/remove, and is well accepted for a long-term use by patients.

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