Do Oral Appliances Work for Sleep Apnea?

Do Oral Appliances Work for Sleep Apnea?

Sleep apnea is problematic to your health. If you have sleep apnea, you’ll notice the signs. Fatigue, high blood pressure, irritability, and more. Treatment options are effective. The majority of treatment revolves around mouth devices, or “oral appliances”. These open up the airways and allow for easier breathing while sleeping (they do this by holding your tongue in place while you sleep). They also work by pushing or pulling your jaw forward. By controlling the position of the tongue, the jaw will follow suit. 

Using Oral Appliances for Sleep Apnea

It’s best to start with these kinds of treatments before thinking about advanced treatment options like a surgery. Each oral appliance has its strength. Not all appliances will work for everyone. Some help by targeting the tongue area, others by targeting the nose, and others by targeting the jaw. Sleep apnea is often the result of issues in one of these areas. Here are some of the symptoms that oral appliances relieve: 

  • Exhaustion/Fatigue 
  • High blood pressure 
  • Difficulty concentrating 
  • Irritability  
  • Falling asleep anywhere and everywhere 
  • Sexual dysfunction 
  • Learning difficulties 

Here are some of the conditions that oral appliances can prevent: 

  • Heart attacks 
  • Congestive heart failure 
  • Cardiac arrhythmia 
  • Stroke 
  • Depression 
  • Irritability 
  • Anxiety 

Oral appliances need to be worn every night before bed. Some of them are more comfortable than others. Some are easier to clean and take care of than others. And some are more expensive than others. The most important thing to remember when researching devices is that you should always seek professional advice from a dentist. Dentists can also work to fit the devices to your mouth. You will also need to follow up with your dentist to let him/her know whether or not the device is alleviating your symptoms.  

For most people, oral appliances work very well. Especially when it comes to snoring. These devices can eliminate snoring completely. Other people may need to take more drastic measures, like surgery. The type of sleep apnea you have can also determine what measures need to be taken. Oral appliances typically only work for people with mild to moderate sleep apnea. Newer studies are even saying that simple oral devices can help those with severe apnea.  

Why People are Choosing Oral Appliances for Sleep Apnea

People with underlying health conditions like diabetes or heart disease may not benefit from these non-invasive treatment methods. They may need surgical intervention or a CPAP (Continuous Positive Airway Pressure). A CPAP is one of the most common methods used in treating sleep apnea, but it can be quite inconvenient. You need to cover your mouth and nose with a mask, plug in the device, and sleep with a constant flow of air. Many people can’t tolerate it. It’s often uncomfortable, but it has been shown to cause immediate results in patients.  

To get the best therapy possible for you, seeing a specialist is highly recommended. They’ll often prescribe a home sleep study and go over your results with you. After you see a specialist, the dentist is a good place to go. They can help fit your oral appliance.  

When you’ve decided to go the route of an oral appliance, the options may seem overwhelming. It’s hard to choose which appliance is best for you, even with professional recommendations. There is bound to be a little bit of discomfort when you first start wearing your appliance. The discomfort is usually around the jaw or the ears. Rest assured; this should pass over time. Your mouth needs to adjust to a new foreign object. When you take your appliance out in the morning, the discomfort should go away.  

Oral appliances will also cause a slight excess of saliva and some tenderness in your teeth. Again, this is normal. Make sure you mention all side-effects to your dentist. He/she will closely monitor you. If the discomfort doesn’t go away, they’ll suggest another oral appliance for your sleep apnea. No matter where you go for your needs, make sure that you’re comfortable with your dentist. You need to be able to go to him/her with any and all concerns. Don’t hold back. The only way to get symptom relief is to get a perfect fit.  

Finding the Right Oral Appliances for Your Sleep Apnea

There are quite a few brands and types of oral devices, but the most common is a mandibular advancement device. Mandibular means lower jaw. This looks very similar to a mouthguard. It attaches to the upper teeth and the lower teeth. It is held together with springs and custom adjustments. The device pushes the tongue and the jaw forward, clearing your airway. When you first try it, it will feel odd to have a foreign object in your mouth all evening. And this is one of the devices we mentioned that may cause a little jaw and tooth discomfort. But if it works, it’s worth it. It is more comfortable than wearing the CPAP mask. It’s also very low-maintenance and easy to clean. If you get it professionally fitted by the people at Sleep Better Columbus, your chances of discomfort are reduced.  

The other popular oral appliance is called a tongue retaining mouthpiece. It looks similar to an adult pacifier, so some find it silly, but it works well. It’s also a little simpler than the mandibular advancement device and the CPAP. Once placed into your mouth, it surrounds the tongue and pulls it forward – away from your throat. In order for it to work, you need to stick your tongue into the slot and keep it there all night. You will get used to it, but it’s quite the adjustment.  

Oral appliances can be much more practical than a CPAP or a surgery. They’re great for people who travel frequently because they’re so portable, and they’re often more cost-effective than surgery or a CPAP. They’re also easier to set up – no wires or filters. If they work for you, they’re a wonderful solution. 

For questions or a consultation regarding oral appliances for sleep apnea, give Sleep Better Columbus a call at (614) 362-7292.

Your CPAP Might be Affecting Your Teeth

Your CPAP Might be Affecting Your Teeth

Sleep apnea is a common condition in the United States. It can occur when the upper airway becomes blocked repeatedly during sleep, reducing or completely stopping airflow. This is known as obstructive sleep apnea. Here are a number of treatment options to discuss with your doctor. Two of the most widely used are continuous positive airway pressure (CPAP) and dental appliances, or mouth guards. However, as more people find they don’t respond well to CPAP therapy, they’re turning to CPAP Alternatives.

The Truth About CPAP Machines

The CPAP machine is widely prescribed in treatment of sleep apnea. However, it comes with some serious side effects. By far, an air leak is the most common complaint with CPAP use. If the mask doesn’t fit perfectly, air may escape around the edges as you change position while you are sleeping. Larger masks, such as those that cover the nose and mouth, are more prone to leaks. Leaks may compromise your therapy by reducing the pressure delivered, or they may be noisy and disturb your bed partner.

Your CPAP mask may leave marks on your skin if it doesn’t fit properly, possibly leading to sores or even ulcers, especially along the bridge of your nose. People with sensitive skin may also develop a rash or skin irritation, especially with masks that contain latex. Another common side effect is dryness of your nose or mouth often accompanies leakage. This may lead to nosebleeds or may even damage to your gums and teeth. If your mouth falls open, air can escape, leading to a parched mouth or tongue.

Though it is easy to breathe in, you may find it difficult to breathe out against the pressure when you first start using CPAP therapy. This may improve over time, but the effort may also cause insomnia. Due to the air pressure of the CPAP, you may end up with air in your stomach, causing you to belch all night long. This can lead to sleep disturbances and keeping a partner awake also.

Oral Issues from CPAP Machines

The machines can be cumbersome to take care of. CPAP machines require the use of distilled water to prevent desiccation of the oral tissues. For the wearer, the use of the distilled water can be tedious and requires special attention to cleaning and disinfecting the machine, tubing and mask. Quite often, after a while, the wearer just does not bother anymore.

A serious side effect is dental and skeletal changes associated with continuous CPAP are also known to occur. Any sustained force or pressure on teeth has the potential to cause tooth movement. As such, it is reasonable that flaring of the anterior teeth would occur because of delivering positive pressure posterior to the tongue that functions to position it forward in the oral cavity and against the anterior teeth. Any sustained force or pressure on teeth has the potential to cause tooth movement. As such, it is reasonable that flaring of the anterior teeth would occur because of delivering positive pressure posterior to the tongue that functions to position it forward in the oral cavity and against the anterior teeth. In other words, there have been reports of teeth movement due to the use of a CPAP machine. This can lead to serious biting and chewing problems.

Oral Devices as CPAP Alternatives

Oral appliances, fit by qualified dentists, are an effective treatment for many patients who can’t use or don’t want to use CPAP therapy and are seeking CPAP alternatives. They come in many different designs, but for the most part, they are usually custom made. The main purpose of the dental device is to keep the airway open during sleep, thereby preventing it from collapsing and blocking the normal flow of air during breathing.

Oral Device Types

  • Mandibular advancement device (MAD). The most widely used mouth device for sleep apnea, MADs closely resemble mouth guards used in sports. They snap over the upper and lower dental arches and have hinges to make it possible for the lower jaw to be gently shifted forward. Some of these devices, such as the Thornton Adjustable Positioner (TAP), provide the added benefit of allowing you to control the degree of advancement.
  • Tongue retaining device. Used less commonly than MAD, this device is a splint that holds the tongue in place to keep the airway open.

There are advantages to using an oral device. for people with mild to moderate sleep apnea, particularly those who sleep on their backs or stomachs. The dental devices may improve sleep and reduce the frequency and loudness of snoring. Also, because an oral device is easy to use and maintain, people are more likely to use these popular CPAP alternatives.

If you receive a dental device, you should have a checkup early on to see if it is working. In order to get the most relief from sleep apnea, it is important to have periodic checkups for possible adjustment or replacement. If you experience pain or changes in your bite, your dentist or orthodontist may be able to make modifications to correct the problem.

Also, dental devices have also been shown to control sleep apnea long term compared to uvulopalatopharyngoplasty (UPPP), the standard surgical procedure for apnea, in which the surgeon removes soft tissue from the back of the throat. If you’d like to learn more about this safe and effective treatment option, reach out today.

Need help with sleep apnea and CPAP alternatives? Call Sleep Better Columbus today to setup a consultation.

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