A Sleep Apnea Oral Device: What is It?

While CPAP therapy, or Continuous Positive Airway Pressure treatment, remains a gold standard for treating sleep apnea, a sleep apnea oral device offers a less invasive and often more comfortable solution.

This is especially true for those suffering from mild to moderate Obstructive Sleep Apnea (OSA). Many individuals find the masks and hoses associated with CPAP cumbersome and disruptive to their sleep.

On the other hand, oral appliances are small, portable, and discreet, making them a popular choice for those seeking a seamless fit with their lifestyle. Studies also show that people are more likely to consistently use oral appliances, leading to better treatment outcomes.

A sleep apnea mouthguard works on a simple yet effective principle: it repositions the jaw or tongue to prevent the collapse of soft tissues that obstruct the airway. This repositioning ensures that your airway remains open throughout the night, allowing for uninterrupted breathing and restful sleep.

There are two primary sleep apnea oral device options:

• Mandibular Advancement Devices (MADs): The most common type, MADs gently shift the lower jaw forward, creating more space in the airway and preventing the tongue and soft tissues from collapsing.
• Tongue-Retaining Devices (TRDs): TRDs use a gentle suction mechanism to hold the tongue in a forward position, preventing it from falling back and obstructing the airway. TRDs are an excellent alternative for those who cannot use MADs, such as individuals with dentures or certain jaw structures.

The field of sleep apnea mouthpiece therapy is constantly evolving, with ongoing research and development leading to more comfortable, effective, and personalized solutions. Tried-and-true MADs and TRDs have been used for many years with proven success. These devices, often made from acrylic or thermoplastic materials, are custom-fitted and may involve adjustments to find the optimal jaw position.

While highly effective for many, conventional appliances may have limitations in terms of customization and comfort.  Over-the-counter options, often referred to as “boil and bite” devices, offer a less expensive alternative but may not provide the same level of effectiveness or comfort as custom-fitted devices.

Advancements in materials, technology, and design have led to big innovations in creating today’s oral appliance for sleep apnea. These innovations include:

• Vivos Therapeutics CARE Appliances: These appliances take a unique approach by gradually repositioning the airway, potentially providing long-term relief from sleep apnea.
• Inspire Upper Airway Stimulation: This implantable device offers a revolutionary solution by stimulating the nerve that controls tongue movement, keeping the airway open during sleep.
• Advanced Materials: The use of new polymers and biocompatible materials has resulted in appliances that are lighter, more comfortable, and more durable.
• 3D Printing: 3D printing technology allows for the creation of highly precise and customized appliances, ensuring a perfect fit for each individual.
• Micro-Adjustable Mechanisms: Some newer appliances feature micro-adjustments, enabling fine-tuning of the appliance’s position for maximum effectiveness.

Today’s sleep apnea oral device is typically prescribed for individuals with mild to moderate OSA who are unable to tolerate CPAP therapy or prefer a less intrusive option. In some cases, oral appliances may be used in conjunction with CPAP therapy, particularly for those with severe OSA who require high pressure settings. The appliance can help to reduce the amount of pressure needed from the CPAP machine, making it more comfortable to use.

When you first start using a sleep apnea mouthguard, it’s important to be patient as your mouth adjusts. You may experience some initial discomfort, such as jaw soreness, increased saliva production, or a feeling of tightness. These side effects are usually temporary and subside as your mouth adapts to the device. Different types of doctors or specialists may even be involved, scheduling follow-up appointments to monitor your progress, making any necessary adjustments, and ensuring the appliance fits properly and works effectively.

While oral appliances are generally safe and well-tolerated, some individuals may experience side effects. These can include jaw pain, excessive salivation or dry mouth, tooth discomfort, gum irritation, changes in bite, teeth movement, and in rare cases, temporomandibular joint (TMJ) disorder. It’s important to communicate any concerns or discomfort, as they can often be addressed with simple adjustments or recommendations.

Taking care of your sleep apnea oral device  is essential for maintaining its effectiveness and longevity. Here are some key tips:

• Clean Before and After Use: Brush and floss your teeth thoroughly before inserting the appliance, and rinse it under cool water after each use to remove saliva and debris.
• Daily Cleaning: Use a soft-bristled toothbrush and mild soap to clean your appliance every day. Avoid using toothpaste, as it can be abrasive.
• Periodic Soaking: Soak the appliance occasionally in a denture cleaning solution to remove stubborn stains and odors.
• Proper Storage: When not in use, store your appliance in a clean, dry case, away from direct sunlight and heat.
• Avoid Eating or Drinking: Do not eat or drink anything except water while wearing your appliance.
• Regular Inspection: Check your appliance regularly for any signs of wear and tear, and contact your pain management specialist, health care specialist, or doctor if you notice any damage.

Your sleep apnea mouthpiece offers a valuable solution for seeking relief from mild to moderate Obstructive Sleep Apnea. Sleep apnea, particularly obstructive sleep apnea, occurs when the throat muscles relax, blocking the airway. These interruptions, which can happen hundreds of times a night, lead to fragmented sleep and a cascade of potential long-term health issues. High blood pressure, heart disease, and diabetes are just a few of the serious conditions linked to untreated sleep apnea.

Recognizing the signs and seeking timely treatment is crucial for protecting your health. The right solution can provide a comfortable, convenient, and effective alternative to CPAP therapy, helping you achieve the restful sleep you deserve.

If you’re struggling with sleep apnea, consult with a healthcare professional to determine if an oral appliance is the right treatment option for you.  With proper care and maintenance, your oral appliance can be a long-term partner in your journey towards better sleep and improved health.