Sleep Apnea Appliances

What is Sleep Apnea?

Obstructive sleep apnea (OSA) is a medical condition that leads to interrupted breathing throughout the night when the airway is obstructed in some way, temporarily blocking air flow. It occurs when the muscles in the back of the throat relax, blocking the airway or collapsing it during sleep. Individuals with sleep apnea stop breathing for seconds multiple times a night, leading to lower oxygen levels to the brain. Loud snoring, frequent waking, and gasping for air are all common symptoms of sleep apnea.

Untreated sleep apnea can lead to a variety of health issues, including:

• High blood pressure
• Increased risk of stroke
• Increased risk of heart failure and heart disease
• Insulin resistance and metabolism issues
• Increased risk of diabetes
• Increased risk of cancer
• Increased risk for Alzheimer’s Disease
• Depression and mood disorders
• Suppressed immune system
• Impaired cognitive function

Do You Have Sleep Apnea?

Symptoms of sleep apnea should never be ignored, but many people are not aware that they have it. If you have any of the following symptoms, and particularly if you have more than one, it is crucial to be evaluated for sleep apnea and develop a treatment plan.

• Loud, frequent snoring
• Gasping or choking during the night
• Daytime sleepiness
• Waking up feeling tired
• Fatigue or exhaustion
• Brain fog and difficulty concentrating
• Morning headaches
• Irritability
• Trouble staying asleep
• Frequently waking to go to the bathroom
• High blood pressure
• GERD (Gastroesophageal reflux disease)

Treating Sleep Apnea

Although a Continuous Airway Pressure (CPAP) machine is often the first treatment option people think of for sleep apnea, there are also dental devices that are effective in treating the condition. Opening the airway to allow oxygen to flow freely is the goal of any obstructive sleep apnea treatment. Sleep apnea appliances reposition the jaws or tongue slightly to keep the airway open. They are a comfortable and effective alternative for many patients who cannot tolerate CPAP. Oral sleep apnea appliances are also more convenient, less bulky, and easier to use for anyone who sleeps in more than one position at night or who tends to toss and turn in their sleep.

Patients using sleep apnea appliances report less snoring, better sleep, and feeling more rested.

Types of Oral Sleep Apnea Appliances

Oral appliances for sleep apnea fall into two categories: mandibular advancement devices (MADs) and tongue-stabilizing devices (TSDs).

Mandibular Advancement Devices (MAD)

MADs are the most commonly used appliance for obstructive sleep apnea and are sometimes called splints or repositioning appliances. These work by moving the lower jaw forward, creating more space in the back of the throat. This improves airflow for better breathing.

MADs typically come in two pieces, one fitting over your top teeth and one over your bottom teeth. They are custom-designed and fabricated for a snug fit over the teeth. The two pieces are connected with hinges, screws, or rubber bands to allow for adjustment. Differences between the various styles of mandibular adjustment devices may include size, how the two pieces connect, the materials they are made of, and how much you can close your mouth.

Tongue-Stabilizing Devices

Tongue-stabilizing devices (TSD), also known as tongue-retaining devices, pull the tongue forward rather than moving the entire jaw forward. A suction bulb pulls the tongue forward and holds it there while you are asleep. The front tip of the device stays outside of the mouth.

TSDs are a viable option for individuals who cannot use MADs due to dental health issues or other concerns.

What Appliance is Right for You?

To determine the best sleep apnea appliance for you, a consultation with one of our specialists is needed. They will review your medical history, perform an oral exam, and discuss your symptoms and needs before recommending the appropriate sleep apnea appliance for you. To schedule an appointment, please get in touch with our office at Kentlands Office Phone Number 301-519-3232.