Treatment Options for Sleep Apnea – Oral Appliance Therapy. “Sleep Apnea Mouth Device” Summary: Oral appliance therapy, also known as mandibular advancement device or splint (MAD, MAS) for the treatment of sleep apnea and snoring. American Sleep Association oral appliance There are several treatment options for sleep apnea. One of the options is the oral appliance. Also called Jaw Advancing Device (JAD) or Mandibular Advancement Device (MAD), these sleep apnea oral appliances are custom made by dentists using a plastic-like mold to form to the specific shape of the patients teeth and mouth.
Not only do they work against sleep apnea, they are also effective to stop snoring. Mouth Guard ORAL APPLIANCES FOR SLEEP APNEA and Snoring. How Does the Sleep Apnea Oral Appliance Work? Sleep apnea oral appliances work by moving the jaw forward, which increases the size of the upper airway, thus reducing the air resistance that leads to sleep apnea and snoring. Oral appliances for sleep apnea are often used as a substitute for CPAP or sleep apnea oral surgery.
It is often used in conjunction with weight loss if the individual is overweight. Sleep apnea mouth guards are anti-snoring devices. They reduce airway turbulence and stop snoring. These custom sleep apnea mouthpieces, often called by the general public, ‘sleep apnea mouth guards’, are often most effective in sleep apnea patients who have mild or moderate sleep apnea. Sleep physicians often recommend a sleep study before a snoring mouthpiece is recommended (to determine the diagnosis), and after the oral appliance is used (to determine if it is effective).
sleep apnea oral appliance dental device Benefits of Oral Appliance Therapy for Sleep Apnea Improved compliance of therapy compared to other treatments for sleep apnea Compact and portable – device can fit in a pocket Discreet – device is not visible to bed partner when mouth is closed Immediate response – most patients see improvement on the first night Energy conservation – the device does not use any electricity.
You don’t have to plug the device into a wall to function. Consequences of Oral Appliance Therapy Some sleep apnea patients who use oral appliances experience TMJ or temporal mandibular joint arthritis or arthralgia (pain). Others report an unusual sensation shortly after removing the device in which they have difficulty bring their teeth together in the usual position. Some patients experience teeth shifting after prolonged use.
Occasionally orthodontic care is required to normalize the teeth positioning. Although there are several businesses that sell oral appliances on the internet, it is important that your sleep physician, primary care doctor, and/or dentist approve the appliance, as many of the over-the-internet ‘boil and bite’ mouth pieces for sleep apnea are not effective. The oral appliance is one of several cpap alternatives.
The mouth guard is sleep apnea treatment without cpap.There are several alternatives to cpap. These dental appliance for sleep apnea are sleep apnea dental devices. Sleep apnea dental appliance are not suitable for all patients. Sleep apnea dental devices are generally more effective in mild – moderate sleep apnea cases. Sleep Apnea Devices How much do sleep apnea oral appliances cost? This depends on the type of the snore mouthpiece.
The average cost for a sleep apnea mouth guard is estimated at $1800 – $2000. This includes the actual mouthpiece, dentist visits, adjustments, follow ups and modifications to the dental device. Most health insurance companies and Medicare cover sleep apnea oral appliances. Review of snore guards, and anti snoring mouth guards and American Sleep Association oral appliance are found on the related links above.
Do Dental Appliances Work for Sleep Apnea? Yes, some dental appliances are effective for treating sleep apnea and snoring. Although CPAP is more popular for the treatment of OSA, dental appliances are becoming more common as new research solidifies their efficacy in treating mild-moderate sleep apnea and snoring. It is important to work with your doctor and dentist to find an appropriate device for you.
Follow care is imperative to insure that the treatment is working. Problems with Sleep Apnea Dental Devices One of complaints with sleep apnea dental devices is that they are difficult to monitor compliance. Most new CPAP machines have tracking software which shows the patient and the healthcare providers the amount of hours of use and the presence of persisting respiratory events. Because of their size, sleep apnea mouthpieces are not able to contain the same amount to technology that a CPAP device contains.
There are some new mouth devices that are made with microchips that are able to measure the amount of hours of use. Another reported problem with sleep apnea oral appliances is that they have a limited life expectancy. They are not designed to last forever. Many are only effective for a year or two before the materials weaken and the appliances loses efficacy. Mouth Guard ORAL APPLIANCES sleep apnea oral appliances and dental devices How do you get a sleep apnea oral appliance and dental device? The first step to getting any sleep apnea treatment device is talking to your doctor.
Some are candidates for certain sleep therapies while others are excluded because of medical history or anatomy. Discuss your symptoms with your healthcare professional. If warranted, a sleep study might be ordered. If a diagnosis of sleep apnea is made, treatment options for OSA will be discussed. If a dental device is indicated, you will be referred to a dentist who specializes in treatment of sleep disordered breathing.
The dentist usually takes an impression (a mold) of the teeth bite – called a bite registration. A reproduction of your teeth is made of plaster. With your teeth model, a sleep apnea oral appliance is designed. With the increase in supply of manufacturers and qualified dentists, sleep apnea oral appliances (Oral Appliance Therapy) have become a popular treatment for sleep disordered breathing and snoring.
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Which IS the best of the anti snoring mouthpieces… It is said “Laugh and the world laughs with you, snore and you sleep alone.” And whilst we can all smile at this quote, the reality is that snoring can be debilitating at best, and at worst it can impact on almost every face of your life – family, relationships, work and play. Throughout this site you will find research, advice and treatment guides covering all facets of sleep and in particular sleep disorders, and here we review some of the best snoring mouthpieces that have been proven to provide some relief for snorers.
Importantly, we encourage you to see your doctor, physician or specialist to discuss the best solution specific to your needs. The American Sleep Association conducts a wide range of studies and research into sleep and sleep disorders, some of which is funded by some companies that are included in our results, and through which we earn commissions; our research results are not influenced by these fees.
What Is Snoring? In its simplest form snoring is just the sound made when the upper airway to and from the lungs becomes constricted. Don’t be too concerned if you do indeed snore, mildly or significantly, as over half the general population snore; and of course, some people snore more than others. You can discover more about the various causes, forms and treatments for Snoring throughout this website; the best place to start is this overview of Snoring.
How do snoring mouthpieces work? Snoring occurs because the soft tissues in the back of the throat vibrate and press against other throat anatomy, producing that so familiar snore sound. Therefore, one of the more simple methods to minimise or even completely eradicate snoring is to mechanically separate the vibrating parts of the mouth and throat. There are two principle types of snoring mouthpieces: Mandibular Advancement Devices (MAD’s) – this method is named after the mandible or jaw bone and refers to the effect of moving the jaw slightly forward which results in a greater separation of the vibrating elements in the throats of snorers.
You can discover more about the merits and potential downside issues of this type of device here on our Mandibular Advancement Devices research page. Tongue Stabilizing Devices (TSD’s) – this method takes a slightly different approach and seeks to isolate the tongue, pulling the tongue forward and creating a wider gap between the tongue and the back of the throat. You can discover more about the benefits and possible shortfalls of this kind of appliance here on our Tongue Stabilizing Devices research page.
How To Choose A Snoring Mouthpiece Having decided, in conjunction with your doctor, that a stop snoring mouthpiece is a good option for you to consider there are a few key characteristics that you need to consider: Type – MAD or TSD? This is a tough one and it is hard for the ASA to provide anything more than “You just have to try one” advice – as you will see from the above referenced pages, the principles are quite different.
Some people will gain the best advantage from an adjustable MAD and others will respond best to a TSD; based on our research around 2/3rds of people where a snoring mouthpiece is the ideal solution, seem to get the best results from Mandibular Advancing Devices. Material – the days of rigid solutions requiring you to fit around the device are well and truly gone. Advances in polymer technologies now provide the user with the ability to mold the main platform to fit your mouth – simply place them in hot water, allow to cool slightly and then place in your mouth.
In a few moments you will have a close fitting device that will provide the optimum snoring outcome. Adjustable – although there are still custom made anti snoring devices that are fitted by dentists (at a cost of $2000 or more) today’s more cost effective solutions can still be highly beneficial, especially if they are also adjustable. Many have two or three settings, and the very best have incremental settings down to 1.
0mm or 1/16th of an inch. Dentures – a simple but important question to ask – will the device you prefer work well if you have dentures Price – clearly the cost is a factor, and the range for mass produced mouthpieces is from as little as $19.95 through to $400 for the most expensive anti snoring mouthpiece, with the “sweet spot” being around $99 Here at the American Sleep Association we have developed our own rating system on a scale of 1 (being the least beneficial) to 5 (being the best).
We review over 20 elements based on the latest trends in snoring device research and technology as well as taking into consideration such things as longevity, comfort and value for money. How Long Do Snoring Devices Last Durability obviously depends on the type of device but generally the more flexible and adjustable a mouthpiece is, the shorter the lifespan. The newer designed devices that us highly heat sensitive molding provide a great fit, but within a year or so, start to lose that flexibility.
We certainly expect an mouthpiece for snoring to last at least one year (most come with at least a 1 year warranty) but at about year two we would suggest you consider a more contemporary replacement. Do I Need A Doctor’s Prescription The MAD’s and TSD’s included in our recommended list of stop snoring mouthpieces and reviews generally do not require a prescription. However, it is recommended that you speak with your physician and dentist about these devices before you use them.
There is an over arching concern that many individuals may have more severe health issues, like Obstructive Sleep Apnea, which may go undiagnosed, or be misdiagnosed, and that there may be complications as a result of no clinician intervention. How Safe Are Snoring Mouthpieces With over 50 years of development, the advent of FDA (Food and Drug Administration) oversight and national and international standards, a mouthpiece for snoring (be they Mandibular Advancing Devices (MAD’s) or Tongue Stabilizing Devices (TSD’s) or others) is broadly quite safe.
Manufacturers go through stringent ISO Certifications to meet Medical Device Licensing requirements as well as ensure that their Intellectual Property and Patents are protected. All the device Manufacturers that we have included in our snoring mouthpieces reviews include a minimum 30 Day Money Back Guarantee. A cautionary note in relation to MAD’s is that because of the traction that is placed on the teeth or jaw for several hours each night, there is a tendency for the teeth to follow the direction of the stress.
This can cause teeth and bite alignment issues. In addition, the slight stress on the jaw can create an ache that may concern users for the first few days. BPA (bisphenol A) – BPA is a chemical found in polycarbonate plastics and epoxy resins. Some research has shown that BPA can seep into food or beverages from containers that are made with BPA. Exposure to BPA is a concern because of possible health effects of BPA on the brain, behavior and prostate gland of fetuses, infants and children.
Additional research suggests a possible link between BPA and increased blood pressure. As the Food and Drug Administration (FDA) has said that BPA is safe at the very low levels that occur in some foods or devices we have not specifically excluded devices that may contain BPA, however we broadly recommend that you consider selecting non-BPA laden devices. Will It Hurt The key question is relative to what; relative to your partner beating you with a pillow at 2.
00am in the morning? Then mildly, yes, it may be uncomfortable, or yes, even hurt a bit for a few days. Generally speaking, based on direct feedback from research participants, there is some discomfort for 3 to 10 days whilst things settle in and minor adjustments are made. In the long term, the benefits significantly outweigh any minor, short term discomfort. Is There A Difference Between Snoring Mouthpieces & Snoring Mouth Guards No, they are one and the same, although the majority of terminology tends to be “snoring mouthpieces”.
The references to snoring mouth guards has come about in recent years due to the similarity in technologies used to fit contemporary devices; similar to sports mouth guards, the key component for fitting a device is to place in hot water, cool slightly and then place in the mouth so that the item “molds” to the moth and teeth. What If Snoring Mouthpieces Don’t Work Anti snoring devices are always a good next step after changing your lifestyle elements such as losing weight, stopping smoking and reducing alcohol consumption.
Regrettably, snoring is a complex disorder and often a symptom of more complex conditions. Obviously you need to check that you are using the device correctly, it is properly adjusted and is not worn out. And of course, you should be consulting with your Doctor about your snoring generally, just in case it is indicative of a more complex medical condition. What If I start Snoring Again If you have an MAD, then making an adjustment to the settings will usually resolve things.
However, lifestyle issues also come in to play as the years advance, specifically weight gain and alcohol, so take these into consideration before purely looking at your device. An Important Note About Sleep Apnea & Anti Snoring Mouthpieces Non-prescription anti snoring devices are not intended to treat Sleep Apnea. They can moderately relieve some of the symptoms, but Obstructive Sleep Apnea, Central Sleep Apnea or Complex Sleep Apnea Syndrome (and all other Apnea-type disorders) need sophisticated diagnoses and treatment plans which in all fairness, you could not expect to alleviate for $19 to $399.
A person suffering from a Sleep Apnea disorder will require a device such as a CPAP machine with mask or BIPAP machine and mask, typically prescribed by a Doctor, Physician or Specialist. You can discover more about the findings of our research and analysis of the latest trends in Sleep Apnea treatments in this section of our site. Anything Else I need To Consider Apart from the above reviews, recommendations and suggestions, there are just a coupe more things to bear in mind: Comfort – no matter how good a job your device does in preventing snoring, if it is not comfortable to wear, and does not allow you to relax, then you may well stop snoring (which your partner will certainly like) but you may find it more difficult to sleep, which creates a different problem Dental Care – these devices spend many hours inside your mouth so it is really important to a) keep the device clean, rinsing/cleaning regularly and b) to be extra vigilant with your teeth care brushing more frequently to minimise the prospect of decay Teeth Movement – if you had braces as you grew up, you may be susceptible to shifting teeth.
These mouthpieces, particularly ones that advance your jaw (MAD’s) can prompt your teeth to wander over time Cleaning – there are some special cleaning fluids which can be purchased to clean your device. Simply using water with a gentle tooth brush will keep particles off the device and but denture-type cleaning compounds will help to prevent fungus and bacteria from growing on the device In Summary The ideal stop snoring mouthpiece is… FDA cleared Is adjustable in small increments Is thermally fitted for comfort Makes your sleeping partner the happiest We recommend that you individually review each of our reviews for the top few snoring mouthpieces by clicking on the “Learn More” button next to each summary on the above chart What Else Can I Do To Stop Snoring We recommend that you visit these links below to explore some of the alternative solutions to your sleep and snoring concerns: The American Sleep Association (ASA) was founded in 2002 by a group of Sleep Professionals seeking to improve Public Health by increasing awareness of the importance of Sleep in ensuring a high quality of life, as well as the dangers of Sleep Disorders.
Through our own Research, and investing in the Research of others, the ASA Members and Board are committed educating millions of people on the importance of sleep health and to resolving Sleep Disorders, Insomnia and Sleep Apnea. Reference Resources: (Visited 27,798 times, 54 visits today)