Obstructive sleep apnea is a condition that not only can sometimes be fatal
but can also be linked to many other adverse health conditions. It is estimated that somewhere around 10% of
men and 6% of woman over the age of 40 are affected by this disorder. The startling truth about this disorder is
that people affected by it will completely stop breathing during sleep and in
severe cases this may take place hundreds of times throughout the night. The
airway becomes obstructed which in turn leads to abnormal breathing and a
significant reduction of airflow to your lungs.
Currently there are a large number of dental oral appliances on the market
that can be used to successfully treat and manage this condition. An oral devices’ primary function is either
one of two things, either to retain the tongue from collapsing into and
obstructing the airway, or to move the lower jaw slightly forward; hence
accomplishing the same thing as to keep the airway from becoming obstructed.
The majority of patients that opt for oral appliance therapy to treat their
apnea report that they no longer experience the loud snoring associated with
sleep apnea and are getting a much more complete and healthy nights’ rest. An
oral appliance work best with patients who are not significantly overweight and
is a very viable alternative to CPAP therapy (Continuous Positive Airway
Sleep apnea oral appliances fall into one of two categories: adjustable or
fixed. Below is a list of some of the
more commonly used dental sleep appliances:
TAP® 3 (Thornton Adjustable Positioner)
The TAP® 3 is the smallest, most comfortable member of the TAP family. It is a two-part custom-created sleep apnea appliance that fits over the teeth in much the same way as a sports mouthguard. The TAP® 3 projects the jaw forward to prevent the tongue and soft tissues from impeding the airway. The lower jaw positioner is adjustable, which means that it can be altered to suit the comfort level of the wearer. The TAP® 3 appliance can accommodate the three main types of malocclusion, and allows the lips to fully close.
The OASYS appliance is designed to move the base of the tongue toward the front of the mouth by gently repositioning the jawbone (mandible). This shift opens the oropharynx and strengthens the upper airway. An extension of the upper shield projects toward the nose, creating a larger nasal opening and less resistance to normal airflow. This adjustable appliance is comfortable to wear and extremely patient friendly.
The KlearwayTM Appliance is generally used to alleviate obstructive sleep disorder and eliminate snoring. The patient or dentist can project the jaw forwards in increments of .25mm at a time. This ensures maximum comfort for the sleeper. The KlearwayTM appliance is made from VariflexTM heat softening acrylic, which makes it easier to insert. Running warm water over the appliance makes it pliable, but once placed in the desired position, the acrylic hardens again.
Herbst Telescopic Appliance
The Herbst appliance is held in the mouth by clasps and friction grips. It is made of acrylic, and contains adjustable metal wiring. The advantage of this appliance is that the wearer is able to move vertically and laterally without dislodging the appliance. The Herbst appliance is usually used in mild and moderate cases of sleep apnea, and can also alleviate loud snoring effectively.
If you think you may have sleep apnea or are already diagnosed and are
looking for an alternative to CPAP therapy than please contact us to set up an
appointment with Dr. Patel. Getting
fitted for an oral appliance is a painless and easy process that could
drastically change not only your life but your health.
The Somnomed Appliance consists of an upper and lower appliance. The design is streamlined with minimal bulk, which makes more room for the tongue. The design provides both posterior and anterior bite support, therefore minimizing TMJ discomfort and injury due to grinding.
The Strong Appliance is a custom made fixed upper and lower appliance. It can be used in combination with CPAP. It is highly adaptable for patients with missing teeth. The Strong Appliance is easily adjustable to help advance the jaw forward.