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Oral Appliances for the Treatment of Obstructive Sleep Apnea

Donald A. Falace

Open publisher page 2 citations

Abstract

The principal methods of treatment for obstructive sleep apnea (OSA) include behavioral modification, continuous positive airway pressure (CPAP), oral appliances, and various types of upper airway surgery. CPAP is the gold standard for treatment of OSA, but many patients are unable to tolerate or refuse to use CPAP. In these instances, oral appliances are an acceptable treatment alternative. Current guidelines developed by the American Academy of Sleep Medicine (formerly the American Sleep Disorders Association) recommend that oral appliances are indicated for the treatment of patients with snoring or mild OSA who do not respond to weight loss or sleep position change, and for patients with moderate-to-severe OSA who are intolerant of or who refuse treatment with CPAP (1). Oral appliances are also used as a supplement to CPAP and in patients who have failed surgery or who refuse surgery.

About this research paper

What this paper is about

The principal methods of treatment for obstructive sleep apnea (OSA) include behavioral modification, continuous positive airway pressure (CPAP), oral appliances, and various types of upper airway surgery. CPAP is the gold standard for treatment of OSA, but many patients are unable to tolerate or refuse to use CPAP. In these instances, oral appliances are an acceptable treatment alternative. Current guidelines developed by the American Academy of Sleep Medicine (formerly the American Sleep Disorders Association) recommend that oral appliances are indicated for the treatment of patients with snoring or mild OSA who do not respond to weight loss or sleep position change, and for patients with moderate-to-severe OSA who are intolerant of or who refuse treatment with CPAP (1). Oral appliances are also used as a supplement to CPAP and in patients who have failed surgery or who refuse surgery.

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Available abstract

The principal methods of treatment for obstructive sleep apnea (OSA) include behavioral modification, continuous positive airway pressure (CPAP), oral appliances, and various types of upper airway surgery. CPAP is the gold standard for treatment of OSA, but many patients are unable to tolerate or refuse to use CPAP. In these instances, oral appliances are an acceptable treatment alternative. Current guidelines developed by the American Academy of Sleep Medicine (formerly the American Sleep Disorders Association) recommend that oral appliances are indicated for the treatment of patients with snoring or mild OSA who do not respond to weight loss or sleep position change, and for patients with moderate-to-severe OSA who are intolerant of or who refuse treatment with CPAP (1). Oral appliances are also used as a supplement to CPAP and in patients who have failed surgery or who refuse surgery.

Key concepts: Medicine, Continuous positive airway pressure, Obstructive sleep apnea, Oral appliance, Airway, Sleep apnea, Anesthesia, Sleep (system call)

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