Oral Appliance Therapy: A CPAP Alternative
While a CPAP machine is the standard of care for moderate to severe OSA, many patients resist using it because it is too bulky, noisy, or inconvenient for travel. For them, oral appliance therapy may be a better fit.
A mandibular advancement device (MAD) is a custom-fitted oral appliance that resembles a sports mouthguard. It gently repositions the lower jaw forward, helping to keep the airway open during sleep.
These devices are appropriate for patients with mild to moderate sleep apnea. For severe cases, CPAP may still be the most effective option.
What About Snoring?
Snoring and sleep apnea are closely related. Snoring happens when air passes through a narrowed airway, causing the surrounding tissues to vibrate. While not everyone who snores has sleep apnea, loud, chronic snoring is one of the most common warning signs.
Obstructive sleep apnea (OSA) occurs when the soft tissues in your throat relax during sleep and partially or completely block your airway. As your brain senses a drop in oxygen, you briefly awaken to restart breathing, often without realizing it. This cycle can repeat dozens or even hundreds of times per night, preventing you from reaching the deep, refreshing sleep your body needs.