Home > Sleep Apnea: Oral Devices
Oral devices (also called oral appliances or mandibular repositioning
devices) are sometimes used to treat obstructive
sleep apnea (OSA). They push the tongue and jaw
forward, which makes the airway larger and improves airflow. This also
decreases the chance that tissue will collapse and narrow the airway when you
breathe in. See a picture of a
mandibular repositioning device (MRD).
Oral breathing devices are sometimes a reasonable alternative to
continuous positive airway pressure (CPAP). Although
oral breathing devices generally do not work as well as CPAP, they may be
considered for people who:1, 2
Choose a dentist or orthodontist who has experience fitting these
devices. And go back to your dentist for regular check-ups to make sure the
device still fits well.
Oral breathing devices can improve sleep quality and reduce daytime sleepiness.3 The use of oral devices reduced the episodes of abnormal breathing in about half of the people who used them.1
Possible problems with devices that fit inside the mouth
If you use an oral breathing device to treat sleep apnea, use it
every night. Excess saliva in your mouth and mild discomfort should become less
bothersome with regular use.
An oral breathing device used for a child with sleep apnea must be
refitted periodically as the child grows.
Ferguson KA, et al. (2006). Oral appliances for snoring and obstructive sleep apnea: A review. Sleep, 29(2): 244–262.
Malhotra A, White DP (2002). Obstructive sleep apnea.
Lancet, 360(9328): 237–245.
Hensley M, Ray C (2008). Sleep apnoea, search date May
2008. Online version of BMJ Clinical Evidence: http://www.clinicalevidence.com.
June 17, 2011
Anne C. Poinier, MD - Internal Medicine & Mark A. Rasmus, MD - Pulmonology, Critical Care Medicine, Sleep Medicine
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