265 Madison Avenue, 3rd Floor, New York, NY 10016

Oral Appliance Therapy

Oral Appliance Therapy: A Comfortable Path to Better Sleep

For many individuals struggling with obstructive sleep apnea (OSA) and disruptive snoring, Continuous Positive Airway Pressure (CPAP) therapy can be challenging to adhere to. At New York Sleep Solutions, we offer an effective and often more comfortable alternative: Oral Appliance Therapy (OAT). This innovative treatment provides a discreet and portable solution to help you breathe easier and achieve the restful sleep you deserve.

What is Oral Appliance Therapy?

Oral Appliance Therapy involves the use of a custom-fitted dental device, similar to a mouthguard or orthodontic retainer, worn only while you sleep. These appliances work by gently repositioning your lower jaw and/or tongue to keep your airway open. By preventing the collapse of soft tissues in the back of your throat, OAT helps to eliminate or significantly reduce snoring and the breathing interruptions associated with sleep apnea.

Types of Oral Appliances:

  • Mandibular Advancement Devices (MADs): The most common type, MADs work by holding the lower jaw slightly forward. This forward position helps to move the tongue and soft palate away from the back of the throat, preventing airway obstruction.
  • Tongue-Retaining Devices (TRDs): Less frequently used, TRDs hold the tongue in a forward position using a small suction bulb, preventing it from falling back and blocking the airway.

Benefits of Oral Appliance Therapy

Oral Appliance Therapy offers numerous advantages, making it a preferred choice for many patients:

  • Comfort and Discretion: Unlike CPAP masks, oral appliances are small, custom-fit, and worn entirely within the mouth, making them less intrusive and more comfortable for many users.
  • Portability: Their compact size makes them incredibly easy to travel with, eliminating the need for bulky equipment and power sources.
  • Quiet Operation: Oral appliances are silent, ensuring a peaceful night's sleep for both the user and their bed partner.
  • High Adherence Rates: Due to their comfort and convenience, patients often find it easier to consistently use oral appliances nightly compared to CPAP.
  • Effective for Snoring: OAT is highly effective in reducing or eliminating snoring, improving sleep quality for both the patient and their partner.
  • Non-Invasive: It's a non-surgical treatment option that can be a great alternative for those who cannot tolerate CPAP or wish to avoid surgery.

Who is a Candidate for Oral Appliance Therapy?

Oral Appliance Therapy is typically recommended for patients with:

  • Mild to Moderate Obstructive Sleep Apnea (OSA).
  • Severe OSA who are unable to tolerate or achieve consistent results with CPAP therapy.
  • Primary Snoring (without significant sleep apnea).

A thorough evaluation, including a comprehensive sleep study and an assessment of your oral anatomy, is essential to determine if OAT is the right treatment for you.

What to Expect with Oral Appliance Therapy

If OAT is determined to be a suitable option, the process typically involves:

  1. Initial Consultation: We'll discuss your sleep history, symptoms, and review your sleep study results.
  2. Custom Impressions: Precise impressions of your teeth will be taken to create a custom-fit appliance that ensures maximum comfort and effectiveness.
  3. Fitting and Adjustment: Once your appliance is fabricated, you'll return for a fitting. We'll ensure it fits properly and provide instructions on how to wear and care for it. Initial adjustments may be made to optimize its position for your airway.
  4. Follow-Up and Monitoring: Regular follow-up appointments are crucial to monitor your progress, make any necessary adjustments to the appliance, and ensure continued effectiveness. In some cases, a follow-up sleep study may be recommended while wearing the appliance.

While some patients may experience minor side effects initially, such as jaw soreness or increased salivation, these usually subside as you adjust to wearing the appliance. Our team will guide you through this process, ensuring your comfort and the success of your treatment.

At New York Sleep Solutions, we are committed to helping you find the most comfortable and effective solution for your sleep apnea and snoring. Contact us today to learn more about Oral Appliance Therapy and how it can transform your sleep and overall well-being.