- Mandibular Repositioner
- Tongue Retaining Device
It should be noted that since 1987 all medical devices, including oral appliances for the treatment of snoring and obstructive sleep apnea, are required to have marketing clearance from the FDA.
These oral devices are covered by most major medical insurance and PPO plans, Kaiser, Medicare and Tricare. We are also preferred providers for the above.
Types of Appliances
1. Dorsal Device
A commonly used mandibular advancement device. Click here to learn more.
This two piece appliance is consists of two plastic parts which cover the upper and lower teeth and are joined together with elastics. The advantage of this appliance is that it is extremely comfortable
This removable appliance is highly effective. The upper and lower acrylic components are held together by a plunger mechanism which holds the mandible forward in both the open and closed positions. The Herbst has the advantage of allowing the patient to open and close as well as providing some limited side to side jaw movement.
CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP)
The current gold standard utilized by the medical profession for the treatment of OSA is continuous positive airway pressure (CPAP). The patient wears a tightly fitting nose mask which is strapped to the head and connected by a hose to an air compressor pump. The air is forced into the airway through the nasal passages in order to open up the airway.
Complaints about the use of this air blower include pump noise, voice changes, skin irritations from the mask, nose and throat dryness, headaches from the strap around the head, tinnitus, difficulty getting to sleep, sinus infections, and difficulty breathing out against the air being forced through the nose.
The patients who should use CPAP are the severe cases of obstructive sleep apnea as the device may indeed be a life saver. In cases of mild to moderate OSA, or in cases where patients refuse to wear the CPAP, oral appliances may be the treatment of choice.
MOST COMMON SURGICAL TECHNIQUES
Laser Assisted Uvulaplasty (LAUP)
The purpose is to surgically remove the uvula when it is excessive and deemed to be causing the problem.
This is the surgical removal of excess palatal tissue which is thought to be causing the problem.
This is the most invasive, yet the most successful in the properly selected case.
The disadvantage is that these surgeries can be quite painful during the healing period. Following the surgery, patients report voice changes and difficulty in swallowing their food.
Patients should be informed of all their options prior to any treatment whether surgical or non-surgical.