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Obstructive Sleep Apnea Options

by Mary Beth Nierengarten • December 9, 2011

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Issues to Consider

Along with identifying patients for whom oral appliances may work best, other issues that may need consideration include the major side effect of these appliances, tooth movement or occlusal changes.

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Explore This Issue
December 2011

Dr. Lowe considers this a small disadvantage compared to the benefit of controlled OSA. “The longer we are in the field, the more we are accepting that [tooth movement] as a side effect and we work around it because compared to decreased oxygen to the heart, it is a pretty minor thing,” he said.

Finally, an important role for oral appliances may be in their use in conjunction with CPAP. “CPAP and oral appliances can be used interchangeably,” said Fernanda Ribeiro de Almeida, DDS, PhD, assistant professor of dentistry at the University of British Columbia in Vancouver, BC, Canada. She said many patients who use CPAP routinely may be more compliant overall with treatment if they use oral appliances when CPAP is less convenient, such as on the weekends or when travelling.

Disclosures: Dr. Cistulli has contributed to the development of the mandibular advancement splint. He has also consulted for and has been on the advisory board for oral device maker SomnoMed and has financial interest in the company. Dr. Remmers receives royalties from AutoCPAP and is part owner of Zephyr, the company that manufactures MATRx a test for selecting patients for oral appliance therapy. Drs. Fernanda and Tucker report no relevant financial ties.

Pages: 1 2 3 4 | Single Page

Filed Under: Head and Neck, Practice Management, Rhinology, Sleep Medicine, Special Reports, Tech Talk Tagged With: CPAP, MADs, mandibular advancement device, Obstructive sleep apnea, oral appliances, sleep apnea, Tongue-stabilizing device, TSDIssue: December 2011

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  • Mandibular Advancement Devices Improve AHI, Symptoms of Mild to Moderate OSA
  • Options for Obstructive Sleep Apnea Palate Surgery Reviewed
  • Pediatric Obstructive Sleep Apnea: Many Causes, Many Treatment Options
  • Is the Apnea/Hypopnea Index the Best Measure of Obstructive Sleep Apnea?

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