Oral Appliance Therapy (OAT) VS. CPAP

Oral Appliance Therapy (OAT) VS. CPAP

October 23, 2020

Boca Raton, Florida dentist Reda A Abdel-Fattah offers an alternative device to the CPAP machine to manage obstructive sleep apnea. The two most common non-surgical therapies used to manage obstructive sleep apnea (OSA) are:

(1) continuous positive airway pressure (CPAP)

(2) mandibular advancement devices (MAD), which are the most used oral appliance.

These therapies differ in efficiency, cost, comfort, and side effects. Physicians usually prescribe CPAP as the primary treatment since it is the most effective option in reducing the apnea-hypopnea index (AHI), meaning the average drop in breathing airflow during sleep per hour. However, many patients for whom the discomfort, noise, and other negatives overshadow benefits become non-compliant to CPAP use. Untreated OSA is associated with increased stroke risk, heart attack, hypertension, diabetes, motor vehicle crashes, reduced work performance and increased work-related injuries.

The current studies progressively support MAD as an effective alternative to CPAP except for extremely and morbidly obese persons. Our office works with accredited sleep centers and sleep-certified specialists to rigorously evaluate the sleep breathing condition and recommend suitable treatment methods. We construct oral appliances for the mild and moderate cases of documented obstructive sleep apnea and severe instances when surgery or CPAP are contraindicated. Moreover, we offer a combination therapy where we construct an oral appliance attached to the CPAP hoses, eliminating a face mask or jaw straps.

For more information about oral appliances for the management of obstructive sleep apnea, please call 561-391-5331 to make an appointment.