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VOLUME 6 , ISSUE 3 ( July-September, 2011 ) > List of Articles

REVIEW ARTICLE

Dental Sleep Medicine: Treatment of snoring and obstructive sleep apnea with oral appliances

Krishnan A. Subramanian

Keywords : Standards of practice, snoring, obstructive sleep apnea syndrome, oral appliances, dental devices

Citation Information : Subramanian KA. Dental Sleep Medicine: Treatment of snoring and obstructive sleep apnea with oral appliances. Indian Sleep Med 2011; 6 (3):79-82.

DOI: 10.5005/ijsm-6-3-79

License: CC BY-SA 4.0

Published Online: 01-08-2018

Copyright Statement:  Copyright © 2011; The Author(s).


Abstract

Oral appliances (OAs) are indicated for use in patients with mild to moderate OSA who prefer them to continuous positive airway pressure (CPAP) therapy, or who do not respond to, are not appropriate candidates for, or who fail treatment attempts with CPAP. For patients with severe OSA, CPAP is indicated whenever possible before considering OAs. Oral appliances should be fitted by qualified dental personnel who are trained and experienced in dental sleep medicine. Follow-up polysomnography or home sleep study is needed to verify efficacy. Patients with OSA who are treated with oral appliances should return for follow-up office visits with the dental specialist at regular intervals to monitor patient adherence, evaluate device deterioration or maladjustment, and to evaluate the health of the oral structures and integrity of the occlusion. Regular follow up is also needed to assess the patient for signs and symptoms of worsening OSA. Research to define patient characteristics more clearly for OA acceptance, success, and adherence is needed.

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