Oral appliance therapy is a treatment modality for conditions such as obstructive sleep apnea (OSA) and snoring. It involves the use of a specially designed oral appliance. This is similar to an orthodontic retainer or a sports mouth guard, worn in the mouth during sleep.
This device helps to maintain an open, unobstructed airway by adjusting the jaw and/or tongue. Oral appliances are a popular alternative for patients who find continuous positive airway pressure (CPAP) therapy uncomfortable. They also benefit patients with mild to moderate obstructive sleep apnea (OSA).
This article outlines the oral appliance therapy process and discusses its benefits and potential drawbacks. It also covers the costs involved in different countries and provides guidance on finding this treatment.
What is the Oral Appliance Therapy?
Oral appliance therapy uses custom-fitted devices. They aims to advance the position of the lower jaw and/or tongue during sleep. This advancement can help to keep the airway open, reducing the frequency of apnea events and snoring.
Oral Appliance Therapy Process
- Initial Evaluation: A sleep specialist or a dentist trained in sleep medicine assesses the patient's suitability for oral appliance therapy. This assessment often occurs after a diagnosis of OSA through a sleep study.
- Custom Fitting: If deemed suitable, the provider takes mouth impressions and measurements to custom-fit the oral appliance.
- Device Fitting and Adjustment: The provider fits the custom-made appliance and makes adjustments to ensure comfort and effectiveness. This may require several visits.
- Follow-Up: Patients need regular check-ups to ensure the appliance fits well and the treatment is effective. Providers make adjustments if needed.
How effective is oral appliance therapy compared to CPAP?
Doctors generally consider CPAP therapy the gold standard for treating moderate to severe OSA. However, oral appliance therapy can be an effective alternative for patients. These patients are with mild to moderate OSA, especially those who are CPAP-intolerant.
The effect of oral appliance therapy can depend on the severity of OSA. It also depends on the specific design of the appliance and proper fitting.
Popular Countries for the Oral Appliance Therapy and Their Average Prices
Here are the approximate prices in Euros along with additional information for hearing aid fitting in various countries:
- United States: €1,656 to €2,760
The cost in the U.S. includes the hearing aid device, fitting, and follow-up visits. Private insurance may cover part of the expense, but costs can vary depending on the type of device and provider. - United Kingdom: €1,140 to €2,280
In the UK, prices depend on whether you choose NHS services or private clinics. Private care tends to be more expensive but offers quicker access and a wider range of devices. Some private insurance plans may also help offset the cost. - Australia: €915 to €1,525
In Australia, the cost includes both the device and fitting. Health insurance may cover part of the cost, and the pricing varies depending on the hearing aid’s features and the clinic. - India: €6 to €18
India provides a more affordable option for hearing aid fitting, with lower overall costs due to lower medical expenses. Prices can range significantly depending on the quality of the device and service. - Turkey: €108 to €216
Turkey offers affordable hearing aid fitting services, especially popular among medical tourists looking for high-quality care at lower prices. You can expect good services with access to modern hearing aids.
Finding the Oral Appliance Therapy Nearby
For people seeking oral appliance therapy, resources like Wupdoc offer a platform. Thanks to this platform it is easier to find qualified dentists or sleep medicine specialists who provide this treatment. Wupdoc features detailed profiles, patient reviews, and ratings. This helps users make informed decisions based on the quality of care and patient satisfaction.
Benefits and Harms of the Oral Appliance Therapy
Benefits:
- Effectiveness: Oral appliances are effective in reducing snoring and treating mild to moderate OSA.
- Comfort and Convenience: Many patients find oral appliances more comfortable and easier to use than CPAP machines. Especially the those who are CPAP intolerant.
- Portability: The devices are small, portable, and do not require electricity, making them ideal for travel.
Harms:
- Adjustment Period: Some patients may experience discomfort, excessive salivation, or dry mouth when first using the device.
- Potential for Dental Changes: Long-term use can lead to changes in bite or jaw alignment. However, these are rare and usually minor.
- Effectiveness: While effective for many, oral appliances may not be suitable for severe cases of OSA.
In summary, oral appliance therapy offers a viable alternative for treating snoring and obstructive sleep apnea, particularly for patients who struggle with CPAP therapy. It's important for individuals to undergo a comprehensive evaluation to determine the most appropriate treatment for their specific condition. With advancements in custom-fitting technologies and materials, oral appliances have become an increasingly popular. In addition thet are also effective solution for many patients facing sleep-disordered breathing issues.
