OAT - Oral Appliance Therapy: A Solution for Sleep Disorders

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.

Popular Countries for the Oral Appliance Therapy and Their Average Prices

• United States: The cost can range from $1,800 to $3,000, including the appliance, fitting, and follow-up visits.
• United Kingdom: Prices vary from £1,000 to £2,000. Some private health insurance plans may cover part of the cost.
• Australia: Costs range from AUD 1,500 to AUD 2,500, with some health insurance policies offering partial rebates.
• India: Treatment costs between $500 and $1,500, providing a more affordable option for many patients.

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.

FAQ:
 

How do I know if oral appliance therapy is right for me?

Healthcare providers often recommend oral appliance therapy. It is for people with mild to moderate obstructive sleep apnea (OSA) or those who snore heavily. It's also a good option for patients who cannot tolerate CPAP therapy. 
The best way to determine if it's right for you is to undergo a sleep study. Consult with a sleep specialist or a dentist trained in dental sleep medicine.

Are there different types of oral appliances?

Yes, there are several types of oral appliances available. They are mandibular advancement devices (MADs) and tongue-retaining devices (TRDs) being the most common. MADs work by advancing the lower jaw slightly forward, while TRDs hold the tongue in a forward position to keep the airway open. Your specialist will recommend the type that best suits your specific condition and anatomy.

How long does it take to get used to an oral appliance?

The adjustment period varies among individuals. Most patients start feeling comfortable with their oral appliance within a few weeks. Initially, you might experience some discomfort, excessive salivation, or dry mouth. But these symptoms usually decrease as you get accustomed to wearing the device.

Can oral appliance therapy cure sleep apnea?

Oral appliance therapy aims to manage the symptoms of sleep apnea and reduce the associated health risks. But it does not cure the condition. Continuous use of the appliance is necessary to maintain the benefits of treatment.

Will I need to wear my oral appliance every night?

Yes, for the therapy to be effective, you should wear your oral appliance every time you sleep, including naps. Consistent use is crucial to managing the symptoms of OSA and snoring.

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.

How often do I need to replace my oral appliance?

With proper care, an oral appliance can last several years. However, regular check-ups are important to assess the appliance's condition and fit. Replacement may be necessary due to normal wear and tear. It can also be necessary because of changes in dental health or changes in the severity 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.