Increasing Popularity of Oral Appliance Therapy 

In the aftermath of a recall by a major CPAP manufacturer, Phillips Respironics, there is national CPAP shortage.   As a result, oral appliance therapy is being considered as a treatment option more than ever before.   The most common therapy for Obstructive Sleep Apnea (OSA) in the United States is positive airway pressure, either a continuous pressure (CPAP) or one that auto adjusts (autoPAP).   An alternative option is a mandibular advancement devices (oral appliance) which has been gaining popularity over the last 10 years. Traditionally, CPAP has been the first choice of physicians for treatment of patients with OSA because of its effectiveness …

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Does skipping CPAP for one night really matter?

A recent study found that sleep apnea, even for one night, can affect blood pressure.  “After just six hours of fluctuating oxygen levels, similar to what happens with sleep apnea, the body’s ability to regulate blood pressure is impaired.”   There is an immediate impact on the body’s ability to maintain a normal blood pressure from sleep apnea the night before. A patient is considered “compliant” if he or she wears a CPAP for 70% of nights; however, every untreated night affects the next day’s health.  Maybe a treatment with a higher compliance rate should be considered.  Mandibular advancement devices (oral …

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