Mandibular Repositioning Appliances function to reposition and maintain the lower jaw (mandible) in a protruded position during sleep. These appliances help prevent the collapse of the tongue and soft tissues in the back of the throat, keeping the airway open during sleep and promoting adequate air intake.
Oral Appliance Therapy involves the selection, fitting, and use of a specially designed oral appliance worn during sleep that maintains an opened unobstructed airway in the throat. Currently there are approximately 70 different oral appliances available. Oral appliances may be used alone or in combination with other means of treating OSA, including general health and weight management, surgery or CPAP.
Read More About Oral Appliance Therapy
Oral appliances work in several ways:
- Repositioning the lower jaw, tongue, soft palate, and uvula
- Stabilizing the lower jaw and tongue
- Increasing the muscle tone of the tongue
Oral appliance therapy is indicated for:
- Patients with primary snoring or mild OSA who do not respond to, or are not appropriate candidates for treatment with behavioral measures such as weight loss of sleep position change.
- Patients with moderate to severe OSA should have an initial trial of nasal CPAP; due to greater effectiveness than with the use of oral appliances.
- Patients with moderate to severe OSA who are intolerant of or refuse treatment with nasal CPAP. Oral appliances are also indicated for patients who refuse treatment or are not candidates with tonsillectomy and adenoidectomy, craniofacial operations or tracheostomy.
Mandibular Repositioning Appliances
At Austin Dental we have advanced training in oral appliance therapy and are familiar with the various designs of appliances. They can determine which one is best suited for your specific needs. We will work with your physician as part of the medical team in your diagnosis, treatment and on-going care. Determination of effective treatment can only be made by joint consultation of us and your physician. The initial evaluation phase of oral appliance therapy can take from several weeks to several months to complete. This includes examination, evaluation to determine the most appropriate oral appliance, fitting, maximizing adaption of the appliance and the function.
Advantages of Oral Appliances Therapy
- Oral Appliance Therapy has several advantages over other forms of therapy:
- Oral appliances are comfortable and easy to wear. Most people find that it only takes a couple weeks to become acclimated to wearing the appliance
- Oral appliances are small and convenient making them easy to carry when traveling
- Treatment with oral appliances is non-invasive
- Here at Austin Dental we have advanced training in Oral Appliance Therapy are familiar with the various designs of appliances. We can determine which one is best suited for your specific needs. We will work with your physician as part of the medical team in your diagnosis, treatment, and on-going care.
- Determination of proper therapy can only be made by joint consultation with our doctors and your sleep physician. Initiation of oral appliance therapy can take several weeks to several months to complete. We will continue to monitor your treatment and evaluate the response of your teeth and jaws.