Snoring and obstructive sleep apnea. Part Two: Treatment with oral appliances

The research data indicates that oral appliances can be effective in treating snoring and OSA. However, the therapeutic effect is variable and numerous cases have been reported in which snoring is resolved but the obstructive sleep apnea persists. Therefore, it is important that dentists utilize a protocol which includes a medical assessment from a physician, preferably a sleep specialist. Forming a relationship with a sleep specialist and local sleep centers will provide these physicians with an excellent treatment alternative, while at the same time providing the patients the best quality care for their sleep disordered breathing problem. The indications for oral appliance therapy include patients requiring treatment for primary snoring or mild to moderate OSA, patients who are unable to tolerate nasal CPAP, patients who have continued signs and symptoms after surgery. This treatment may be used in conjunction with nasal CPAP to enhance the results. These appliances may also be used as a short-term substitute for CPAP when convenience is a consideration and the appliance is proven to be effective. Dentists have an opportunity to provide a wonderful service to a large population of people who are suffering with a sleep disordered breathing condition. If we use the appropriate medical and dental protocols to manage the patient's condition, use of oral appliances can have a significant impact on the quality of life of our patients.