Oral Appliance Therapy for Sleep Apnea: How Does It Work and Is It Right for You?

If you've been diagnosed with sleep apnea, the array of treatment options available may seem overwhelming. While continuous positive airway pressure (CPAP) therapy is the most common treatment, oral appliance therapy stands as a popular and effective alternative for many individuals. But how does it work, and is it the right choice for you?


In this comprehensive Q&A article, we'll explore the ins and outs of oral appliance therapy for sleep apnea, addressing common questions you may have regarding its functionality, benefits, potential side effects, and criteria for determining if this treatment is well-suited for your needs. Gaining a thorough understanding of oral appliance therapy will enable you to make informed decisions about your sleep apnea treatment plan, and our team of specialists at Center For Sleep & TMJ is here to support you every step of the way.

What Is Oral Appliance Therapy, and How Does It Work?

Oral appliance therapy is a non-invasive treatment method for sleep apnea that involves the use of a custom-made dental device worn during sleep. The primary function of an oral appliance is to gently reposition the lower jaw and tongue forward, which helps maintain an open airway (source: https://www.aadsm.org/oral_appliances.php). These devices are designed to be comfortable, easy to use, and adjustable to optimize the effectiveness of treatment.


There are two main types of oral appliances for sleep apnea:


  • Mandibular repositioning devices (MRDs): These appliances reposition the lower jaw forward, preventing the collapse of the airway and reduction of airway resistance during sleep.
  • Tongue-retaining devices (TRDs): TRDs hold the tongue forward, preventing it from falling back and obstructing the airway during sleep.

The Benefits of Oral Appliance Therapy

Oral appliance therapy offers several advantages over other treatment options, such as CPAP therapy or surgery. Some of the primary benefits include:


  • Increased comfort: Oral appliances are custom-made to fit each individual's mouth, ensuring a comfortable fit throughout the night.
  • Easy to use: Patients typically find oral appliances easier to use than CPAP machines, as they do not require wearing a mask or using a machine.
  • Quiet: Oral appliances do not produce noise, making them more appealing to bed partners who may be disturbed by the sound of a CPAP device.
  • Portable: The compact size of oral appliances makes them an ideal option for individuals who travel frequently or have limited space at home for medical equipment.

Potential Side Effects and Considerations

While oral appliance therapy is typically well-tolerated, some patients may experience side effects, especially in the initial stages of treatment. Common side effects include:


  • Temporary jaw discomfort or pain
  • Excessive salivation or dry mouth
  • Changes in bite alignment
  • Tooth movement or discomfort


If side effects persist or worsen over time, it's important to consult with your sleep specialist or dentist, as adjustments may be needed to ensure optimal comfort and effectiveness.

Determining if Oral Appliance Therapy is Right for You

Oral appliance therapy is an appropriate treatment option for many individuals with mild to moderate obstructive sleep apnea (OSA) or those who are not candidates for or cannot tolerate CPAP therapy (source: https://www.sleepfoundation.org/sleep-apnea/oral-appliance-therapy). However, certain factors must be considered when determining if this treatment option is right for you:


  • Severity of sleep apnea: Oral appliance therapy is generally most effective in mild to moderate cases of OSA. However, it may still be considered for patients with severe OSA who cannot tolerate or adhere to CPAP therapy (source: https://pubmed.ncbi.nlm.nih.gov/29779616/).
  • Dental health: A thorough evaluation of dental health is essential before initiating oral appliance therapy, as it may not be suitable for individuals with certain dental conditions, such as gum disease, significant tooth decay, or inadequate dental support.
  • Jaw mobility: The ability to reposition the lower jaw comfortably is crucial for the effectiveness of oral appliance therapy. People with limited jaw mobility or TMJ disorders may need to explore alternative treatment options.

The Role of Center For Sleep & TMJ in Your Oral Appliance Therapy Journey

At Center For Sleep & TMJ, our team of sleep specialists and dental experts work together to provide comprehensive care for your sleep apnea treatment needs. Here's what you can expect when pursuing oral appliance therapy at Center For Sleep & TMJ:


  • Evaluation and consultation: Our professionals will evaluate your sleep apnea severity and discuss your unique needs to determine if oral appliance therapy is a suitable option for you.
  • Custom-fitted oral appliance: If oral appliance therapy is deemed appropriate, our dental experts will design and create a custom-fitted device to ensure optimal comfort and effectiveness.
  • Ongoing care and support: We understand the importance of ongoing support and follow-up care in the success of your treatment. Our team will monitor your progress, make needed adjustments, and address any concerns you may have along the way.

Comparing Oral Appliance Therapy to Other Treatment Options

Understanding the pros and cons of the various treatment options for sleep apnea is essential for making well-informed decisions about your care. For individuals who struggle with CPAP therapy or are not candidates for surgical interventions, oral appliance therapy offers a viable alternative with proven effectiveness and numerous benefits. It is essential, however, to consult with a sleep specialist to discuss your unique needs and weigh the potential advantages and disadvantages before choosing a treatment plan.

Achieve Better Sleep with Oral Appliance Therapy at Center For Sleep & TMJ

Oral appliance therapy has emerged as a practical and efficient solution for many individuals affected by sleep apnea, particularly those struggling with CPAP compliance or seeking a less-invasive option. From understanding how it works to weighing the benefits and potential side effects, it is crucial to be well-informed when considering this treatment alternative.


At Center For Sleep & TMJ, our dedicated team of experts is committed to guiding and supporting you through every step of your sleep apnea treatment journey. Schedule a consultation with us today to discuss whether oral appliance therapy is the right choice for you. Together, we will help you find the most suitable treatment path, ensuring a better night's sleep and improved overall well-being. Don't wait any longer – take control of your sleep and reclaim the quality of life you deserve.

Phone: (757) 895-7244

Fax: (757) 929-7097

Email: info@sleepva.com

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