Blog Post

Sleep Apnea Solutions - Dental Devices for Restful Nights

Dr Silman • Jan 19, 2024

Wrestling with sleep apnea can lead to a tireless search for comfort at night. Dental devices have surfaced as innovative sleep apnea solutions, offering a respite from the traditional, often disruptive treatments. Our article, “Sleep Apnea Solutions Unveiling: Dental Devices for Restful Nights,” delves into these dental devices, paving the way to restful nights with in-depth insights into their function and benefits. Join us as we explore a refreshing path to tackling sleep disturbances head-on.



Key Takeaways

  • Dental devices such as mandibular advancement devices (MADs) and tongue retaining devices offer a non-invasive treatment alternative for sleep apnea, working by keeping the airway open and preventing obstruction during sleep.
  • Custom-fitted oral appliances are tailored to each patient’s unique anatomy and provide a more comfortable and effective treatment for sleep apnea, often preferred over CPAP machines due to ease of use and portability.
  • Regular follow-up appointments with sleep specialists are essential for assessing the fit and effectiveness of oral appliances, making necessary adjustments, and providing support for improved treatment outcomes.


Demystifying Dental Devices for Sleep Apnea


Specifically designed for sleep apnea treatment, dental devices provide a valuable alternative to conventional treatment methods for this prevalent sleep disorder. These devices, often used in oral appliance therapy, work by keeping the airway open during sleep, thus reducing sleep apnea symptoms and enabling a restful night’s sleep. Dentists play a crucial role in this treatment approach, not only in diagnosing sleep apnea but also in crafting and fitting these devices to ensure maximum comfort and effectiveness.


In sleep apnea treatment, mouthpiece devices like mandibular advancement devices (MADs) are frequently utilized. They work by reducing blockage caused by oral soft tissue, like the jaw and tongue, leading to a significant reduction in sleep apnea symptoms. The use of these devices, under the guidance of a dentist, is considered safe and accessible, providing a secure alternative for those who find other treatments ineffective.


Understanding Oral Appliance Therapy


Involving the use of a customized plastic mouthpiece that fits over the lower teeth, Oral Appliance Therapy (OAT) is a novel approach in sleep apnea treatment. The mouthpiece operates by:

  • repositioning the lower jaw and tongue slightly open and forward during sleep
  • effectively preventing the airway from collapsing
  • ensuring an unobstructed airway


OAT has proven effective in managing mild to moderate sleep apnea, offering therapeutic benefits similar to those of CPAP therapy. Its effectiveness can be further enhanced through consistent use, proper fitting, and necessary adjustments of the device, leading to a significant reduction in the frequency of apnea events, improved oxygen levels, and relief from snoring and daytime sleepiness.


Types of Dental Devices for Sleep Apnea


Mandibular Advancement Devices (MADs) are a common type among the various dental devices available for sleep apnea treatment. These dental appliances are designed to temporarily move the jaw forward during sleep, a repositioning that helps maintain an unobstructed airway, thereby reducing both snoring and sleep apnea symptoms.


Another type of dental device used in managing sleep apnea is the tongue retaining device. This device works by:

  • holding the tongue in place
  • preventing it from collapsing backward
  • causing airway obstruction during sleep
  • aiding in the management of sleep apnea.


Tailoring Treatment: Custom-Fitted Oral Appliances


Custom-fitted oral appliances, which offer a personalized treatment approach, are engineered to meet the specific needs of each patient, promising maximum effectiveness and optimum comfort in sleep apnea treatment. Dentists take into account factors such as patient-specific mouth and jaw structure, as well as overall comfort, in customizing these devices.


A custom-fitted oral appliance not only enhances comfort by providing a snug fit in the patient’s mouth but also reduces irritation and improves overall wearability. This focus on individualized fitting underscores the commitment to patient comfort and treatment success.


Comparing CPAP and Dental Devices


In sleep apnea treatment, both dental devices and Continuous Positive Airway Pressure (CPAP) machines bring their unique benefits. However, dental devices often emerge as the preferred choice for many individuals due to their comfort and portability.


Unlike CPAP machines, oral appliances offer the following advantages:

  • Ease of use
  • Minimal maintenance and cleaning requirements
  • Independence from electricity
  • Typically a lower cost


These advantages, coupled with increased comfort and reduced lifestyle modifications, make oral appliance therapy a compelling alternative to CPAP therapy.

Lifestyle Adjustments to Complement Dental Device Use


Certain lifestyle modifications can considerably boost the efficacy of dental devices in controlling symptoms of sleep apnea. Primary among these is weight loss, which has the potential to lessen the severity of sleep apnea symptoms. In fact, a 10-15% reduction in body weight could potentially reduce the severity of Obstructive Sleep Apnea (OSA) by half, making it easier to diagnose sleep apnea.


Abstaining from alcohol is another important lifestyle adjustment for individuals managing sleep disorders, including sleep apnea and central sleep apnea. Alcohol can worsen OSA symptoms and trigger episodes, making it crucial to limit, if not completely eliminate, alcohol consumption.


The Impact of Dental Devices on Sleep Quality


For patients with sleep apnea, dental devices can substantially enhance sleep quality. Regular use of these devices, under the guidance of a sleep apnea specialist, can lead to higher compliance and improved treatment outcomes, helping to treat sleep apnea effectively and treating sleep apnea in the long run.


Dental devices work by repositioning the jaw and tongue to enlarge the airway at the rear of the throat, thus decreasing the likelihood of upper airway collapse and subsequently reducing sleep apnea events. By maintaining the position of tissues and the jaw to prevent airway obstruction, these devices help to ensure unimpeded oxygen intake during sleep.


Furthermore, dental devices have demonstrated effectiveness in reducing episodes of OSA during REM sleep, leading to improved overall sleep quality and potentially more restful nights.


Monitoring Progress: Follow-Up Care with Sleep Specialists


To ensure the ongoing efficacy of oral appliances, regular follow-up visits with sleep specialists are vital. These appointments provide an opportunity to verify the correct fit of the device, track the patient’s progress, and make necessary adjustments.


Follow-up consultations typically involve:

  • Reviewing and interpreting the patient’s sleep test results
  • Conducting additional studies to evaluate treatment outcomes and assess the suitability of oral appliance therapy
  • Modifying the oral appliance to ensure optimal alignment with the jaw, enhance comfort and fit
  • Providing guidance on appropriate cleaning and maintenance


This comprehensive approach helps improve the success of treatment.

Patients are also encouraged to provide feedback on their treatment experience, enabling the sleep specialist to make informed decisions regarding ongoing care and adjustments.


Real Stories: Patient Experiences with Dental Devices


The role of dental devices in improving the quality of life for sleep apnea patients is highly significant. Numerous research studies have demonstrated the potential of oral appliance therapy in significantly alleviating OSA symptoms for a substantial portion of patients.


However, it’s not all smooth sailing. Patients using dental devices for sleep apnea may encounter:

  • Initial challenges in adapting to the appliance
  • Discomfort in the temporomandibular joint
  • Potential side effects such as increased saliva production and soreness

Despite these challenges, many patients attest to the positive impact of these devices on their sleep quality and overall well-being.


Innovative Advances in Dental Devices for Sleep Apnea


Advancements in dental devices for sleep apnea in recent years have led to improvements in their effectiveness and ease of use. Advancements in oral appliances, particularly mandibular advancement splints, have notably enhanced the effectiveness of treating OSA, offering a promising alternative to CPAP therapy.


Incorporation of user-friendly features such as the WatchPAT One, a precise Home Sleep Apnea Test (HSAT) that assesses up to seven different sleep apnea parameters, signifies a noteworthy advancement. Additionally, new technologies are greatly impacting the design of these devices, with products like Vivos Therapeutics’ removable CARE oral appliances and Dr. Asher Diamond’s FDA-approved Oral Appliance Therapy options exemplifying this trend.


Navigating Insurance and Cost Considerations for Oral Appliances


Understanding insurance coverage and cost factors is crucial for patients seeking this treatment option, despite the clear benefits of dental devices for sleep apnea. The cost of an oral appliance for sleep apnea can vary significantly, ranging between $500 and $2500, and in cases of moderate to severe sleep apnea, it may amount to as much as $4,000 annually.


Patients can typically anticipate an out-of-pocket expense of around $1800 to $2000 for a sleep apnea oral appliance. Despite these costs, oral appliances generally present a more economical option compared to other treatment alternatives, with an average cost ranging from $1,800 to $2,000.

Summary


In conclusion, dental devices provide a viable, comfortable, and effective alternative for managing sleep apnea. They not only offer a more convenient solution than traditional treatment methods but also significantly improve sleep quality and overall well-being. Regular follow-ups with sleep specialists, combined with lifestyle adjustments, can further enhance their effectiveness. As technology continues to advance, dental devices for sleep apnea are set to become even more user-friendly and effective, promising a future of restful nights for those grappling with this sleep disorder.


Frequently Asked Questions


How much does the silent night dental appliance cost?


The Silent Nite dental appliance with the Glidewell Hinge costs less than $250, making it an affordable option for patients seeking dental sleep therapy.


How much does the inspire sleep implant cost?


The Inspire sleep implant costs approximately $30,000 to $40,000 for the device and surgery, excluding potential insurance coverage. Prices may vary based on individual doctor fees.


Is there a maskless CPAP machine?


Yes, there is a maskless CPAP machine available, designed to address the discomfort of traditional CPAP masks and hoses. This micro-CPAP device offers a hose-free and mask-free experience for individuals with sleep apnea.


What is oral appliance therapy?


Oral Appliance Therapy (OAT) is a sleep apnea treatment that involves wearing a customized plastic mouthpiece during sleep. It helps reposition the jaw and tongue to prevent airway collapse, reducing breathing interruptions.


How are dental devices custom-fitted?


Dental devices are custom-fitted through a comprehensive assessment of the patient's mouth, jaw, and airway to determine the best device for their specific needs. This ensures a personalized fit and optimal effectiveness.


Featuerd Photo by Kinga Howard on Unsplash

Share by: