One of the most common questions we hear is: "What is better? Constant positive pressure and oral appliance?" (Oral-appliance therapy, or "OAT" is the technical term for dental treatment for snoring and sleep apnea).
Like many other things, the simple answer is not so easy. Most doctors agree that the "gold standard" of CPAP therapy for sleep disorders and breathing conditions, because the type of treatment (eg, mild inflation of the airwayskeep the airway walls apart) almost certainly need treatment will be effective.
This is the case, no matter how serious the state of SDB is - why the Academy of Medicine suggests CPAP sleep apnea cases for all "serious" sleep is. OAT is confirmed only for snoring and mild to moderate sleep apnea.
And while we fully agree with this, we have noted, this is just a policy for a number of reasons ...
First, because CPAP (like any treatment) is effective only if andwhen used. If the patient can not or do not comply with treatment (for example, the mask during sleep, etc.) then, of course, received no benefit from treatment with CPAP. In cases like this unit oral therapy can be a good alternative.
In most cases, October is not the same level of improvement as CPAP ... But the devices are still used properly can achieve clinically significant improvements.
In fact we have many cases where the patient was seenfrom sleep with CPAP only four hours a night, with their oral apparatus 8 hours of sleep per night. So, although the improvement was not so great, prolonged use has been more than enough to compensate.
But can suffer from sleep apnea so bad sometimes be successfully treated with October, it is important to note that the opposite is true. Sometimes even simple snorers are not successfully treated by oral appliance. This is usually due to structuralAbnormalities in the nasal passages, upper respiratory tract or oral cavity. Surgery may be necessary to solve these problems - or the patient may choose to wear CPAP, despite the severity of their sleep disorder is not typical to ask for this form of treatment.
The bottom line is that it takes depending on which treatment is best for you - and the best treatment is one that is effective and well tolerated. That's why it is so important to plan your treatment by a practice that offers a full rangeof treatment options.
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