Oral appliance therapy is proven by research to work when an experienced, highly trained Sleep Medicine dentist makes the appliance.
Oral appliance therapy has evolved as an alternative to the CPAP machine. Anyone diagnosed with mild to moderate sleep apnea can benefit from this alternative. We offer treatment for Sleep Apnea, including oral appliances that can effectively improve your sleep quality. Dr. Harper works with you to coordinate appropriate care. Sleep apnea treatments can vary. Treatments are based on the results of a sleep test study and the recommendation or prescription of your physician.
Dr. Harper will work with you individually to choose the right oral appliance. Several important factors must be considered. For example, we will examine the structure of your jaw and the severity of your sleep disorder. We will also work with you to fully maximize your dental and medical benefits.
Patients of Dr. Harper can access our patient-only video portal to learn more about caring for and using an oral appliance.
How Does Oral Appliance Therapy For Sleep Apnea Work?
Oral appliance therapy for sleep apnea aims to accomplish two things:
- Open the airway to allow for proper airflow
- Maintain an open airflow by repositioning the tongue and/or jaw
Benefits of Oral Appliance Therapy
- A more convenient and comfortable solution when compared to the CPAP machine. An oral appliance for sleep apnea is similar to a custom-fit mouthguard. It prevents the tongue from collapsing during sleep, thus allowing patients to achieve proper airflow to the lungs.
- Your oral appliance can be taken anywhere. It’s small and compact, so you won’t have to worry about traveling with a traditional CPAP machine.
- Oral appliances are cost-effective. In some cases, insurance will cover the cost of an oral appliance treatment. Speak with our team about your options during your next appointment.
- Oral appliances are less intrusive than other forms of sleep apnea treatment. You can comfortably and discreetly put on your oral appliance without sacrificing sleep quality.
An oral appliance should generally open the airway, relax the jaw muscles, and allow you to breathe comfortably throughout the night. Many devices are available, but we only choose to use them the most effectively for your needs.
Coastal Sleep & TMJ works with various vendors and will change our oral appliance options as science and technology evolve. We will only offer our patients what we consider the “best of the best”.
A few examples below demonstrate the custom fit of a sleep appliance and its resemblance to a sports mouthguard. Most patients find their sleep appliance comfortable and easy to take along when traveling, and they can drink fluids and speak clearly when it’s in place.
Herbst Advance
TAP Adjustable Appliance
EMA Sleep Appliance
Caring for Your Oral Appliance
Taking care of your oral appliance is essential to ensure the appliance lasts long. Over time, these appliances can harbor bacteria, food debris, saliva, and more, leading to an unpleasant smell, discoloration, and potential health risks. If you don’t clean your oral appliance regularly, bacteria and other things continue to build up, putting you at higher risk over time. Heavy buildup can also compromise the effectiveness and fit of your appliance.
Daily Cleaning
Every time you remove your oral appliance, rinse it with warm water. This takes care of any saliva or debris that may have accumulated. Rinsing away this initial bit lowers the risk of harmful buildup. When cleaning your appliance, use cool or warm water, never hot. Hot water can warp your appliance, changing the fit.
Once daily, brush the appliance with a soft-bristle toothbrush and non-abrasive toothpaste. Pay extra attention to the areas on the appliance that directly come into contact with your teeth or gums. This is where the most buildup will happen. If you need extra scrubbing power, using a denture brush can eliminate the more stubborn stains. Just ensure you always use brushes with soft bristles so you don’t damage the appliance.
Deep Cleaning and Proper Storage
Once a week, soak your appliance in a denture cleaner or antimicrobial mouthwash. This will attack any additional bacteria and lingering odors your regular brushing may not get. Follow the directions to ensure you’re soaking the appliance for the proper amount of time and that it won’t compromise your oral appliance. Certain denture cleaners are too harsh and can damage the appliance’s material. Avoid chemicals like bleach, too.
Storing your appliance properly is a big part of ensuring it doesn’t get damaged and lasts for the long haul. Always store your appliance in its specific carrying case. This helps eliminate damage or loss. A ventilated case allows the appliance to dry properly after cleaning and helps eliminate bacteria buildup. Be sure to clean the case regularly, too. Putting a clean oral appliance in a dirty case can contaminate it.
Just like any other healthcare equipment, your oral appliance may need maintenance. Watch for any changes in the device, including wear and tear, a change in fit, or loose parts. These things can compromise the device, so it may no longer do its job properly.
Oral Appliance Therapy FAQs
Oral appliances are especially effective for patients with trouble sleeping while using CPAP. Learn more by reading the answers to these frequently asked questions.
Which is better: the CPAP machine or an oral appliance?
Oral appliance devices are an excellent alternative to a Continuous Positive Airway Pressure (CPAP) device in patients with mild to moderate sleep apnea. However, in patients with severe obstructive sleep apnea, the CPAP machine is still the treatment of choice.
How long does an oral appliance for sleep apnea last?
An oral sleep appliance can last one to two years. You can elongate its effectiveness by taking excellent care of the device and properly maintaining it. However, they do not last forever and may need adjusting and routine replacement for the most effective results.
Are oral appliances for sleep apnea uncomfortable?
Oral appliances for sleep apnea are sometimes uncomfortable. They aim to reposition your jaw to open your airway so there is physical pressure while wearing the appliance.
How effective are sleep apnea mouthpieces?
Sleep apnea oral devices position the lower jaw slightly forward and down, opening the airway. These devices work for patients with mild sleep apnea. However, people with moderate to severe obstructive sleep apnea may not benefit as much from them as they would from a CPAP machine.
Can I get oral appliance therapy from any dentist?
No, not all dentists are experienced in treating sleep apnea. Dr. Harper is accredited by the American Academy of Dental Sleep Medicine and has completed extensive additional education. He’s truly an expert in the field and specializes in sleep medicine and TMJ treatment.
How are oral appliances made and fitted?
As with other dental restorations, we take impressions of your teeth. This allows a dental lab to craft the appliance to fit your unique mouth. Once the device is ready, we bring you in for a fitting. We’ll adjust the appliance to ensure that it’s at its best efficacy and as comfortable as possible for you. We may perform another sleep test to determine how well the oral appliance works for you.
Schedule a Worry-free Sleep Appliance Consultation
Dr. William Harper at Coastal Sleep & TMJ offers free sleep apnea consultations for your convenience. We strive to provide affordable sleep solutions in Poquoson, Virginia, in the Hampton Roads area. Our team is focused on a collaborative approach with sleep medicine physicians to provide custom solutions. Give us a call at (757) 600-6535 today.