FAQs

Snoring frequently accompanies sleep apnea but it is not always an indicator of whether this sleep condition is present. However, snoring can indicate that bulky throat tissue could potentially obstruct airways – especially if patients have certain lifestyle factors that contribute to sleep apnea. Fortunately, the treatment we offer for sleep apnea and snoring is the same. By prescribing a custom oral appliance, the diameter of the airway can be widened to prevent the sounds of snoring as well as episodes of apnea. These oral appliances are soft and comfortable to wear. They work by positioning the lower jaw slightly forward so that the airway is no longer obstructed.

Anyone of any age can have sleep apnea. Even though snoring can accompany sleep apnea, it is not always a symptom of this sleep disorder. For this reason, it is important to have a sleep study conducted to determine if apnea is occurring. Our practice provides take-home sleep study machinery to detect episodes of apnea during sleep. After usage, the device will be returned to our practice and we will analyze the data collected. If we find that sleep apnea is present or determine if snoring is obstructing one’s quality of life, we will provide treatment recommendations.

The exact cause of obstructive sleep apnea (OSA) is different for each person. Anyone can develop it, regardless of age or gender. The most common risk factors include:

• Being over age 40
• Having a large neck (over 17 inches in men, 16 inches for women)
• Being overweight – approximately half of OSA sufferers are overweight
• Being male – more men than women suffer from OSA
• Having a large tongue or small jaw
• Enlarged tonsils and adenoids (particularly in children)
• Using alcohol or sedatives which relax the muscles in the airway
• Nasal obstruction due to a deviated septum or sinus and allergy problems

While CPAP is very effective in treating sleep apnea, many people cannot tolerate the discomfort of  the mask and the inconvenience and noise of the machine. Therefore a high percentage of users have difficulty or will not wear them.  

An oral appliance is a popular alternative to the CPAP. This device is small, portable, fits more comfortably and can provide similar treatment benefits.

You will have a follow-up sleep study while using your oral appliance to confirm the effectiveness of the device. A consultation with the sleep medicine physician will be necessary to interpret the results.

A change in your bite is possible. Depending on the position of your teeth and the status of your bone, your teeth may shift. This can be minimized with the use of a morning re-positioning device.

The most common side effect is morning muscle soreness that usually goes away after a short time. Some patients may experience either dry mouth or excessive salivation. As mentioned above, minor tooth movement occurs in some patients.

Obstructive sleep apnea is unlikely to decrease with age; therefore your oral appliance will probably be a lifelong therapy. However, certain wellness factors such as significant weight loss may improve your symptoms.

While there are over-the-counter appliances you can order, keep in mind these are not FDA approved for treating sleep apnea. Additionally, when not fitted properly they may cause unwanted side effects such as jaw problems or excessive tooth movement.