Oral appliance therapy (OAT), also known as Mandibular Advancement Device therapy (MAD) is a non-invasive treatment option for patients with Mild to Moderate Obstructive Sleep Apnoea (OSA) and patients who cannot tolerate continuous positive airway pressure (CPAP) therapy. It involves wearing a precise, individualised designed, custom-fitted oral appliance device during sleep, which gently repositions the lower jaw and tongue to a specific prescription, to maintain airway patency overnight.
Key Benefits of Oral Appliance Therapy
- Improved Airway Patency and Sleep Quality
OAT works by advancing the mandible (lower jaw) stabilising the tongue, reducing airway collapse and improving airflow during sleep. This leads to fewer apnoeic episodes, nighttime oxygenation, and improved sleep continuity. (Cleveland Clinic, Sleep Medicine) - Comparable Health Outcomes and Better Adherence
While CPAP remains the gold standard, studies show OAT can provide similar improvements in daytime symptoms and cardiovascular risk markers, especially in Mild to Moderate Sleep Apnoea, with significantly higher patient adherence due to comfort, convenience and non-invasiveness of the device when worn at night. (American Academy of Sleep Medicine) - Comfort and Portability
Oral appliances are discrete and comfortable as they are specifically designed for each patient and do not require electrical charging, making them ideal for travel and easier to integrate into a precise nighttime routine. - Reduced Snoring and Daytime Sleepiness
By maintaining precise airway stability, OAT can effectively manage mild and moderate Sleep Apnoea, reduce snoring, improve daytime alertness and contribute substantially to the enhancement of overall quality of life. - Lower Risk of Discontinuation
Evidence suggests there are fewer adverse effects, specifically when managed by a Dentist educated and experienced in Dental Sleep medicine, especially for patients who cannot tolerate alternative therapy. Increased patient compliance to the prescribed therapy, can result in better long-term habituation, use and acceptability. (American Academy of Sleep Medicine)
Clinical Considerations
OAT is most effective for mild to moderate Obstructive Sleep Apnoea and should be discussed with your doctor. It is essential Oral Appliance therapy is designed and monitored by a qualified Dental Sleep Medicine Specialist, for optimal design selection, customisation and precise patient care management. Device system titration is essential for optimal patient care outcomes, minimising potential side effects, including jaw joint care and specific dental considerations in Oral Appliance therapy prescription.
Please speak with your GP and contact us on info@beacondentalsleep.ie for further information.
