At Quality Sleep Services, we specialize in non-invasive Oral Appliance Therapy as our primary means of treating OSA. However, we have briefly outlined several other common treatments to OSA as well. Should our diagnosis reveal that other treatments may be more effective for your condition, we can refer you to the appropriate specialists to ensure that you receive the care you need.
Oral Appliance Therapy
Oral Appliance Therapy
Oral Appliance Therapy involves the selection, fitting, and use of a specifically designed oral appliance worn during sleep to treat snoring and OSA. These appliances help prevent the collapse of the tongue and soft tissues in the back of the throat, keeping the airway open during sleep and promoting adequate air intake. The devices may be used alone or in tandem with other treatments for OSA.
Oral Appliance Therapy is ideal for:
Patients with primary snoring or mild OSA who do not respond to, or are not appropriate candidates for treatment with behavioral measures such as weight loss or sleep position change.
Patients with moderate to severe OSA who are intolerant of or refuse treatment with nasal PAP. Oral appliances are also recommended for patients who refuse treatment, or are not candidates for tonsillectomy and adenoidectomy, craniofacial operations or tracheotomy.
Mandibular Repositioning Appliances reposition and maintain the lower jaw in a protruded position during sleep. This serves to open the airway by indirectly pulling the tongue forward, stimulating activity of the muscles in the tongue and making it more rigid. The device also holds lower jaw and other structures in a stable position to prevent opening of the mouth.
QSS patients will be prescribed a Herbst Appliance, which allows for lateral and vertical movement without disengaging the device. We work with you to find the best fit for maximum comfort, allowing you to breathe easily when you sleep and lead a better, fuller waking life.
Contact us to schedule an appointment and learn if our Oral Appliance Therapy is a good option for you.
Positive Airway Pressure (PAP) treatments for OSA require patients to wear a face or nasal mask during sleep. A pump connected to the mask channels airflow into nasal passages in order to keep the airway open. Variations of PAP devices include Continuous Positive Airway Pressure (CPAP), Bilevel Positive Airway Pressure (BiPAP), Variable Positive Airway Pressure (VPAP), and more. The differences between these machines lies in the strength and consistency of air pressure being pumped through the device, with CPAP representing the most common of these options.
Additional information on PAP devices can be found at the American Sleep Apnea Association website.
For patients who suffer from moderate to severe OSA and have been unable to find success with other treatments, surgery could be the best option. The airway pattern and severity of condition may differ greatly between individuals, and the surgery should be calibrated very specifically to each patient.
Different types of OSA surgical procedures include:
For some, surgery might emerge as the optimal solution to their condition. In most cases, however, PAP and Oral Appliance therapy will be effective, yet patient noncompliance results in OSA's persistence. Surgery is highly invasive and the respiratory system is incredibly complex, with many different regions that could be potentially causing OSA. You should therefore turn to surgery as a contingency if other treatments fail, or if you truly cannot tolerate the less invasive treatment options.
For overweight and obese patients suffering from sleep apnea, weight loss should be pursued in conjunction with other treatments outlined on this website. Many OSA patients struggle with obesity, and there is a strong correlation between the two conditions.
Weight loss treatment plans should be tailored specifically to the patient's current health conditions, medications, and lifestyle. For example, patients with joint pain and difficulty moving could pursue hydrotherapy, which will facilitate mobility and exercise in spite of a high BMI, or arthritic hips and knees. Diet should also be strongly monitored. Although you may not feel like you are eating a lot, the food you ingest could be high in calories, sugar, and fat. The discipline and self-monitoring can be difficult to form into habit, but this will be fundamental in achieving a truly improved life.