Mouthguards may be an excellent alternative to CPAP for sleep apnea (published 2021)

However, many patients find it less annoying or uncomfortable to sleep with a mouthguard than with a CPAP machine. The terminology for these devices is the mandibular advance device, which works by pushing the mandible forward, helping most people keep their airways open. There are many variations of these gadgets available in drugstores, but dentists can design more effective personalized appliances and modify or adjust them as needed. All patients in the laryngoscope study were re-examined after the first fitting and the most necessary adjustments were made over a period of 2-4 weeks.

“We recommend custom devices made by the dentist,” said Dr. Benjamin. “And we need to retest to see how well it works. There are subjective and objective improvements that need to be tracked.”

However, some people do not work because neither CPAP nor dental instruments can be used consistently and correctly, or because the device itself does not solve the problem when used properly. These patients have a variety of effective surgical procedures.

The most common is soft tissue surgery, which modifies or removes the tissue behind the mouth. The surgeon should do all the purposes of trimming the soft palate and uvula, removing the tonsils, contracting the tissue with a heating device, correcting the nasal septum deviation, or repositioning the muscles of the tongue, depending on the structure and muscle tissue of the mouth. I can. Improves air flow.

There is also bone surgery that moves the jaw forward to enlarge the entire breathing space. This is a procedure that can increase the recovery period.

In 2014, the Food and Drug Administration approved a device called the Inspire Upper Airway Stimulation. This is a small device embedded under the skin, like a cardiac pacemaker. Two electrical leads are used to sense breathing patterns and stimulate the nerves that control the tongue to move the tongue out of the way and allow air to pass freely. Transplantation is a one-day surgery that takes about 2 hours.

“It doesn’t change the anatomy and recovery is easier than with other surgeries,” he said. Maria V. Suurna, associate professor of otolaryngology at Weill Cornell Medicine, who specializes in sleep apnea surgery. “It’s effective. It has the lowest complication rate of all surgery.

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