Mandibar Devices

Mandibular advancement oral appliances are custom-fitted devices designed to slightly advance the lower jaw (mandible) and maintain an open airway during sleep, thereby reducing the frequency and severity of apnea episodes. These devices are particularly effective in cases of mild to moderate OSA and for patients who struggle with CPAP therapy compliance.

The therapy works by positioning the lower jaw forward, which in turn tightens the soft tissue and muscles of the upper airway, preventing obstruction during sleep. This advancement also increases the size of the upper airway, reducing air resistance that can lead to sleep apnea and snoring.

● Comfort and Convenience: Unlike CPAP machines, oral appliances are small, lightweight, and easy to wear, making them an appealing option for many patients.
● Increased Compliance: Due to their ease of use and comfort, patients are more likely to consistently use mandibular advancement devices, leading to better treatment outcomes.
● Portability: These devices are ideal for travel, requiring no electricity or cumbersome equipment.
● Quiet Operation: Oral appliances offer a silent treatment option, eliminating the noise associated with CPAP machines.
● Non-Invasive: This therapy avoids the need for surgical intervention, offering a non-invasive solution to sleep apnea.

Achieving the optimal fit and effectiveness of a mandibular advancement device requires professional customization. Dentists specialized in dental sleep medicine take precise measurements and impressions of the patient’s mouth to create a tailored appliance that maximizes comfort and efficacy.

While mandibular advancement oral appliance therapy is beneficial, patients may experience mild side effects such as jaw discomfort, tooth tenderness, or changes in bite alignment. Regular follow-ups with a dental sleep specialist are essential to monitor these effects and adjust the device as needed.

Ideal candidates for this therapy include individuals with mild to moderate OSA, those who cannot tolerate CPAP therapy, or patients looking for an alternative or supplementary treatment option. A thorough evaluation by a sleep specialist and a dental professional trained in sleep medicine is necessary to determine the most appropriate treatment plan.

Selecting mandibular advancement oral appliance therapy should involve a comprehensive assessment and collaboration between sleep medicine specialists and dental professionals. This ensures the treatment is tailored to the individual’s specific needs, maximizing the benefits while minimizing potential side effects.