Main Types of Sleep Apnea Appliances
1. Oral Appliances (Mandibular Advancement Devices – MADs)
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Description: Custom-fitted mouthpieces that move the lower jaw (mandible) forward slightly to keep the airway open.
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Best for: Mild to moderate OSA or those who cannot tolerate CPAP.
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Pros:
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Comfortable and portable
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Quiet (no machine noise)
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Easier to use for many patients than CPAP
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Cons:
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May cause jaw pain, dry mouth, or dental issues
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Not effective for everyone
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Common Brands: SomnoDent, Herbst Appliance, TAP (Thornton Adjustable Positioner)
2. Tongue-Retaining Devices (TRDs)
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Description: Hold the tongue in a forward position to prevent it from blocking the airway.
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Best for: Patients with large tongues or who cannot use MADs.
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Pros:
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Simpler design
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No need for jaw repositioning
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Cons:
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May be less comfortable
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Drooling or tongue soreness
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