Oral Anti-Snoring Device

Snoring is the vibration of the respiratory structures that result in a sound due to obstructed air movement during breathing while sleeping.

Snoring Signs and Symptoms

  • Restless sleep
  • Awakenings due to gasping or choking
  • Personality changes
  • Morning headaches
  • Family, Social and Work problems


Normal Airflow
Snoring
Apnea
  • Snoring is a partial airway obstruction that reduces the airflow but does not cause arousal from sleep
  • Apnea is a more than 80% decrease in the airflow for at least 10 seconds, ending with an arousal from sleep

Mechanism of Action of Oral Appliances:

Tongue retaining devices

  • Advances the base of the tongue
  • Actively holds tongue forward to open airway

Mandibular advancement devices

  • Repositions and stabilizes the mandible, tongue, and hyoid bone (and sometimes the soft palate)
  • Increases baseline genioglossus muscle activity

Protocol for Oral Appliance Therapy

  • Dental Evaluation and Consultation (including informed consent)
  • Impressions and Bite Registration
  • Insert of the Oral Appliance (explaining instructions on care and the use of device)
  • Follow-up Evaluation(s) (may recommend home unattended sleep test)
  • Referral to Sleep Physician & Titration Polysomnogram with the Oral Appliance
    (if patient has a moderate or a severe case)
  • 6-month Follow-up Evaluation

Remarks

  • Users may feel discomfort in the teeth or the jaw that disappears in two weeks
  • Drooling (Excessive salivation) or dry mouth may occur
  • Temporary occlusion changes may appear
  • Management of such problems could be clarified by the dentist