Monday, November 30, 2009

A Cloudy Forecast for Type II Diabetes and Sleep Apnea

A new study in Diabetes Care estimates that the diabetes population is expected to double in the next 25 years, from 23 million currently to 44 million.

This rise will put a heavy burden on the health system. In a Chicago Tribune article on the study, Dr. Holly Kramer explained that diabetes is dangerous and costly. One reason is that diabetics have a high risk for developing other diseases, including sleep apnea.

Sleep apnea happens with the soft tissue in a person’s throat repeatedly collapses during sleep. Apneics may stop breathing for a minute or longer, hundreds of times a night. Their brain wakes them up to breathe again, interrupting their sleep. These arousals can cause serious side effects.

The good news is that many dentists can treat this condition. A dentist can use an oral appliance to keep his or her patient’s airway from collapsing during sleep. This therapy helps the patient get the restorative sleep he or she needs. Many dentists are trained in oral appliance therapy.

Sleep apnea and diabetes are closely related. People with sleep apnea also have a higher risk of developing diabetes.

Despite the forecast, treating sleep apnea is one way to decrease your risk for diabetes.

Wednesday, November 25, 2009

What’s all the Hype? Oral Appliance Therapy Lowers Hypertension

A new study published in the Journal of Oral Rehabilitation found that puppies and kittens aren’t the only things that can lower high blood pressure. Oral appliance therapy (OAT) also decreases high blood pressure in sleep apnea patients.

High blood pressure is common in obstructive sleep apnea (OSA) patients. Studies show that 28 to 57 percent of people with OSA also have hypertension.

This study investigated whether OAT can lower OSA patients’ blood pressure.

Twenty-nine sleep apnea patients received an oral appliance to treat their apnea. Oral appliances look like mouth guards but are worn during sleep.

The patients’ blood pressure was measured before treatment, after three months of treatment, and after three years of treatment. The researchers used electronic blood pressure monitors to take the measurements.

After three months, 86 percent of the patients had responded to OAT. Success was considered when the patient experienced pauses in breath fewer than 10 times per hour during sleep.

Significant reductions in blood pressure occurred between the initial blood pressure measurement and the three-month evaluation. This reduced blood pressure remained three years later.

Sleep apnea is a serious condition that should be treated. Untreated sleep apnea and high blood pressure can lead to heart attack and stroke.

Find-a-dentist trained in OAT near you.

Tuesday, November 24, 2009

Wishing You Safe Holiday Travels

Turkey’s tryptophan is not the only culprit of Thanksgiving sleepiness. This holiday, make sure to get enough restful sleep before hitting the roads.

Eighty to 90 percent of people who have sleep apnea do not know they have it. Their undiagnosed and untreated sleep apnea gives them a higher risk for driving accidents.

It’s a good idea for anyone who has excessive daytime sleepiness to get screened for apnea.

Many people think that they get the recommended seven to eight hours of sleep each night. But people with sleep apnea repeatedly wake up during the night to breathe, often not remembering these arousals. This fragmented sleep leads to daytime fatigue and dangerous driving conditions.

Truck drivers should especially be aware of their high risk for sleep apnea and know the signs of sleep apnea.

WALB News recently posted a newscast on driving safely this Thanksgiving.

In the report, Samuel Bledsoe, a long-time trucker, shared why he does not drive drowsy. “Late freight is better than scattered freight,” he said - a good motto to live by.

In October, this blog reported on the new safety recommendations by the National Transportation Safety Board (NTSB). The NTSB would like all truck drivers to get screened for sleep apnea.

To keep the roads safe, some trucking companies already require that their employees get screened and treated for sleep apnea.

Whether you are a trucker, or just headed for some homemade cooking, here are tips to avoid drowsy driving.

Monday, November 23, 2009

A Quick Guide: Insurance Coverage for Oral Appliance Therapy

Sleep apnea is a serious medical condition. So claims for oral appliance therapy (OAT) will almost always be filed under your medical insurance, and not your dental insurance.

Many medical insurance plans in the U.S. provide benefit coverage for this treatment option.

Every insurance company has varying requirements and benefits for OAT. You will want to check with your insurance company about any specific requirements relating to coverage and deductibles.

Most medical insurance plans require documented proof that treatment is necessary. Keep these forms handy when contacting the insurance company to verify your benefits:

· Sleep study report documenting the presence of sleep apnea
· Diagnosis code (usually provided by diagnosing physician)
· Procedure code (provided by sleep disorders dentist’s office)
· Copy of physician’s prescription or letter of medical necessity for OAT
· Summary of dentist’s history and exam findings
· Evidence of health consequences associated with sleep apnea (if applicable)

If coverage is denied, don’t give up. Try writing a letter of appeal to your insurer. Explain your symptoms. Discuss the impact sleep apnea has had on your life. And clarify any problems that you’ve had with past treatments. Ask your physician and dentist to write similar letters. These letters may help you secure coverage.

Learn more here. Or speak with a dentist trained in OAT.

Friday, November 20, 2009

Kidney Transplant Patients Should Be Extra Aware of Risk Factors

Obstructive sleep apnea (OSA) patients are at risk for many diseases. But apnea patients who have had a kidney transplant should be extra aware of their risk for heart disease.

A new study examined cardiovascular risk factors in sleep apnea patients.

The study found that kidney transplant patients with OSA have an increased risk for high blood pressure, heart disease and stroke. Kidney disease patients with OSA were twice as likely to have heart disease or a stroke than patients without apnea.

The researchers have recommended that doctors screen transplant patients for OSA and treat the disease when appropriate.

Oral appliance therapy is a safe and effective treatment option. This therapy involves a dentist making an oral appliance that is worn during sleep. These appliances help patients breathe clearly and reduce there risk for heart disease, stroke and many other illnesses.

Four percent of men and 2 percent of women in the general population suffer from sleep apnea.

In contrast, twenty-five percent of transplant patients in the study had moderate to severe sleep apnea.

OSA is a serious condition that should be treated. Patients can find a dentist who is trained in oral appliance therapy here. They should get tested for apnea at an accredited sleep center.

MedPage Today and U.S. News and World Report have more on the study.

Thursday, November 19, 2009

How Did Your Dentist Learn to Treat Sleep Apnea?

The American Academy of Dental Sleep Medicine (AADSM) has pioneered dental sleep medicine (DSM) education. So many dentists trained to treat sleep apnea gained their knowledge through the Academy.

The Academy offers courses for dentists year-round.

There are many types of oral appliances. One device may work for one patient, but not for another patient. Success of a device depends on each patient’s individual anatomy and apnea severity. So the Academy teaches dentists which appliance will work best for different types of patients and levels of apnea.

Dentists learn how to select, fit, fabricate and adjust appliances for the best results. They learn how other sleep disorders can affect oral appliance therapy (OAT). And they learn how to address side effects.

The Academy also arranges mentorships and publishes academic journals. These are valuable resources for many dentists.

Dental schools have also started teaching their students DSM. Tufts University and the University of California, Los Angeles both offer DSM programs. They teach undergraduate and post-graduate students and practicing dentists about evaluation, assessment, and follow-up of sleep apnea treatment.

Eight dentists founded the Academy in 1991. Today, there are over 1,700 dentists trained in DSM worldwide. These dentists are listed by state in an AADSM search feature. Dentists with “Diplomate” status represent the highest level of knowledge in DSM.

You can read more about DSM education at DentistryIQ.

Wednesday, November 18, 2009

Waistlines Have Seen Better Days

According to the New York Times blog, Prescriptions, a new study by researchers at Emory University estimates that 103 million American adults will be obese by 2018. That’s 43 percent of adults! In contrast, 31 percent of people were obese in 2008.

If this trend continues, in 2018, Americans will spend one in five health care dollars treating obesity-related illness.

Before it comes to that, there are a few things people can do to prevent this rise in obesity. Eat healthy, exercise and make sure to get restful sleep.

People who don’t receive high quality sleep have an increased risk for obesity.

Many people think that they get the recommended seven to eight hours of sleep a night. But some of them are not getting restful sleep. And apnea is the reason.

Sleep apnea happens when a person stops breathing for 10 to 30 seconds, sometimes a minute or longer, often hundreds of times a night. They may not remember waking up, but these people’s brain forces them awake throughout the night to breathe. This fragmented sleep prevents restorative sleep.

Trained dentists can treat apnea with oral appliances that are worn at night. These appliances open up a person’s blocked airway, allowing better airflow and higher sleep quality. Find-a-dentist trained in oral appliance therapy if you suffer from sleep apnea.

Treating sleep apnea is a key way to decrease your risk for obesity.

In the coming years, some states will be more widely affected by this epidemic than others.

By 2018, Colorado will be the only state where less than 30 percent of adults will be obese. In Kentucky, Maryland, Mississippi, Ohio, Oklahoma and South Dakota, more than half of adults will be obese.

Regardless of where you live, if you suspect that sleep apnea is affecting your sleep and overall health, visit a sleep center near you.

Tuesday, November 17, 2009

Sleep Apnea May Slow Stroke Recovery

Some researchers now recommend that stroke patients get screened and treated for sleep apnea to speed their recovery.

This counsel comes after a new study in the journal Neurology indicated that sleep apnea affects 50 to 70 percent of stroke patients.

The study found that sleep disordered breathing could compromise neurological recovery in stroke patients.

Stoke patients who suffer from sleep apnea have several treatment options. Oral appliance therapy is a safe and effective method for many patients.

Sleep apnea happens when the soft tissue in the back of the throat relaxes and blocks the passage of air during sleep. Oral appliances, which look like mouth guards and are worn at night, help to maintain an open airway by moving the jaw forward. They are fitted by dentists trained to treat sleep apnea.

Patients can also use CPAP and weight loss to decrease the severity of their apnea.

Sleep apnea screening is not just important for stroke patients. Early diagnosis and treatment of apnea can help prevent a stroke before it happens.

Stroke is one of many diseases that apnea patients are at risk for. They also have an increased risk for high blood pressure, heart attack, and diabetes.

Signs of sleep apnea include excessive daytime sleepiness, morning headaches, and loud snoring.
Visit an accredited sleep center to get tested.

Monday, November 16, 2009

Checking in on World Diabetes Day

World Diabetes Day (WDD) is celebrated each year on November 14. The WDD campaign aims to educate millions of people worldwide about diabetes.

Type 2 diabetes is one of the many diseases that sleep apnea patients are at risk for developing.

Many dentists treat sleep apnea because they like helping their patients become healthy. Treating sleep apnea helps prevent many diseases, including type 2 diabetes, heart attack and stroke.

Dentists treat sleep apnea with oral appliance therapy. They use oral appliances to reposition the lower jaw and tongue forward, creating an open airway during sleep. This helps their patients’ get a good night’s rest.

Getting enough sleep is important for overall health, as is eating healthy and exercising.

The Sleep Education blog reported on a study that found that undiagnosed apnea is common in people with type 2 diabetes. Diagnosis can be done at an accredited sleep center.

The American Academy of Sleep Medicine recommends dietary weight loss as a treatment strategy for obese people who have sleep apnea. Weight loss should be combined with another treatment such as CPAP or an oral appliance.

The IDF estimates that 285 million people are living with diabetes and 344 million people worldwide are at risk. These are huge numbers, but there are many dentists who are chipping away at these numbers and improving their patients’ lives.

OSA is a serious condition. Learn more here.

Friday, November 13, 2009

Risk Factors for Obstructive Sleep Apnea

It’s often thought that sleep apnea only affects older men. But sleep apnea actually affects people who have a wide range of risk factors.

Weight is a key indicator. People who are overweight and have a Body Mass Index (BMI) of 25 to 29.9 or who are obese and have a BMI of 30 and above are often afflicted with sleep apnea.

Similarly, men and women with large neck sizes, 17 inches or more for men and 16 inches or more for women, are at risk. This is because extra neck weight can cause the airway to collapse during sleep. Sleeping on one’s side instead of one’s back can help take this pressure off the airway.

Middle-aged and older men and post-menopausal women are at a higher risk for sleep apnea, as are people who belong to an ethnic minority.

Anyone who has a family member with OSA should be on guard because they also have a higher risk.

Parents should make sure to watch for warning signs in their children. Kids with large tonsils can also experience these dangerous pauses in breath during sleep.

Adults and children with Down Syndrome make up a risk group, as do smokers. So if you were thinking of quitting smoking, lowering your risk of sleep apnea is yet another reason.

These are not all of the risk factors of sleep apnea, but they are a few key ones to keep in mind.

Anyone who snores loudly, or is told they gasp or choke in their sleep should see a doctor, as should anyone who feels excessively tired during the day or has morning headaches.

Think you might have sleep apnea?

Sleep apnea can be diagnosed at an accredited sleep center.

Thursday, November 12, 2009

Oral Appliances: Custom Made Verses Boil-and-Bite

So you’ve decided to try an oral appliance.

There could be a few reasons you are considering this option.

You could be a mild to moderate sleep apnea patient who thinks that you would prefer an oral appliance to CPAP, the standard treatment therapy. You do not tolerate CPAP. Or you are unable to use positional therapy or weight loss to control your apnea.

Or you could be a severe OSA patient who cannot tolerate CPAP. Note, if you have severe OSA, you should always try CPAP before seeing a dentist about an oral appliance.

Supposing you are in one of these categories, now is a good time to find a dentist in your area who is trained in dental sleep medicine.

Your dentist may recommend that you wear a mandibular advancement device (MAD) to treat you OSA. A MAD will reposition your lower jaw and keep your airway clear to help you breathe during sleep.

There are custom made MADs, which require your dentist to make a plaster cast of your teeth. And there are thermoplastic boil-and-bite devices which cost less and take less time to make. The boil-and-bite devices work much like sports mouth guards.

So which should you choose?

This cornerstone study from 2007 indicates that the custom made device is definitely the best way to go.

It may cost more and take more time to make, but in the end, the custom made device will treat your apnea significantly better.

Custom made devices are much more effective at lowering patients' Apnea-Hypopnea Indexes. Patients also comply with custom made devices more than they do with the boil-and-bite devices.

This is a good statistic to think about. In the study, almost 70 percent of patients were not successfully treated with the boil-and-bite. But the majority of these people were successfully treated with the custom made device.

It may cost more and take more time to make, but remember: sleep apnea is a serious condition and getting successfully treated is your ultimate goal.

Wednesday, November 11, 2009

Working Out Can Improve Your Apnea

A recent study published online by the journal Sleep and Breathing found that exercise can reduce the severity of sleep apnea.

The study included 20 patients with mild to moderate sleep apnea.

Part of the group received no treatment. The other half did breathing and aerobic exercises for one and a half hours at a time. These workout sessions took place three times a week for three months.

The exercise group did 15 to 30 minutes of breathing exercises and 45 to 60 minutes of aerobic exercises at each session. Aerobic activities included stretching, bicycling, and slow jogging.

Was all the sweat and pain worth it?

The study results indicate yes.

Supervised exercise improved Apnea-Hypopnea Indexes (AHI), quality of life, quality of sleep, and exercise ability in the group who worked out.

This is great news for the 18 million Americans who suffer from sleep apnea!

Sleep and Breathing is the official journal of the AADSM.

Photo by JanetandPhil

Tuesday, November 10, 2009

Tips to Avoid Drowsy Driving

Many people who have obstructive sleep apnea (OSA) feel excessively sleepy during the day. This sleepiness can increase their risk for driving accidents.

Sleepiness can affect alertness, concentration and reaction times.

The American Academy of Sleep Medicine (AASM) has tips to avoid driving drowsy:

· Get enough sleep
JJJJJ -Sleep seven to eight hours each night
· Take breaks while driving
JJJJJ -Pull off at rest areas and take 15 to 20 minute naps when feeling sleepy
· Do not drink alcohol
JJJJJ -Alcohol can further impair a person’s ability to stay awake and make decisions
JJJJJ -SleepEducation has an interesting post on the effects sleep loss and alcohol can have on OSA patients.
· Do not drive late at night
JJJJJ -Avoid driving after midnight

Most importantly, treat your apnea. Sleep apnea stops a person from getting restorative sleep. But this condition can be easily treated. People with mild to moderate OSA can visit a dentist in their area to get fitted for an oral appliance.

Key stats on drowsy driving:

· Nine out of 10 police officers have reported stopping a driver who they thought was drunk but was actually drowsy
· Eighty thousand people fall asleep at the wheel each day
· More than 250,000 sleep-related motor vehicle accidents occur each year
· An estimated 20 percent of all serious transportation injuries on the nation’s highways are related to sleep

Learn more about Drowsy Driving at the AADSM Web site.

Monday, November 9, 2009

Truckers Truck on towards Better Health

An article posted on reports positive results in a new clinical trial. The trial tested for and treated truck drivers with sleep apnea.

The study looks at money saved from lower medical costs and fewer driving accidents due to the truckers' treatment.

"The goal of the trial is to quantify the health benefits and document changes in fatigue-related accidents and safety as a consequence of this unique program," said Dr. Jeffrey Durmer, principal investigator of the trial.

Researchers believe that because untreated obstructive sleep apnea (OSA) can lead to major heath problems, it is cheaper for trucking companies to test and treat their drivers.

Truckers have a high risk for sleep apnea. An estimated 28 percent of truckers suffer from it.

In contrast, four percent of men and two percent of women in the general population have sleep apnea.

OSA is a serious medical condition. If left untreated, it can lead to heart disease, stroke and diabetes.

It also increases a person’s risk for daytime sleepiness and drowsy driving.

OSA is easy to test for and treat. CPAP and oral appliance therapy are two treatment options.

This blog recently reported on trucker safety recommendations. The National Transportation Safety Board would like all truckers to be screened for OSA.

Sleep apnea can be diagnosed at a sleep center.

Learn more about OSA.

Friday, November 6, 2009

Marching Towards Better Sleep

In October, the Official Blog of the AADSM reported that service members are at risk for daytime sleepiness when deployed. In part, this is because CPAP treatment can be hard to comply with while traveling.

study by researchers at the Walter Reed Medical Center in Washington, DC gave more evidence that an oral appliance (OA) is a good alternative treatment for apnea patients in the military. These devices are both portable and compact.

Untreated apnea can lead to cognitive impairment and daytime sleepiness. So it is important for deployed service members to keep treating their apnea.

Oral appliance therapy (OAT) involves the fitting and adjustment of OAs, which look like mouth guards and are worn at night. These devices reposition the lower jaw and tongue forward to keep an open airway.

The researchers assessed 638 sleep apnea patients. More than 85 percent of them were male.

Overall, OAs successfully treated half the patients.

OAT benefited people with mild sleep apnea the most. More than 65 percent of people with mild apnea responded to OAT.

In contrast, half of moderate apneics responded and 35 percent of severe apneics benefited.

An estimated 25 percent of the patients did not tolerate their OA. An additional 25 percent did not successfully respond to OAT.

The researchers concluded that OA is more effective in patients with mild apnea. But those with moderate to severe apnea may also benefit.

In a deployed military setting when CPAP is not an option, oral appliances hold even more advantages.

Thursday, November 5, 2009

One Thing to Consider before Teeing Off

A new study on obstructive sleep apnea (OSA) may help your golf game.

Reuters Health explains that when treated with nasal positive airway pressure (nPAP), golfers with moderate to severe sleep apnea improved their handicap.

Twelve golfers were given nPAP treatment and assessed during 20 rounds of golf. Their results were compared to the performance of 12 control golfers.

On average, the golfers who received treatment saw their handicap lower more than one point. Some of the better golfers who received treatment saw their handicaps drop as many as three points.

Sleep apnea should not go untreated. It can cause excessive daytime sleepiness and cognitive problems. Beyond hurting your golf game, sleep apnea increases your risk for heart disease, stroke, diabetes and driving accidents.

nPAP, or Continuous Positive Airway Pressure (CPAP), is the standard treatment therapy for sleep apnea. But 25 to 50 percent of people who are treated do not tolerate this option. The Reuters Health article explains that some people find nPAP uncomfortable, noisy or embarrassing.

Oral appliances are a safe and effective alternative. They are fitted by dentists and are worn at night like a mouth guard.

Signs of OSA include morning headaches, daytime sleepiness and snoring. Eighty to 90 percent of people with apnea are undiagnosed and untreated. Visit a sleep center to get tested for this serious medical condition.

You can hear a podcast about this study at Scientific American.

Photo by Annais Ferreira

Wednesday, November 4, 2009

Dentists on Guard against Sleep Disorders

According to a new study that will be presented at the American College of Chest Physicians' Annual Conference, CHEST, one in four sleep apnea patients suffers from Bruxism.

In contrast, eight percent of the U.S. population suffers from this condition.

Bruxism happens when a person clenches or grinds his or her teeth together. It can occur during the waking or sleeping hours.

In the study, men and Caucasians with obstructive sleep apnea (OSA) had the highest rate of Bruxism – 43 percent of men and 35 percent of Caucasians with apnea ground their teeth.

Previous studies also found that OSA patients have a higher prevalence of Bruxism than people without OSA.

There are several ways these two diseases tie together.

Bruxism can reflect anxiety or depression, both of which people with sleep apnea are at risk for.

Apnea can also cause daytime sleepiness, leading to high caffeine intake. And caffeine is associated with Bruxism.

But a trip to the dentist’s office can help with more than a shiny smile.

Dentists can help detect Bruxism by looking at their patients’ teeth. If the tips of a person’s teeth look flat, it may be because of clenching or grinding.

According to the study, if Bruxism is detected, there is a 25 percent chance that sleep apnea might also be an issue.

Luckily, many dentists are trained to detect OSA as well.

OSA occurs when the tongue or soft tissue in a person’s throat collapse, blocking the airway during sleep.

Dentists trained in dental sleep medicine play a large roll in their patients’ overall well-being, in part because they see their patients on a regular basis and can detect problems early on.

When they see problems like Bruxism and OSA, dentists should direct their patients to accredited sleep centers for a sleep study.

Tuesday, November 3, 2009

Oral Appliances and Their Side Effects

Oral appliance therapy (OAT) is becoming a well-known treatment for obstructive sleep apnea (OSA). An increasing number of dentists are providing OAT at their practices. And more research is being done on the side effects of oral appliances (OAs).

OAT has been shown to have positive and negative side effects. Negative effects are often minor and can be prevented with adjustments to the appliance.

A recent study in the journal Sleep and Breathing found that long-term use of OAs does not hurt the jaw joint, or temporomandibular joint (TMJ).

The study measured TMJ dysfunction approximately three years after patients began OAT. Researchers found that jaw problems, decreased significantly throughout the treatment.

A similar 2005 study found that after five years, people who used an OA to control their apnea experienced fewer side effects, such as morning headaches and jaw discomfort, than non-users.

Wearing an OA can have some negative side effects. These effects include:

· jj Jaw, tooth, gum, tongue, or facial pain
· jj Dry mouth
· jj Salvation
· jj Gagging
· jj Changes in the biting surface of the teeth

The American Academy of Sleep Medicine (AASM) recommends the use of OAs for mild to moderate apnea patients if they prefer the appliance to CPAP, cannot tolerate CPAP, or cannot use positional therapy or weight loss to control their apnea. OAs are also recommended for severe patients if they are unable to tolerate CPAP.

OSA occurs when the tongue and soft tissue in the back of the throat collapse, blocking the airway. People with OSA can stop breathing for 10 to 30 seconds, sometimes for one minute or longer. This pause in breathing can happen hundreds of times a night.

OAT involves the fitting and adjustment of OAs, which look like mouth guards and are worn at night. These devices reposition the lower jaw and tongue forward to keep an open airway.

There are two main types of OAs. Every oral appliance is different. Speak with your dentist to determine which device will work best for you.

Monday, November 2, 2009

The Sleep Study: One Test You Don’t Need to Cram For

Do you snore loudly? Feel tired all day? Wish you could wake up without a headache?

These are common signs of obstructive sleep apnea (OSA). OSA is a potentially fatal disease and should be diagnosed at an accredited sleep center using a sleep study, or polysomnography (PSG).

During the study, a technician will attach two dozen electrodes, small metal disks, to your body. These electrodes monitor your brain waves, muscles movements, eye movements, breathing, snoring, heart rate, leg movements, and oxygen levels.

The sleep technician will stay awake all night to monitor your sleep and safety.

Most rooms at a sleep center are homey and comfortable, like a hotel room. They are designed to help you fall asleep quickly. And don’t worry - you can sleep in your normal position and change positions throughout the night.

Sleep studies determine Apnea-Hypopnea Indexes (AHI). An AHI is the average number of apneas (complete breaks in breathing) and hypopneas (partial breaks in breathing) that occur per hour of sleep.

Different AHI indicate different levels of sleep apnea:

  • Mild OSA: AHI of 5-15
  • Moderate OSA: AHI of 15-30
  • Severe OSA: AHI of more than 30

If you do have OSA, there are several treatment options: Continuous Positive Airway Pressure (CPAP), upper airway surgery, behavior modification, and oral appliance therapy (OAT).

OAT is a safe and effective option for OSA patients who do not tolerate or comply with CPAP, the standard treatment therapy.

Oral appliances look like mouth guards and are fitted by qualified dentists.

Every OSA patient has specific needs. Dentists are trained to select which appliances are right for their patients and adjust these devices for the best results.

Find-a-dentist who treats OSA near you!


The Official Blog of the American Academy of Dental Sleep Medicine (AADSM) is intended as an information source only. Content of this blog should not be used for self-diagnosis or treatment, and it is not a substitute for medical care, which should be provided by the appropriate health care professional. If you suspect you have a sleep-related breathing disorder, such as obstructive sleep apnea (OSA), you should consult your personal physician or visit an AASM-accredited sleep disorders center. The AADSM, and the American Academy of Sleep Medicine, as the managing agent of the AADSM, assume no liability for the information contained on the Official Blog of the AADSM or for its use.