There are many treatment options for obstructive sleep apnea. Therapy for sleep apnea is a very personal decision that should be made with the assistance of a physician or professional sleep clinician. In this section, we will discuss some of the sleep apnea devices that are available, or will soon be available, on the market.
In general, the therapies that available for the treatment of sleep apnea work by keeping upper airway open – and preventing it from closing during sleep.
Some sleep apnea devices use anatomic positioning. Others use air pressure. Newer technologies are utilizing electrical impulses.
Sleep Apnea Oral Appliances – are dental devices which look very much like mouth guards. They are worn at night. They open the mouth by bringing the mandible forward. They are also called mandibular advancing devices (MAD) and mandibular repositioning devices (MRD), as they reposition the mandible forward relative to the maxilla (the upper jaw). There are several sleep apnea oral appliances that are FDA approved. Some are made of soft nylon plastic, others are made from a resin-like material. A few use computer aided design (CAD) and 3D imaging to fit the device to the mouth and teeth. They essentially work as an airway splint.
CPAP – Continuous Positive Airway Pressure has been around for a few decades. It is one of the most popular therapies available for sleep apnea. It works by delivering room air through a mask in the nose and/or mouth to keep the airway open – like an ‘air splint’. It is considered very safe with few side effects. However, many experience challenges getting accommodated to the treatment. There are several technical advances that are added to standard CPAP. Many of these technologies are aimed at increasing comfort. There are 100’s of CPAP masks and CPAPs and CPAP supplies that are on the market.
Inspire – Inspire Medical device uses an electrical impulse to stimulate the muscles around the airway. During sleep, in patients that have sleep apnea, these muscles collapse, closing the airway. This device which resembles a pacemaker, is surgically implanted to keep the airway open during sleep.
Body Positioning Devices – are devices that encourage the individual with sleep apnea to avoid the supine position. For patients with mild sleep apnea, this may be beneficial. Originally, some inserted a tennis ball into the back of a shirt, which would cause the patient to shift to a side position.
Negative intra-oral pressure devices – new devices are being studied which apply negative airway pressure on parts of the soft palate – at the roof of the mouth. This reportedly prevents the soft tissues of the airway from collapsing.
Tongue Retaining Device (TRD)– A plastic mouthpiece that sucks the tongue into a forward position. This makes more room in the back of the throat allowing for a larger posterior airway area.
- What is Sleep Apnea?
- Sleep Apnea Signs and Symptoms
- Sleep Apnea – Diagnosis
- Home Sleep Test
- Sleep Apnea Treatments
- What is CPAP?
- Support groups
- Oral Appliances for Sleep Apnea
- Sleep Apnea Screening Questionnaire
- ‘Cure’ for Sleep Apnea
- Sleep Apnea Surgery
Physician Reviewed April 2, 2015