Oral Devices for Sleep Apnea – How Your Dentist Can Help

Posted On: February 20, 2025

Sleep apnea is a common sleep disorder characterized by repeated interruptions in breathing throughout the night. These interruptions, known as apneas, can lead to a host of health problems, from daytime fatigue and irritability to more severe conditions like hypertension and heart disease. While Positive Airway Pressure (PAP) machines are often prescribed as the first line of treatment, they are not always well-tolerated by patients. Some find the machines noisy, uncomfortable, or inconvenient, leading them to seek alternatives. Fortunately, oral devices for sleep apnea, prescribed by dentists, offer an effective solution for many, providing relief and a return to restful nights.

The Challenge with PAP Machines

PAP machines, while effective, can be cumbersome for patients. The device includes a mask that covers the nose and sometimes the mouth, connected to a machine that supplies a constant stream of air to keep the airway open. For some, this setup can disrupt sleep due to the machine noise or discomfort from the mask. As a result, compliance is often low, with many seeking alternative, less intrusive treatments.

Commonly Used Oral Devices for Sleep Apnea

Dentists can prescribe several types of oral appliances that serve as alternatives to PAP machines. These devices are typically easy to use, portable, and more acceptable to patients in terms of comfort and convenience. Here are three commonly prescribed types:

• Mandibular Advancement Devices (MADs): Mandibular advancement devices are the most widely used oral devices for sleep apnea. They resemble sports mouthguards and work by advancing the lower jaw slightly forward. This slight advancement keeps the airway open during sleep, preventing the collapses that trigger apnea events. MADs are custom-fitted to each patient, ensuring a comfortable fit that stays in place throughout the night.
• Mouthguards: Similar to MADs, mouthguards are molded to the shape of the patient’s teeth and mouth. However, they are often simpler in design and specifically tailored to individuals who clench their jaw or grind their teeth during sleep—a condition known as bruxism, which can exacerbate sleep apnea symptoms. By cushioning and keeping the jaw in a more relaxed position, these guards can also help keep the airway open.
• Tongue Retaining Devices (TRDs): Tongue retaining devices are another oral device used to treat sleep apnea. They work by holding the tongue in a forward position with a suction bulb that prevents it from falling back into the throat during sleep. TRDs are particularly useful for patients whose sleep apnea is primarily due to tongue positioning.

How Your Dentist Can Help

If you’re struggling with sleep apnea and haven’t adapted well to a PAP machine, your dentist can help by recommending an oral device. The process begins with a thorough evaluation, including a review of your medical history, and a physical examination of your teeth, jaw, tongue, and airway.

Your dentist will discuss the most suitable oral devices for your condition. Impressions and measurements of your mouth will be taken to create a custom-fitted device. They will also provide detailed use and care instructions for your device, ensuring you receive the maximum benefit.

Professional Oral Devices for Sleep Apnea

Pennington Family Dentistry offers comprehensive dental services including oral devices for sleep apnea. Our experienced team is dedicated to helping patients overcome this challenging condition through personalized care and custom-fitted devices. We understand the intricacies of oral device therapy for sleep apnea and are committed to finding the best solution for each patient.

If PAP therapy isn’t working for you and you’re looking for an alternative, schedule a consultation today. We will work with you to determine the most effective and comfortable treatment, helping you achieve a restful night of uninterrupted sleep and improved health with the right oral device for sleep apnea. 

Oral Devices for Sleep Apnea FAQs

What are oral devices for sleep apnea?

Oral devices for sleep apnea are custom-fitted dental appliances that help maintain an open airway during sleep by repositioning the jaw or tongue.

How do Mandibular Advancement Devices (MADs) work?

MADs work by slightly advancing the lower jaw forward, which helps keep the airway open and prevents the collapses that trigger sleep apnea events.

Are oral devices for sleep apnea comfortable?

Yes, these devices are custom-made to fit each individual’s mouth, making them comfortable to wear throughout the night.

What are the advantages of using an oral device over a PAP machine?

Oral devices are portable, less intrusive, generally more comfortable, and do not require electricity, making them convenient for travel and quieter sleep environments.

Can a mouthguard help with sleep apnea?

Yes, mouthguards are designed to keep the jaw in a more relaxed position which can help keep the airway open, especially in cases where sleep apnea is exacerbated by jaw clenching or teeth grinding.

How effective are tongue retaining devices (TRDs)?

TRDs can be very effective, particularly for patients whose sleep apnea is primarily due to issues with tongue positioning, as they hold the tongue forward to prevent airway blockage.

How can I get an oral device for my sleep apnea?

Schedule a consultation at Pennington Family Dentistry. We can evaluate your specific needs and fit you with a custom device designed to effectively manage your sleep apnea.