Dr John Eloff - Treatment of Snoring, Mild Sleep Apnea and Invisalign

Anti Snoring Device (ASD)

Snoring Treatment - Anti Snoring Device (ASD)

 

 

 

 

Over the past 20 years oral appliance therapy has emerged as an increasingly popular treatment for snoring and mild sleep apnea. Although CPAP (Continuous Positive Airway Pressure) appliance is considered the “Gold standard” and treatment of choice in the treatment of OSA (Obstructive Sleep Apnea) many patients are unwilling or unable to comply. Many patients prefer oral appliances to CPAP in most studies.

Generally oral appliances are effective in the treatment of snoring. Unfortunately treatment outcome with oral appliances cannot be predicted with certainty.

The Anti Snoring Device is made of a specially developed for snoring appliances a blue coloured “dual laminate” plastic material. These appliances are designed to move the lower jawbone forwards and with it the tongue (as the tongue is connected behind the middle of the lower jawbone). This forward movement of the tongue opens the airway space causing a reduction in snoring and sleep apnea. The appliances are most effective in cases where the problem is a retruded tongue position during sleep.

Several different appliances are used, some claiming to cure snoring and sleep apnea. They cannot cure but can prevent or reduce snoring and sleep apnea. They have the common effect of holding the lower jaw forwards during sleep. The oral appliances need to conform to SPECIFIC CRITERIA to be safe and effective. There is no guarantee that oral appliances will be successful for every patient. There is not enough scientific evidence to predict the outcome of the appliance, but it has been shown to substantially reduce snoring and sleep apnea in many cases. They most definitely have a place in the treatment of disruptive snoring and mild to moderate cases of sleep apnea.

Understanding Sleep Disordered Breathing

PROBLEMS ASSOCIATED WITH ORAL APPLIANCES – mostly temporary

  • temporary excess salivation
  • sore jaw or sore muscles
  • sore teeth
  • back teeth may not touch for a short period on awakening
  • minor ulcer (appliance easily adjusted)
  • temporo-mandibular joint (TMJ) pain

ADVANTAGES OF ORAL APPLIANCE

  • comfortable
  • easy to use
  • relatively simple
  • reversible
  • cost effective
  • significant impact on quality of life
  • Oral appliances are small and convenient making them easy to carry when travelling

RESULTS OF ORAL APPLIANCE 

  • Patients feel more refreshed during the day
  • Increased performance at work and sport
  • Eliminate/reduce snoring /sleep apnea
  • Happy bedroom partner

Oral appliances are not recommended as a first line of treatment for severe sleep apnea.

Treatment adherence with oral appliances is variable, but is generally well accepted by patients with high adherence.

Articles:

Oral Appliances for Snoring and Obstructive Sleep Apnea: A Review
Kathleen A. Ferguson, MD1; Rosalind Cartwright, PhD2; Robert Rogers, DMD3; Wolfgang Schmidt-Nowara, MD4

Oral Appliances for Snoring and Obstructive Sleep Apnea: A Review. SLEEP 2006;29(2):244-262.

36 Maynard Road

Wynberg, Cape Town

021 761 2511

Speak to Alison

Opening Hours

Mon - Fri: 8:00 - 16:00

Appointment Booking

jpeortho@iafrica.com