TAPApplianceDental appliances are a breakthrough in treatment options for mild to moderate obstructive sleep apnea or severe sleep apnea when CPAP is not the preferred option. Portable and relatively comfortable, these devices are a good alternative to other treatment options. There are several different appliances Dr. Ayi recommends based on the needs of the patient. Upon meeting with you, Dr. Ayi will conduct an examination and then suggest which appliance is best for your needs.

There are numerous patented oral appliances that treat sleep-disordered breathing (SDB) such as snoring and obstructive sleep apnea (OSA) by addressing the entire range of pathologic processes that result. This article discusses the general principles involved and the most effective prosthetic devices in controlling sleep-disordered breathing, which are adjustable oral appliances.

The use of oral prostheses for snoring and sleep apnea is not a new therapy and the use of intraoral appliances in the treatment of obstructive sleep disorders is very ancient. Pierre Robin described it in 1902 using a functional appliance “the monobloc”, that moves the jaw forward preventing the tongue to fall backwards (glossoptosis) in patients with severe mandibular hypoplasia. Robin Earlys designs were applied in cases of mandibular micrognathia or mandibular hypoplasia in children.

3In the 80’s we generalize the use of these devices as an alternative to the monopoly of the CPAP and offering patients a new therapeutic side to subtract the inconvenience from one side of the irreversible and invasive surgery and the mechanisms of positive pressure ventilation ( CPAP), which is annoying and has low levels of acceptance. Since the advent of oral appliances in treatment for snoring and apnea, it has been designed many devices currently on the market. The apparatus includes intraoral mandibular advancement prosthesis, positioners of the tongue, uplift of the soft palate and uvula repositioning and oral positive pressure devices. The clinical trials of available oral appliances, show that the mechanisms of mandibular advancement (fixed and adjustable forward moving) are those, with a higher level of efficiency. Now there have been described more than three hundred devices aimed at solving the problem of snoring and sleep apnea. The American Association of Sleep Disorders defines intraoral devices such as those designed to change the mandibular propulsion of the UA by altering the position of the tongue and other secondary structures.

Please contact Dr. Nii Ayi to find out what treatment options might be right for you!

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