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Current Sleep Medicine Reports

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Open Access 01-09-2017 | Sleep and Otolaryngology (H Gouveris, Section Editor)

Update on Oral Appliance Therapy for OSA

Author: M. Marklund

Published in: Current Sleep Medicine Reports | Issue 3/2017

Abstract

Purpose of Review

The majority of the adult population is affected by obstructive sleep apnea (OSA), according to recent epidemiological research. Oral appliance (OA) therapy is increasingly recommended, particularly for patients with milder OSA. This review updates the evidence in favor of OA therapy.

Recent Findings

A high level of evidence shows that OA is effective in the treatment of OSA, but continuous positive airway pressure (CPAP) is more efficient. Higher adherence with OAs may compensate for this difference. Daytime sleepiness is better treated with CPAP than with OA in patients with severe OSA. In patients with milder OSA, it is unclear whether sleepiness is significantly reduced. The long-term effectiveness of OAs is uncertain because of side-effects and the risk of OSA deterioration.

Summary

OAs are effective, but their efficacy is more variable than that of CPAP. More research is needed about the mechanism of action of OA, subjective effects and long-term health outcomes.

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Title: Update on Oral Appliance Therapy for OSA
Author: M. Marklund
Publication date: 01-09-2017
Publisher: Springer International Publishing
Published in: Current Sleep Medicine Reports / Issue 3/2017
Electronic ISSN: 2198-6401
DOI: https://doi.org/10.1007/s40675-017-0080-5

At a glance: The STEP trials

Springer Medicine

Update on Oral Appliance Therapy for OSA

Abstract

Purpose of Review

Recent Findings

Summary

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose of Review

Recent Findings

Summary

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