Treatment Options for Obstructive Sleep Apnea | Comparison between Mouthpiece and CPAP

Now you can treat your sleep apnea in a variety of ways. The two most famous ones are CPAP (Continuous Positive Airway Pressure) and OAT (Oral Appliance Therapy).
In CPAP several different types of devices are used. For e.g. APAP (Auto Adjusting Airway Pressure) and BiPAP (Bi-level Positive Airway Pressure) devices.  While in OAT (Oral Appliance Therapy) a MAD (Mandibular Advancement Device) or TSD (Tongue Stabilizing Device) is used, which is also occasionally known as TRD (Tongue Retaining Device).
Comparison between Mouthpiece and CPAP

In CPAP several different types of devices are used. For e.g. APAP (Auto Adjusting Airway Pressure) and BiPAP (Bi-level Positive Airway Pressure) devices.
While in OAT (Oral Appliance Therapy) a MAD (Mandibular Advancement Device) or TSD (Tongue Stabilizing Device) is used, which is also occasionally known as TRD (Tongue Retaining Device).
The lots of abbreviations may appear somewhat scary at first, but in fact, they are not. Keep on learning and we will tell you in the end, the best option for you.

Sleep Apnea Treating Options with CPAP
CPAP Device
CPAP is the most fundamental treatment option for curing obstructive sleep apnea. In this treatment, a patient wears a mask throughout the nighttime that is attached to a machine through a tube. The CPAP device blows air into the mask to your airways. The pressure of the air is set by your therapist.
CPAP is the most fundamental treatment option for curing obstructive sleep apnea. In this treatment, a patient wears a mask throughout the nighttime that is attached to a machine through a tube. The CPAP device blows air into the mask to your airways. The pressure of the air is set by your therapist.
CPAP device
Surely, more pressure is required to clear the obstruction if the apnea is more severe. The pressurized air overrides the obstruction and travels through the airways to your lungs without any difficulty. Therefore, the CPAP treatment is believed to be the standard treatment option by the doctors for many years now.
BiPAP Device
This device is the same as the CPAP device other than one main feature.
In BiPAP, two different pressures are set for breathing in and breathing out, which makes breathing more comfortable and natural. While in CPAP a single continuous pressure is set for both breathing in and breathing out.
In BiPAP, two different pressures are set for breathing in and breathing out, which makes breathing more comfortable and natural. While in CPAP a single continuous pressure is set for both breathing in and breathing out.
BiPAP device
The CPAP users who converted to a BiPAP experience more convenience because of not combating with the device while breathing out.
APAP Device
This is the most advanced device, which checks the breathing patterns and adjusts the pressure automatically to override the obstruction. These APAP machines are recommended for high-risk sleep apnea patients.
This is the most advanced device, which checks the breathing patterns and adjusts the pressure automatically to override the obstruction. These APAP machines are recommended for high-risk sleep apnea patients.
APAP machines 
Sleep Apnea Treatment Options with OAT
MAD (Mandibular Advancement Device)
The concept of MAD is totally changed than CPAP. It is also generally known as MAS (Mandibular Advancement Splint).  The device is made up of two (upper and lower) plastic trays, which are shaped to accurately fit in your mouth. Both the trays are connected together to create a mouthpiece and are adjustable so that the dental surgeon can manipulate them as per your requirement.
The concept of MAD is totally changed than CPAP. It is also generally known as MAS (Mandibular Advancement Splint).  The device is made up of two (upper and lower) plastic trays, which are shaped to accurately fit in your mouth. Both the trays are connected together to create a mouthpiece and are adjustable so that the dental surgeon can manipulate them as per your requirement.
Mandibular Advancement Splint
A MAD only works when it can confine the jaw forwardly that draws and grips the surrounding muscles of the airway. In this way, the pressure is released on the airway and a person can breathe easily without any difficulty. The MAD will not do the job if not adjusted perfectly. In this case, the dentist will adjust the lower tray forward enough to further advance the lower jaw.
MADs are very common and for more than 30 years are used for treating sleep apnea.
TSD (Tongue Stabilizing Device)
TSD also sometimes referred to as TRD (Tongue Retaining Device) is another kind of mouthpiece that does the same job as MAD. This device is attached to the tip of the tongue and helps the person to retain the tongue forward making room for the air to pass through airways without any difficulty. This is a new device as compared to MAD but technically proved to be equally effective.
TSD also sometimes referred to as TRD (Tongue Retaining Device) is another kind of mouthpiece that does the same job as MAD. This device is attached to the tip of the tongue and helps the person to retain the tongue forward making room for the air to pass through airways without any difficulty. This is a new device as compared to MAD but technically proved to be equally effective.
Tongue Retaining Device
TSD is even better than MAD because it can easily fit all types of patients without the need for any further modifications.
Oral Appliances Vs Snoring Mouthpieces
Apparently, both of these devices look and function in the same manner but one is many times costlier than the other and you need to have one fitted by the dentist than on your own.
The main difference lies in their usage. The snoring mouthpieces are used to overcome snoring without any connection with obstructive sleep apnea.  On the other hand, oral appliances are fitted by the dentist to treat OSA, which is more serious than snoring and requires professional attention.
snoring mouthpieces
The main difference lies in their usage. The snoring mouthpieces are used to overcome snoring without any connection with obstructive sleep apnea.
On the other hand, oral appliances are fitted by the dentist to treat OSA, which is more serious than snoring and requires professional attention.
Comparison Between Oral Appliances and CPAP Devices

Ease of Use: Though CPAP devices are effective but considered difficult to use. There are several parts of the CPAP device: the device itself, a mask, and a long hose.  It requires space and electricity and difficult to carry when traveling. The parts are moveable and possibly can break easily.

On the other hand, oral appliances are small in size, solid, and easy to carry while traveling. Their parts are not moveable but occasionally require mending. These appliances do not require electricity and you can easily carry them in your pocket.
oral appliances
On the other hand, oral appliances are small in size, solid, and easy to carry while traveling. Their parts are not moveable but occasionally require mending. These appliances do not require electricity and you can easily carry them in your pocket.

So, in handiness, oral appliances are the winner.

Comfortability: It is quite hard to measure the comfortability level of both the devices because of different users report different comfortability levels with both the devices.

There is a large number of people who experience difficulty in using CPAP devices because of wearing a mask and consistent blowing of air through their airways. Most of these people stop using CPAP within days or some weeks.

There is a large number of people who experience difficulty in using CPAP devices because of wearing a mask and consistent blowing of air through their airways. Most of these people stop using CPAP within days or some weeks
Comparison Between Oral Appliances and CPAP Devices

Similarly, several people complain that their jaw sores and they drool all
through nighttime because of oral appliances.

So, regarding comfortability both have equal votes.


Efficiency: Clearly, the efficiency of CPAP devices is quite apparent and that’s why the therapists recommend it more often about 99% of the time.

On the other hand, the therapists recommend oral appliances somewhat nearly 75% of the time. Some researches consider oral appliances more efficient while some other researches consider they are not.     In this case, CPAP is the winner.
CPAP devices
On the other hand, the therapists recommend oral appliances somewhat nearly 75% of the time. Some researches consider oral appliances more efficient while some other researches consider they are not.

In this case, CPAP is the winner.

Final Words
It depends on the person to person basis the type of device, their doctors will recommend. No single device is capable to fulfill the requirements of each and every individual.
The people who can cope with the problems attached to the CPAP may prefer to use it for the reason of its efficiency.
On the other hand, the people who are unable to tolerate the CPAP device may prefer using oral appliances but keep in mind that they are less efficient than CPAP. However, the therapist will assist you in choosing the right device for you.



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