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

The American Academy of Dental Sleep Medicine and the American Academy of Sleep Medicine both has agreed that for treating mild-moderate sleep apnea (OSA), the CPAP and OAT can be suggested initially. 

Furthermore, the mouthpiece for snoring, which is not the initial treatment for obstructive sleep apnea, has turn out to be a significant choice for curing initial snoring even at time when obstructive sleep apnea is not diagnosed. Therefore, the question is how do these two treatments put side by side each other and which one would you choose? We will put light on the mouthpiece and CPAP problems now.

Obstructive Sleep Apnea and Snoring

Primarily, it is vital to make a distinction between OSA and snoring. The snoring points to a state when there is a conflict in the upper air passage, because of soft tissue, and the extra large air passage organs such as constricted passages or the tongue etc. These types of states take part in perceptible sensations, which is commonly known as snoring. Snoring is not essentially damaging if it is not regular and silent, however, noisy and long whole night snoring may produce some bad health side effects afterwards if not checked soon. 

Furthermore, a bed associate may also find it disturbing due to broken up sleep because of the other partner’s snoring, which may not end in a joyful relation. It may be noted that every snorer does not necessarily have OSA; however, due to weight increase and aging process, some may develop OSA in due course.

To treat snoring refers to find methods for creating extra room to breathe and to remove the reasons of vibrations. Majority of the mouthpieces to snoring are now FDA approved, which relocate the tongue or the jaw in a manner to permit extra space for breathing while making surfaces in the throat or the mouth that are obvious or firm.

Snoring, Obstructive Sleep Apnea and Treatment, Animation.


Normally, as person with obstructive sleep apnea snores as well, although, it is not the same always. OSA happens when the upper air passage undergoes a complete or partial fall down throughout the nighttime. This complete or partial fall down of the air passage can the outcome of the exact stuffs, which grounds to snoring, however, it can origin as well by the composition of upper air passages/jaw, throat, mouth, fatness and several other healthiness issues can as well be the cause. The result of this fall down reveals in the shape of fall down of oxygen in the blood, the discharge of stress hormones and increase in the hypertension.


It takes some seconds to a minute or just above a minute for an OSA sufferer to attempt for breathing unless his brain issues a signal that wake him up so he can breathe consciously. Most of the times he wakes up out of breath or choke or sense difficulty in breathing. Such regular waking ups and fragmented sleep gives way to acute sleep debt and sleep deprivation, thus making an ideal condition for countless other healthiness problems to grow.

The treatment of obstructive sleep apnea construes discovering an efficient way for eliminating the danger of air passage fall down. The CPAP therapy pays attention on utilizing continuous positive airway pressure to keep the air passage open so that it cannot fall down. On the other hand, the oral appliance therapy functions in the ways that are related to snoring mouth pieces. 

They provide an automatic support that keeps the airway open so as to it cannot fall down while sleeping or they relocate the tongue or jaw in such a manner to craft extra room for unhindered breathing at the same time providing extra stiffness in the upper airway tissues.

So, which way should you go? Some pros and cons of both the therapies are given below:

Advantages and Disadvantages of CPAP Therapy

The CPAP therapy is still measured as the standard method for curing obstructive sleep apnea in severe cases; however, mild-moderate patients also favor CPAP.

Advantages


o   Insurance coverage
o   Noninvasive
o   It is efficient at making breathing normal.
o   Not difficult to clean
o   Dry nasal patients find it convenient due to additional humidity.
o   CPAP treatment can be initiated immediately.
o   The patient has a choice of choosing any mask that he feels comfortable.

Disadvantages

o   It needs electricity to run the CPAP device, which is difficult to handle while travelling (however, the CPAP machine for travelling is now a good choice for majority of people)
o   It creates sound
o   This treatment can be inconvenient and could results in bloody noses, mask markings on the face, gassiness, skin distress if used inappropriately or if the mask does not fit properly
o   The patient is unable to drink, eat or talk when using it
o   There are a number of people who are unable to bear this treatment and leave it after some time
o   It does not treat snoring or sleep apnea rather functions only at night times when turned on
o   Some patients require adjustment time
o   Lot of paraphernalia for patient to engage in

The Pros and Cons of Using CPAP


Advantages and Disadvantages of Oral Appliances and Mouthpieces

While treating with oral appliances, we have included both oral appliances and mouthpieces because of their allied pros and cons.

Advantages

o   Insurance coverage
o   Noninvasive
o   Considered beneficial for mild snoring and obstructive sleep apnea
o   No electricity requirement and are portable sufficient for trouble-free travelling
o   Soundless
o   Simple to hygiene
o   On number of occasions, a person can drink, eat and talk while using them and especially handy for those who have to chew antacids during nighttime.
o   Treatment is simple to put on and is extra convenient than continuous positive airways pressure than construe users are extra liable to conform with it always.
o   Usage also makes better quality of life, blood pressure, driving ability and daytime drowsiness
o   User gets adjusted quickly

Oral appliances for treating snoring and sleep apnea


Disadvantages

The treatment may be inconvenient and possibly show the way to temporomandibular joint disorders (TMSs), excessive salivation, dry mouth, mouth ulcers or repositioning or loosening of teeth in case not fit precisely or the appliance is over titrated.

What are the Most Common Side Effects of Oral Appliance Therapy?


o   Mouthpieces only treat snoring, while oral appliances only treat mild-moderate obstructive sleep apnea
o   A number of patients opine that oral appliance therapy is comparatively less effective than CPAP on the whole
o   OAT does not treat snoring or sleep apnea. It is only functional when utilized at night
o   The treatment may be delayed as it is custom-built due to the time required for its made-up
o   Very few devices are available for experimentation. The patients have to use their own device, once it has been made.

Common Oral Device Side Effects

Efficiency Compared with Effectiveness

The words efficiency and effectiveness have different meanings. Efficiency is the capability of the treatment to resolve the issue, whereas, effectiveness is the capability plus the patient’s willingness to make use of the treatment on the whole.

The CPAP therapy has exposed to be greatly efficient, which means that study reveals it actually performs wonderful for treating obstructive sleep apnea. Nevertheless, as a number of patients do not discover it convenient, the actual-world effectiveness of CPAP may determine not as much on the whole as quite a few patients will leave this treatment.

On the other hand Oral Appliance Therapy has exposed not as much efficient as compared with CPAP in the treatment of obstructive sleep apnea because of several factors that are involved in it. Nevertheless, since many people may possibly will try Oral Appliance Therapy instead of CPAP or turn from CPAP to Oral Appliance Therapy, its effectiveness can possibly be greater in due course, because more people will continue to use this therapy in the long run.

In the end, the most excellent treatment will always be the one that the sufferer is most willing to stick with. There are some users who are satisfied with their CPAP devices and masks, while some prefer oral appliances and mouthpieces. The excellent thing is that now users have substitutes, which were not present in the past.

However, it totally depends on the circumstances and the sleep specialist recommendations whichever treatment option a patient qualifies for. Regardless of the treatment option you prefer, the good thing is that you are trying to better your healthiness on the whole by curing your OSA or snoring, which will provide you greater health benefits eventually.


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

See Also:

Mouthpiece for Treating Obstructive Sleep Apnea versus Snoring Mouth Guard – Are they same?
http://www.topsnoringmouthpieces.com/mouthpieces-cpap-replace/

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