Is there an alternative to a CPAP?

Last year, I wrote a blog about Obstructive Sleep Apnea (OSA). I did not quite know the reach of that blog, but since then, I have received more questions about the treatment of Obstructive Sleep Apnea (OSA) and alternative treatments. OSA is a serious, life-threatening disorder that is characterized when individuals stop breathing completely for 10 seconds or more, several times in a single night, while asleep. If your partner hears loud snoring, punctuated by silences and then a snort or choking sound as you resume breathing, this pattern could signal sleep apnea.

I have had several patients ask me about treatment of OSA. For the record, let me state, that “Continuous Positive Air Pressure or CPAP therapy is the #1 method to treat OSA”. A CPAP mask is worn during sleep and delivers various degrees of airflow to assist with breathing while sleeping. However, what happens when a person cannot wear or will not wear their CPAP? Are there any treatment options? Yes, there are!

One option is Mandibular Advancement Appliance (MAA). This is a NON-SURGICAL treatment. A mouthpiece is custom made in your dentist’s office, usually in 1-2 visits. It is a very simple solution for mild to moderate sleep apnea, or a patient that will not or cannot wear their CPAP. Simply by moving the bottom jaw forward, more oxygen is allowed into the body. There are several different types of MAA available and your dentist, working with your physician, and sleep study center will determine which one is best for you specific needs.

Another OSA treatment options are available. Most are SURGICAL options. One is the Uvulopalatopharyngoplasty (UPPP) removes soft tissue on the back of the throat. Another surgical procedure is the Laser-Assisted Uvulopalatoplasty (LAUP), the Pillar Palateal Implant, and the Tracheostomy. Your physician is better suited to discuss the surgical treatment options with you and your loved ones.

If you have any questions or concerns about dental problems or just want useful information, don’t forget to “Ask Dr. Pierson” at Your question may be the next blog!

Pierson Dental

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