
Wearing a mouthpiece while using CPAP is considered the most effective treatment for obstructive sleep apnea, according to the Agency for Healthcare Research and Quality (AHRQ). Weightloss and surgery may also be effective but not as effective as wearing both a mouthpiece and using a CPAP device. CPAP, A Mouthpiece Or Both?
Full Answer
Are mouthpieces effective for treating sleep apnea?
When considering treatment for obstructive sleep apnea or snoring, there are many choices. Often, treatment comes down to CPAP or a mouthpiece. Mouthpieces (oral appliances also known as mandibular advancement devices) are the leading alternative to CPAP.
What is the best treatment for snoring and sleep apnea?
Often, treatment comes down to CPAP or a mouthpiece. Mouthpieces ( oral appliances also known as mandibular advancement devices) are the leading alternative to CPAP. In brief, a mouthpiece may be the best treatment solution for snoring and sleep apnea simply because it is most likely to be worn each night.
Is a mouthpiece the best treatment solution for snoring?
Mouthpieces ( oral appliances also known as mandibular advancement devices) are the leading alternative to CPAP. In brief, a mouthpiece may be the best treatment solution for snoring and sleep apnea simply because it is most likely to be worn each night. This is especially true for people with mild to moderate sleep apnea.
Is a CPAP better than a mouthpiece?
Effectiveness Of CPAP Compared To Mouthpiece A study conducted by the Journal of Dental Sleep Medicine indicates that for treatment of sleep apnea, both CPAP and a mouthpiece have similar overall effectiveness when used as directed.

Is mouthpiece effective for sleep apnea?
Mouth guards are not effective when used for central sleep apnea, which is less common than OSA. It is important that you get a custom mouth guard designed specifically for your mouth and jaw shape. To do this, your dentist will take an impression of your teeth and send it away for the appliance to be fabricated.
Can you use mouthpiece with CPAP?
Sleep apnea mouthpieces are not suitable for all patients. They are generally more effective in mild to moderate sleep apnea cases, although they may be recommended to patients with severe sleep apnea who cannot tolerate CPAP.
What kind of mouthpiece is used for sleep apnea?
The most widely used mouth device for sleep apnea, MADs look much like a mouth guard used in sports. The devices snap over the upper and lower dental arches and have metal hinges that make it possible for the lower jaw to be eased forward.
Is CPAP or mouthpiece better?
A sleep apnea mouthpiece creates no additional sound that might keep light sleepers awake (either yourself or a bed partner). A CPAP, on the other hand, blows air continuously all night. It's not noisy, but it does emit sound.
How much does a sleep apnea mouthpiece cost?
The average cost for a sleep apnea mouth guard ranges from $1,800 to $2,000. This includes the appliance, dental visits, and follow-ups. Many health insurance companies will cover the expense.
How can I keep my mouth closed while sleeping?
Mouth taping involves taking porous tape and affixing it over both the upper and lower lips, so a person cannot easily open their mouth. Taping the mouth shut before bedtime prompts a person to breathe through their nose while they sleep.
What is the best sleep position for sleep apnea?
Sleeping on the left side It's by far the most effective sleep position to help control sleep apnea. It's considered to encourage blood flow, reduce snoring and calm sleep apnea. In fact, research points out that left side-sleepers experience less severe sleep apnea occurrences.
Does SnoreRx work for sleep apnea?
SnoreRx is not an alternative treatment to CPAP machines and masks and does not treat sleep apnea.
Do mouthpieces work for sleep apnea?
Sleep apnea mouthpieces, also referred to as oral appliances or mandibular advancement splints, have been shown to be effective at treating sleep a...
What is the best oral device for sleep apnea?
Oral devices that treat sleep apnea draw the lower jaw forwards. This causes the airways to be more likely to remain open during sleep, reducing th...
Which is better for sleep apnea, CPAP therapy or an oral appliance?
Continuous positive airway pressure therapy has been found to be more effective than mandibular advancement splint therapy at treating sleep apnea....
Do mouth guards for teeth grinding work for sleep apnea?
No. In order to protect teeth from damage, you only need to place some type of barrier between the upper and lower jaws. A form-fitted plastic inse...
What is the best oral device for sleep apnea?
The best oral device for sleep apnea is one that can comfortably draw the lower jaw forwards. If the device causes discomfort, it can lead to it not being used, which means the sleep apnea doesn’t end up being treated.
What is sleep apnea equipment?
Sleep apnea equipment like a mandibular advancement splint is made based on impressions of your teeth. Specially shaped dental trays that are connected by an elastic are worn overnight.
Why do sleep apnea splints draw the jaw forward?
An oral appliance for sleep apnea, however, draws the lower jaw forwards in order to alter the shape of the soft tissues of the airway. In fact, research into the effectiveness of mandibular advancement splints for sleep apnea use simple mouth guards as a scientific control.
Why do mouthpieces help with snoring?
Sleep apnea mouthpieces are also effective snoring solutions. After all, snoring is due to the partial obstruction of the airway. The physiological changes caused by mandibular advancement splints led them to serve well as stop snoring devices and have been shown to be a useful snoring remedy.
Can you wear a CPAP machine while sleeping?
Many people find wearing a CPAP machine while sleeping to be uncomfortable, and as a result may stop using CPAP therapy for the treatment of sleep apnea. More research has to be done to determine whether adherence levels are different between mandibular advancement splints and CPAP machines.
What is a CPAP machine?
The CPAP machine. The CPAP is commonly prescribed by doctors for obstructive sleep apnea treatment. The mask pushes a continuous stream of air through the patient’s nose to keep the airway and throat open. There are several types of CPAP machines and masks – some fit snugly over the nose, while others cover the mouth and nose.
What is the best treatment for sleep apnea?
A continuous positive airway pressure machine and wearing a mouthpiece have been found to be the most successful treatments for obstructive sleep apnea in helping nighttime breathing, according to a report issued by AHRQ (Agency for Healthcare Research and Quality).
What is a mad mouthpiece?
The MAD is a mouthpiece that keeps the jaw forward, thus keeping the airway open – it is made of plastic. It is a good alternative for those who cannot tolerate the CPAP machine. Although effective, the MAD can occasionally loosen or damage teeth.
Why do people abandon CPAP?
Some patients say they feel trapped. In some cases, patients abandon treatment because the side effects are too unpleasant. According to the report, the CPAP machine is only successful if the patient uses it every night.
How often do you stop breathing with sleep apnea?
They will commonly start breathing again with a choking sound or snort, and stop breathing for or five times an hour, or more – in some cases, every two to three minutes.
How many Americans suffer from sleep apnea?
The authors of the report stress that all treatments have potential side effects. The authors explained that approximately 12 million Americans are thought to suffer from sleep apnea.
Does weight loss help sleep apnea?
Although weight loss and surgery were found to help with sleep apnea symptoms, they do not appear to be as effective as CPAP and MAD, according to available evidence. AHRQ Director Carolyn M. Clancy, M.D., said: “Obstructive sleep apnea is a frustrating and debilitating condition for so many Americans, and millions of people don’t even know they ...
What is the best appliance for sleep apnea?
In some cases, a dental appliance may be effective in treating mild to moderate sleep apnea. There are two main types of dental appliances for sleep apnea including a mandibular advancement device and a tongue retaining device.
Why do you need a CPAP machine?
The pressure helps keep your airway passages open while you sleep. Because your airway remains open, it prevents pauses in breathing.
What is a sleep apnea appliance?
They open the mouth by bringing the mandible forward. They are also called mandibular advancing devices (MAD) and mandibular repositioning devices (MRD), as they reposition the mandible forward relative to the maxilla (the upper jaw). There are several Sleep Apnea Oral Appliances that are FDA approved . Some are made of soft nylon plastic, others are made from a resin-like material. A few use computer aided design (CAD) and 3D imaging to fit the device to the mouth and teeth. They essentially work as an airway splint.
How does sleep apnea work?
In general, the sleep apnea devices that available for the treatment of sleep apnea work by keeping upper airway open - and preventing it from closing during sleep. Some sleep apnea devices use anatomic positioning. Others use air pressure. Newer technologies are utilizing electrical impulses.
What are the treatment options for obstructive sleep apnea?
Here, we will discuss the most popular treatment options available. These options include CPAP, sleep apnea dental devices, weight loss, and sleep apnea surgery. We will also explore some of the newer treatment options for sleep apnea that are less well known.
What is sleep apnea?
Sleep apnea is a medical condition that involves brief pauses in breathing while you are sleeping. Although the pauses usually only last a few seconds, the condition can have several adverse effects on the body. There are a few different types of sleep apnea with obstructive sleep apnea being the most common.
How does continuous positive airway pressure work?
It works by delivering room air through a mask in the nose and/or mouth to keep the airway open - like an 'air splint'. It is considered very safe with few side effects.
What is Sleep Apnea Oral Appliance Therapy?
Sleep apnea oral appliance is very similar to an anti snoring mouthpiece or an anti snoring mouth guard that is custom-fitted into your mouth while you sleep at night.
What is a CPAP Machine?
A CPAP machine is a highly effective obstructive sleep apnea treatment that ensures that you breathe efficiently and smoothly while you are sleeping.
Difference between CPAP vs Mouthpiece
A Dentist from NC, Dr. Terrance Smith explains the differences between CPAP and an oral appliance to treat OSA symptoms.
Which Treatment Should I Use for Obstructive Sleep Apnea?
Using an oral dental device to treat a life-threatening sleep disorder may seem unnatural but it has proven to be quite effective for mild to moderate sleep apnea sufferers.
Frequently Asked Questions
It all comes down to your choice and comfort. A CPAP mask may be uncomfortable for many sleep apnea patients whereas an oral device such as a sleep apnea mouth guard is much easier to use and provides a perfect fit.
What is a CPAP machine?
The CPAP treatment uses a mask placed over the face and attached to a machine that creates air pressure in the throat, opening the airway .
How Do Sleep Apnea Mouth Guards Work?
A MAD is a device similar to a mouth guard– custom made by your dentist. Studies show they are effective in treating sleep apnea and can also help with snoring. MADs move the jaw forward and increase the size of the airway, reducing resistance and making breathing easier. If you’ve been evaluated by your doctor and decide that a MAD would be a good fit, your dentist will work with you to create a customized MAD for your mouth and condition. Patients should avoid generic mouth guards sold online as they are not generally effective.
What is Sleep Apnea?
Sleep Apnea is a disorder in which breathing stops during sleep. Obstructive Sleep Apnea is the most common type and occurs when the airway is blocked by excess tissue at the back of the throat. Obstructive sleep apnea is often associated with obesity, and in severe cases has been linked to cardiac death and stroke.
What Are the Benefits Of Sleep Apnea Mouth Guards?
The National Institutes of Health reports that while CPAP devices may be the best treatment for sleep apnea, MADs are proving to be equally or more effective simply because they are more likely to be used. The NIH also reports that MADs do more to boost patients’ overall quality of life. They are smaller, less invasive and easier to use than a CPAP, making them more convenient and patient-friendly than a machine.
Why are MADs better than CPAP?
The NIH also reports that MADs do more to boost patients’ overall quality of life. They are smaller, less invasive and easier to use than a CPAP, making them more convenient and patient-friendly than a machine. MADs are also less costly than CPAP machines.
Is a mouth guard better than a breathing machine?
The idea of using a dental device to treat a serious and potentially deadly health condition may be surprising but as the research rolls in, it’s becoming clearer that a relatively simple mouth guard may be more effective than a more complicated machine at treating sleep apnea. Making treatment convenient and comfortable for patients is key, and studies show that many patients are more willing to use their MADs than to plug into a breathing machine every night. Along with your doctor, your dentist can be an important partner in treating sleep apnea.
Can a CPAP be used for sleep apnea?
However, patients who are obese may get less benefit from a mouth guard and may require treatment with a CPAP. MADs tend to be more effective in mild to moderate sleep apnea cases, according to the NIH. However, doctors may recommend a mouth guard even in more severe cases when using CPAP is not working for the patient.
