Oral Appliance Therapy

Please note we may not offer this service at our office. Contact 301-593-5500 to learn more.

Get the Restful Sleep You Need With Dr. Alice Bassford

Are you looking for a non-invasive and convenient solution to manage your sleep apnea? At Silver Spring Sleep Solutions, we may have just what you’re looking for! Dr. Alice Bassford, one of the best dentists in Silver Spring, is an expert in clinical sleep medicine, focusing on research and advancements in sleep disorders. She offers oral appliance therapy as an alternative to CPAP (continuous positive airway pressure) machines, ensuring you get the sleep you need.

If you’re looking to get started with a custom oral appliance, contact our dental office in Silver Spring, MD, today by calling 301-593-5500. We also proudly welcome patients coming from Bethesda, Takoma Park, Wheaton, and the surrounding areas.

What Is Oral Appliance Therapy?

Oral appliance therapy is a cutting-edge treatment option for sleep apnea that involves wearing a custom-made oral appliance during sleep. These appliances resemble mouthguards or retainers and are designed to treat obstructive sleep apnea by repositioning the jaw and maintaining an open airway, preventing the collapse of soft tissues that cause obstructive sleep apnea (OSA).

What Is Obstructive Sleep Apnea?

Obstructive sleep apnea is a common and serious sleep disorder characterized by repeated interruptions in breathing during sleep. These interruptions, known as apneas, occur when the muscles at the back of the throat relax excessively, causing a temporary blockage of the upper airway. As a result, individuals with OSA experience brief periods of partial or complete cessation of breathing during the night. It is crucial to diagnose sleep apnea through a thorough evaluation by a healthcare provider, which includes gathering symptoms, sleep history, and utilizing testing methods such as home sleep tests and polysomnography.

How Does Oral Appliance Therapy Work? Dr. Bassford Explains

Oral appliances work by gently repositioning the jaw and tongue, which helps keep the airway open during sleep. By doing so, these appliances effectively alleviate the symptoms of sleep apnea, such as snoring, gasping for air during sleep, and daytime fatigue.

During an initial consultation with Dr. Bassford, your oral health and sleep apnea condition will be assessed. If you’re a good candidate for oral appliance therapy, we’ll take impressions of your teeth and create a custom-fit appliance.

Once the appliance is ready, we’ll provide detailed instructions on how to use and care for it. You’ll be guided on how to properly insert and remove the appliance and will have regular follow-up appointments to monitor progress and make any necessary adjustments.

Types of Oral Appliances

Mandibular Advancement Devices (MADs)

Mandibular advancement devices are the most widely used type of oral appliance for sleep apnea. A mandibular advancement device (MAD) plays a crucial role in treating obstructive sleep apnea (OSA) by repositioning the lower jaw (mandible) forward during sleep, which helps keep the airway open and prevent obstruction. These devices typically consist of two separate trays for the upper and lower teeth, connected by adjustable hinges to allow for gradual advancement. MADs are custom-fitted to the patient’s teeth and can be adjusted by our dentist to find the optimal jaw position for reducing sleep apnea symptoms.

Tongue-Retaining Devices (TRDs)

Tongue-retaining devices are designed to hold the tongue in a forward position to prevent it from falling backward and blocking the airway. Unlike MADs, TRDs don’t reposition the jaw. Instead, they rely on suction or a bulb to hold the tongue in place.

TRDs may be a suitable option for individuals who can’t tolerate MADs or have dental issues that prevent them from using MADs.

Combination Devices

Some sleep apnea oral appliances combine features of both MADs and TRDs. These devices aim to advance the lower jaw while also providing tongue stabilization. Combination devices are customized to the patient’s oral anatomy and may offer enhanced effectiveness in certain cases.

Benefits of Oral Appliances in Silver Spring, MD

Oral appliance therapy offers several benefits as a treatment option for sleep apnea, including:

Non-invasive: Unlike surgery, oral appliances don’t require any invasive procedures.
Comfortable: They’re generally well-tolerated and more comfortable than other treatments like CPAP therapy.
Portable: Oral appliances are small and portable, making them convenient for travel.
Quiet: Unlike CPAP machines, they don’t produce noise.
Improved compliance: Many patients find it easier to use oral appliances consistently compared to CPAP machines.
Effective for moderate sleep apnea: Oral appliances are effective in treating not only mild cases but also moderate sleep apnea, providing comfort and successful outcomes for patients.

If you’re looking for a custom treatment plan for sleep apnea, contact our dentist in Silver Spring, MD, today by calling 301-593-5500.

How Do I Know If I Need Oral Appliance Therapy?

Candidacy for oral appliance therapy is determined based on several factors, including:

Type of Sleep Apnea: Oral appliance therapy is primarily recommended for individuals with obstructive sleep apnea (OSA). It’s generally not used as a treatment for central sleep apnea, which results from a failure of the brain to signal the muscles to breathe.
The Severity of Sleep Apnea: Oral appliance therapy is typically considered for individuals with sleep disordered breathing, including mild to moderate OSA. For severe cases of OSA, other treatments like CPAP therapy or surgery may be more appropriate.
Medical History: The patient’s medical history, including any underlying health conditions or dental issues, is assessed. This helps determine whether the patient can tolerate wearing an oral appliance and if there are any contraindications.
Dental Health: The condition of the patient’s teeth and jaws is evaluated as oral appliances require proper dental support. Individuals with extensive dental work, such as missing, may not be suitable candidates.
Compliance: Some patients may have difficulty adapting to wearing an oral appliance during sleep. Assessing the patient’s willingness and ability to comply with the treatment plan is essential.
Preference: Patient preference plays a significant role in candidacy. Some individuals may prefer oral appliance therapy over other treatments like CPAP due to its comfort, portability, and quiet operation.

If you’re wondering if oral appliance therapy will work for you, contact our Silver Spring, MD, dental team today by calling 301-593-5500 to schedule a consultation.

Contraindications for Oral Appliance Therapy

While oral appliance therapy (OAT) is a highly effective treatment for many individuals with obstructive sleep apnea (OSA), it may not be suitable for everyone. Certain conditions and factors can make OAT less effective or inappropriate. Here are some key contraindications:

Central Sleep Apnea (CSA): Unlike OSA, which is caused by physical blockages in the airway, CSA results from issues with brain stem signaling. OAT is not effective for treating CSA, as it does not address the underlying neurological cause.
Severe OSA: For patients with severe obstructive sleep apnea, more aggressive treatments like continuous positive airway pressure (CPAP) therapy or even surgical interventions may be necessary to ensure effective management.
Anatomical Abnormalities: Individuals with specific anatomical issues, such as a narrow airway or a deviated septum, may find that OAT does not provide sufficient relief. These structural problems can impede the effectiveness of the appliance.
Dental Issues: Good dental health is crucial for the success of OAT. Patients with significant dental problems, such as gum disease or tooth decay, may need to address these issues before starting therapy to ensure the appliance fits properly and functions effectively.
Temporomandibular Joint (TMJ) Disorders: Those with TMJ disorders may experience discomfort or pain when using an oral appliance. The repositioning of the jaw required by the appliance can exacerbate TMJ symptoms, making OAT unsuitable for these individuals.

Understanding these contraindications is essential for determining the best treatment plan for sleep apnea. If you have any concerns or questions about your suitability for oral appliance therapy, consult with our Silver Spring, MD, dental team by calling 301-593-5500.

What to Expect from Sleep Apnea Treatment Near Bethesda, MD

Embarking on oral appliance therapy (OAT) for obstructive sleep apnea (OSA) is a straightforward and non-invasive process. Here’s what you can expect from start to finish:

Initial Consultation: Your journey begins with a consultation with a sleep specialist or dentist. During this visit, you’ll discuss your symptoms, undergo a thorough evaluation, and determine if OAT is the right treatment for you.
Fitting the Appliance: If OAT is deemed suitable, the next step is to fit you with a custom-made oral appliance. Impressions of your teeth will be taken to create a device that fits your unique dental structure, ensuring comfort and effectiveness.
Adjustments: Once you start using the appliance, periodic adjustments may be necessary. These adjustments help fine-tune the fit and ensure the appliance is working optimally to keep your airway open during sleep.
Follow-up Appointments: Regular follow-up appointments are crucial. These visits allow your sleep specialist or dentist to monitor your progress, address any concerns, and make any needed modifications to the appliance.
Lifestyle Changes: In addition to using the oral appliance, you may be advised to make certain lifestyle changes. These could include losing weight, quitting smoking, or altering your sleep position to enhance the effectiveness of the therapy.

By understanding what to expect, you can approach your treatment with confidence and clarity. For more information or to schedule your initial consultation, contact our Silver Spring, MD, dental team at 301-593-5500.

Patient Satisfaction and Improved Health

Oral appliance therapy (OAT) has garnered high levels of patient satisfaction due to its effectiveness and ease of use. Here are some of the key benefits reported by patients:

High Compliance Rates: Many patients find OAT more comfortable and easier to adhere to compared to continuous positive airway pressure (CPAP) therapy. The convenience and comfort of the appliance contribute to higher compliance rates.
Improved Sleep Quality: OAT significantly enhances sleep quality by reducing or eliminating symptoms of obstructive sleep apnea (OSA), such as snoring and excessive daytime sleepiness. Patients often report feeling more rested and alert during the day.
Reduced Blood Pressure: Studies have shown that OAT can help lower blood pressure in patients with OSA, contributing to better cardiovascular health and reducing the risk of related complications.
Enhanced Quality of Life: By improving sleep and reducing the symptoms of OSA, OAT can lead to a better overall quality of life. Patients often experience increased energy levels, improved mood, and a greater sense of well-being.

These benefits highlight the transformative impact of oral appliance therapy on both sleep and overall health. If you’re ready to experience these improvements, contact our Silver Spring, MD, dental team at 301-593-5500 to get started.

Alternative Sleep Apnea Treatments in Silver Spring, MD

In some cases, our dentist may recommend using an oral appliance along with another type of sleep apnea treatment.

Continuous Positive Airway Pressure (CPAP) Therapy

CPAP is one of the most effective treatments for obstructive sleep apnea (OSA). CPAP machines deliver a continuous stream of oxygen through a mask to keep the airway open. It’s a tried and true method of sleep apnea treatment.

Bi-level Positive Airway Pressure (BiPAP) Therapy

BiPAP machines provide two levels of air pressure — one for inhalation and another for exhalation. These machines may be prescribed for patients who have difficulty tolerating traditional CPAP therapy, or those who require higher-pressure support.

Lifestyle Modifications

Making certain lifestyle changes can be beneficial for managing mild cases of sleep apnea or as adjunctive therapies. These lifestyle changes may include:

Weight loss: Losing excess weight, especially around the neck, can reduce the severity of sleep apnea.
Positional therapy: Some individuals experience sleep apnea primarily when sleeping on their back (supine position). Sleeping on one’s side may help reduce symptoms.
Avoiding alcohol and sedatives: These substances can relax the throat muscles, exacerbating sleep apnea.

Clinical Trials and Research

The field of oral appliance therapy (OAT) for obstructive sleep apnea (OSA) is continually evolving, thanks to ongoing clinical trials and research. Here are some of the exciting developments:

New Materials and Designs: Researchers are exploring innovative materials and designs to enhance the comfort and effectiveness of oral appliances. These advancements aim to provide better patient experiences and outcomes.
Combination Therapy: Studies are investigating the potential benefits of using OAT in conjunction with other treatments, such as CPAP therapy or lifestyle modifications. This combination approach may offer enhanced effectiveness for certain patients.
Predicting Treatment Outcomes: Efforts are underway to develop predictive models that can identify which patients are most likely to benefit from OAT. These models can help tailor treatment plans to individual needs, improving success rates.
Long-term Effects: Long-term studies are examining the sustained impact of OAT on patients with OSA. These studies aim to understand the durability of treatment benefits and any potential long-term health effects.

These research efforts are crucial for advancing the field and ensuring that patients receive the most effective and comfortable treatment options available. To learn more about the latest advancements in OAT, contact our Silver Spring, MD, dental team at 301-593-5500.

By integrating these new sections, the article now provides a comprehensive overview of oral appliance therapy, addressing contraindications, treatment expectations, patient satisfaction, and ongoing research. This ensures readers are well-informed and confident in their treatment choices.

Frequently Asked Questions

Are oral appliances comfortable to wear?

Yes, oral appliances are designed with patient comfort in mind. The custom-made appliance fits snugly over the teeth and is personalized to your specific dental structure, minimizing any discomfort. You’ll find it surprisingly comfortable and easy to wear throughout the night, ensuring a restful sleep experience.

How effective is oral appliance therapy in treating sleep apnea?

Oral appliance therapy has shown high effectiveness, particularly for individuals with mild to moderate obstructive sleep apnea. It offers a viable alternative to CPAP machines, which some find cumbersome. However, effectiveness may vary, and a thorough assessment is necessary to determine suitability for each individual.

Can I travel with my oral appliance?

Absolutely! Oral appliances used in therapy are compact and easy to carry, making them a convenient solution for travelers. Simply pack the appliance in its provided case, ensuring uninterrupted sleep and maintaining your treatment regimen wherever you go.

Is oral appliance therapy covered by insurance?

Many insurance plans cover oral appliance therapy for sleep apnea. Review your insurance policy or consult your provider to understand specific coverage. Dental practices experienced in sleep apnea treatment can assist in navigating insurance claims, maximizing your benefits, and making the treatment more accessible and affordable.

Schedule Your Appointment Today to Get Started With Oral Appliance Therapy!

Take control of your sleep apnea and reclaim your life. Don’t let restless nights and daytime fatigue hold you back any longer. Oral appliance therapy offers a comfortable and effective solution that can transform your sleep quality and overall well-being.

Contact our Silver Spring, MD, dental team today at 301-593-5500 to schedule a consultation and take the first step towards a better, healthier future. We also proudly welcome patients coming from Bethesda, Takoma Park, Wheaton, and the surrounding areas.