AHC Media - Continuing Medical Education Publishing

The most award winning

healthcare information source.

TRUSTED FOR FOUR DECADES.

  • Sign In
  • Sign Out
  • MyAHC
    • Home
      • Home
      • Newsletters
      • Blogs
      • Archives
      • CME/CE Map
      • Shop
    • Emergency
      • All Products
      • Publications
      • Study Guides
      • Live Webinars
      • On-Demand Webinars
      • Libraries
    • Hospital
      • All Products
      • Publications
      • Study Guides
      • Live Webinars
      • On-Demand Webinars
      • Libraries
    • Clinical
      • All Products
      • Publications
      • Study Guides
      • Live Webinars
      • On-Demand Webinars
    • My Account
      • My Subscriptions
      • My Content
      • My Orders
      • My CME/CE
      • My Transcript
    Home » Obstructive Sleep Apnea: Oral Appliances

    Obstructive Sleep Apnea: Oral Appliances

    April 1, 2018
    No Comments
    Reprints
    Facebook Twitter Linkedin Share Share

    Related Articles

    Obstructive Sleep Apnea

    Obstructive Sleep Apnea Syndrome

    A New, Effective Treatment for Obstructive Sleep Apnea: Hypoglossal Nerve Stimulation

    Related Products

    Hospital Improvement Act Proposed Changes

    Internal Medicine Alert: Online, 1 Year Subscription

    The Affordable Care Act Challenges and Opportunities for Infection Prevention

    SOURCE: Hamoda MM, et al. Chest 2018;153:544-553.

    Continuous positive airway pressure (CPAP) has been the traditional recommended intervention for obstructive sleep apnea for more than three decades. Unfortunately, limitations on the ultimate application of CPAP to treat obstructive sleep apnea include expense and (for many) poor tolerability. Among the alternative interventions are oral appliances, typically divided into two categories: tools that stabilize the tongue in a forward position, and tools that stabilize the mandible in a forward position. The recently FDA-approved device that employs an electrical curren to activate oropharyngeal musculature with improved tongue muscular tone is not included in this review.

    Using technical metrics for success, such as degree of improvement of the apnea-hypopnea index, CPAP has been shown to outperform oral appliances. On the other hand, patient-centered outcomes (sleepiness, quality of life, and driving performance) have been found to be equally well-improved by oral appliances as CPAP. Perhaps the most important bottom line is that many patients find compliance with CPAP difficult, and the limited data on oral devices suggest significantly greater compliance with them than with CPAP.

    Aside from efficacy and tolerability, cost may be the ultimate deal maker (or breaker). Mandibular advancement devices that may be created at home by the patient cost as little as $30. While dental experts may offer more complex, sophisticated oral appliances, success attained with simple do-it-yourself home kits is quite appealing for many. Fortunately, the diversity of treatment options currently available should stimulate optimism that the consequences of obstructive sleep apnea can be improved successfully in most patients.

    Post a comment to this article

    Report Abusive Comment

    www.ahcmedia.com

    Clinical Briefs in Primary Care

    View PDF
    Clinical Briefs in Primary Care - April 2018
    April 1, 2018

    Table Of Contents

    NOTICE: April 2018 was the final issue of this publication.

    Comparing GLP-1 Agonists

    Rivaroxaban vs. Aspirin for Prevention of VTE

    Inhaled Corticosteroids and Fracture Risk

    Obstructive Sleep Apnea: Oral Appliances

    Influenza Increases Rate of Myocardial Infarction

    Promising News About Zika Vaccine

    Financial Disclosure: To reveal any potential bias in this publication, and in accordance with Accreditation Council for Continuing Medical Education guidelines, Dr. Brunton reports he is a retained consultant for Abbott Diabetes, Becton Dickinson, Boehringer Ingelheim, Janssen, Lilly, Merck, Novo Nordisk, and Sanofi; he serves on the speakers bureau of AstraZeneca, Boehringer Ingelheim, Janssen, Lilly, and Novo Nordisk. Dr. Kuritzky (author) is a consultant for and on the speakers bureau of Amgen, Boehringer Ingelheim, and Shire. Ms. Coplin, Mr. Springston, and Editorial Group Manager Terrey L. Hatcher report no financial relationships relevant to this field of study.

    Shop Now: Search Products

    • Subscription Publications
    • Books & Study Guides
    • Group & Site
      Licenses
    • Upcoming Live Webinars
    • On-Demand Webinars
    • State CME/CE
      Requirements

    Webinars And Events

    EMTALA Series

    Apr 24 2018, 3:30pm EDT
    Live Webinar

    Preventing Medication Errors: 60+ Tips to Implement Today

    Apr 25 2018, 3:30pm EDT
    Live Webinar

    Pain Management 101: CMS Opioid, IV Medication, and Blood Transfusion Guidelines

    May 1 2018, 3:30pm EDT
    Live Webinar
    View All Events

    Free Email Newsletters

    • Accreditation Council for Continuing Medical Education
    • American Nurses Credentialing Center
    • American College of Emergency Physician
    • American Board of Internal Medicine: Maintenance of Certification
    • California Board of Registered Nursing
    • Commission for Case Manager Certification
    • American Academy of Pediatrics
    • American Osteopathic Association
    • Stand Up for Kids
    • Home
      • Home
      • Newsletters
      • Blogs
      • Archives
      • CME/CE Map
      • Shop
    • Emergency
      • All Products
      • Publications
      • Study Guides
      • Live Webinars
      • On-Demand Webinars
      • Libraries
    • Hospital
      • All Products
      • Publications
      • Study Guides
      • Live Webinars
      • On-Demand Webinars
      • Libraries
    • Clinical
      • All Products
      • Publications
      • Study Guides
      • Live Webinars
      • On-Demand Webinars
    • My Account
      • My Subscriptions
      • My Content
      • My Orders
      • My CME/CE
      • My Transcript
    • Help
    • Search
    • About Us
    • Sign In
    • Register
    AHC Media - Continuing Medical Education Publishing

    The most award winning

    healthcare information source.

    TRUSTED FOR FOUR DECADES.

    Customer Service

    Customer.Service@AHCMedia.com

    U.S. and Canada: 1-800-688-2421

    International +1-404-262-5476

    Accounts Receivable

    1-800-370-9210
    ahcmedia_ar@reliaslearning.com

    Mailing Address

    • 111 Corning Road, Suite 250
      Cary, NC 27518
      USA

    © 2018 Relias. All rights reserved.

    Privacy Policy  Terms of Use  Contact Us  Reprints  Group Sales

    Design, CMS, Hosting & Web Development :: ePublishing