Snoring and sleep apnoea: oral appliance therapy
Obstructive sleep apnoea interrupts breathing repeatedly through the night. It is diagnosed by a medical practitioner; for some people with mild to moderate apnoea, a custom oral appliance is one of the treatment options that may be considered.
Signs of obstructive sleep apnoea
- Loud, persistent snoring, often noticed by a partner
- Pauses in breathing, gasping or choking during sleep
- Waking unrefreshed, with morning headaches or a dry mouth
- Daytime sleepiness, poor concentration or irritability
Untreated apnoea is associated with high blood pressure, heart rhythm problems, stroke and diabetes. It is worth taking seriously.
Where a dentist fits in
Diagnosis of sleep apnoea belongs with a sleep physician, usually after a sleep study. We work alongside that diagnosis, and if we notice possible signs during a dental visit, we can suggest you talk to your doctor.
The usual pathway runs in this order: a conversation with your GP or a sleep clinician, a sleep study and diagnosis, then an assessment of whether an oral appliance is suitable for your teeth and jaw, then fitting, and then review with your medical team.
If you already use CPAP or another treatment prescribed by your doctor, please keep using it. Nothing on this page is a reason to stop or change prescribed treatment; any change is a decision for your medical practitioner.
Oral appliance therapy
A mandibular advancement splint is a custom-made device worn at night. It holds the lower jaw slightly forward, which is intended to help keep the airway open.
It is sometimes considered for people who cannot tolerate CPAP. Responses vary, it does not suit everyone, and possible side effects include jaw or tooth discomfort, excess saliva and, over time, changes to the bite. We fit it, review how you sleep with it, and adjust it as needed, in consultation with your sleep physician. This page is general information, not a recommendation for any individual.
Less snoring does not on its own mean apnoea is controlled. Whether treatment is working is judged by your medical team, which may include a follow-up sleep study.
Snoring, or waking tired?
Call us and describe what's happening at night. We'll explain what a dental appliance can and cannot do, and when a sleep study comes first.
Call 03 5989 2144