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Combined CPAP and Oral Appliance Therapy

As with most medical or dental health concerns, there is no one-size-fits-all solution for treating sleep apnea. Patients who have tried CPAP and oral appliance therapy individually without success may benefit most from a combined solution. Contact Dr. Greenbaum and the dedicated team at the Bethesda Center for Dental Sleep Medicine to find out more about combined therapy for optimal relief from the symptoms of sleep apnea. We work alongside your sleep doctor to develop a plan to treat sleep apnea, improve overall health, and help you renew your quality of life.

CPAP Therapy

Continuous Positive Airway Pressure (CPAP) treatment uses a facial mask worn over the nose and mouth to force air into the throat,keeping the airway open and allowing patients to rest through the night. This treatment option is tried and tested offering excellent results for those who wear the mask each night. However, CPAP therapy has a high rate of noncompliance due to patients being unable to get used to the feeling of air being forced down their mouth and throat, how loud the machine can be, and how uncomfortable the bulky straps and mask feel. In most cases, one week of nightly wear allows patients to adapt to the sounds and sensations, but some patients are unable to get used to their CPAP systems.

Oral Appliance Therapy

Oral appliance therapy is recommended for patients who have mild to moderate sleep apnea. These devices work using the same method used to open airways during CPR. By shifting the jaw forward, oral appliances keep the airway open,allowing sleep apnea sufferers to breathe easily through the night. Oral appliances are comfortable, effective, and portable,making them a great alternative to CPAP systems. Unfortunately, not all patients experience significant relief of symptoms with oral appliance treatment alone, and these devices are not recommended for patients who have severe apnea.

Combined Treatment

By combining both CPAP and oral appliance therapy, patients are able to achieve results only possible using the highest levels on CPAP machines. The oral appliance continuously holds the throat open, meaning even on very low settings, the CPAP system can provide adequate pressure to keep the throat clear. This combined treatment offers patients the opportunity to sleep soundly, breathe easily, and wake up feeling refreshed. Patients who use combined treatment have higher compliance rates because the decreased CPAP levels cause less noise and discomfort. Additionally, patients are able to achieve successful treatment on the road by carrying their oral appliance which is easily transported (even by plane!). Best of all, combined therapy offers significant relief and refreshment for even the most severe cases of sleep apnea.

Who Should Consider Combined Therapy?

Like any treatment option, combined therapy isn’t right for every sleep apnea sufferer. We are happy to help you get the treatment you need, and work hard to determine what solution best fits your situation. The following patients should consider combined treatment:

Benefits of Combined Therapy

Patients considering combined CPAP and oral appliance treatment receive numerous benefits,including:

Contact Our Team Today

Contact the Bethesda Center for Dental Sleep Medicine to schedule a consultation today. If you’ve experienced intolerance to CPAP treatment or are not satisfied with the results of oral appliance therapy, combined treatment may be the best solution. During a consultation, we’ll review your past treatment, and help you determine whether combined therapy is the right option to let you sleep through the night. If you have any questions or concerns about your oral appliance or sleep apnea treatment, contact our friendly team. We’re happy to help!

6410 Rockledge Dr., Suite 106, Bethesda, MD 20817 USA
Dr. Bernard L. Greenbaum Bethesda MD sleep apnea dentist (301) 530-3600 greatsmiles@greenbaumdds.com