Sleep Oral Appliances

Oral sleep appliances, also known as mandibular advancement devices (MADs) or dental devices, are used in the treatment of sleep-related breathing disorders such as obstructive sleep apnea (OSA) and snoring. These devices work by repositioning the lower jaw (mandible) and tongue to help keep the airway open during sleep. Here’s a list of some common oral sleep appliances:

1. Mandibular Advancement Devices (MADs):
   • These are the most common type of oral sleep appliances and come in various forms, including:
     • Adjustable MADs: Allow for gradual advancement of the lower jaw to optimize comfort and effectiveness.
     • Prefabricated MADs: Come in standard sizes and are not adjustable.
2. Tongue-Retaining Devices (TRDs):
   • These devices hold the tongue in a forward position to prevent it from falling backward and obstructing the airway.
   • TRDs are typically less bulky than MADs.
3. Herbst Appliance:
   • The Herbst appliance is a type of MAD with a special hinge that allows for greater jaw mobility and comfort.
   • It’s often used in orthodontics but can also be adapted for sleep apnea treatment.
4. Narval CC:
   • The Narval CC is a custom-made MAD designed to be lightweight, comfortable, and highly adjustable.
5. TAP (Thornton Adjustable Positioner):
   • The TAP device consists of two trays (one for the upper teeth and one for the lower teeth) that can be adjusted to bring the jaw forward.
   • It has a reputation for adjustability and comfort.
6. Silent Nite:
   • Silent Nite is another type of MAD that offers customization and adjustable lower jaw advancement.
7. PureSleep:
   • PureSleep is a boil-and-bite MAD that can be customized to fit an individual’s mouth and adjusted for lower jaw advancement.
8. Zyppah:
   • The Zyppah is a hybrid device that combines the features of an MAD and a tongue-retaining device. It holds the tongue in place and advances the lower jaw.
9. ProSomnus Devices:
   • ProSomnus offers a range of custom-made MADs with a focus on comfort and design.
10. KudoSnore:
    • The KudoSnore is a newer oral appliance designed to address snoring and mild to moderate sleep apnea.

It’s essential to note that the selection of an oral sleep appliance should be made in consultation with a dentist or sleep specialist who can evaluate your specific needs and recommend the most appropriate device based on your condition, jaw structure, and preferences. Custom-made appliances are often preferred as they can be tailored to the individual for maximum comfort and effectiveness. Regular follow-up with a healthcare professional is also important to monitor the appliance’s performance and make any necessary adjustments.