Oral Appliance Therapy

Oral appliance therapy (OAT) is a non-invasive method for treatment of obstructive sleep apnea (OSA). OAT includes a dental appliance that keeps the airway open during sleep. When appropriately practiced, OAT provides a more predictable success rate than surgery, is reversible and considered more user-friendly than nasal CPAP. Dr. Abrams at Princeton Park Dental Associates is a board certified member of the Academy of Dental Sleep Medicine and is able to evaluate and fit you with a dental appliance.

The success of oral appliance therapy in the treatment of obstructive sleep apnea and in eliminating or significantly reducing snoring is dependent upon the practitioner and the patient. Unfortunately, not every patient is a good candidate. There are two different types of appliances. The mandibular (lower jaw) repositioning appliance (MRD) and the tongue retaining device (TRD). Two commonly used appliances in the office can be seen below. Success depends on matching the most appropriate appliance, a correct fit, titration and method of use to the individual patient. Every patient’s treatment goals, apnea scores, physical structures of their mouth, jaws and throat are unique.

Tongue Retaining DeviceMandibular Repositioning DeviceSuccess is appropriately defined as maximal utilization of an appliance that is most effective in treating the sleep apnea and snoring with the least undesirable side effects.