How well does an oral appliance work compared to a CPAP machine?
A dental appliance is can be a very effective therapy for mild to moderate sleep apnea. Acceptable control of the oxygen levels has been obtain in severe apnics as well, but it is not as straight forward with severe levels. Modifications in appliance designs have greatly improved their dependability and comfort from earlier versions. In some cases, an oral appliance designed to open the airway has been just as effective as CPAP without its inconvenience or discomfort. CPAP machines are 100% effective when titrated properly, and worn as recommended. Neither method will work if it is not worn. Oral appliances can also help CPAP machines be more tolerable, allowing the titration pressure to be decreased. Oral appliances are endorsed by medical professionals and accepted by patients. Most patients have better compliance with an oral appliance than a CPAP machine.
