CPAP vs oral appliance: Who may be a good candidate for a custom oral appliance?

A custom oral appliance may be considered for mild to moderate obstructive sleep apnea. It may also be considered when CPAP cannot be tolerated or when a patient prefers an alternative after discussing the tradeoffs. Results vary. Preference alone does not show that an appliance will control your apnea.

The device needs support from your teeth and gums. A dentist checks for loose teeth, gum disease, tooth decay, and other dental concerns. Your jaw movement and any history of jaw pain also matter. Missing teeth or certain dental conditions may limit which devices are suitable.

Severe apnea, major oxygen drops, and certain health conditions may make CPAP the preferred choice. An oral appliance should not be selected only because it looks simpler or is easier to pack.

A physician licensed in your state decides whether this treatment approach is appropriate for your sleep apnea. A dentist licensed in your state decides whether the dental device is suitable for you. If you proceed, fitting, gradual adjustments, and follow-up sleep testing are important parts of care.