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Oral Appliance Therapy

The Effective Alternative to CPAP Therapy:

Mandibular Repositioning Appliances (MRA's) are oral appliances that treat snoring and obstructive sleep apnea. They are small devices, worn in the mouth, similar to orthodontic retainers or sports mouth-guards. MRA's are worn during sleep to prevent the collapse of the tongue and soft tissues in the back of the throat so that the airway remains open during sleep. The appliances promote adequate air intake and help to provide normal sleep in people who snore.

MRA's work in several ways:

  • By repositioning the lower jaw, tongue, soft palate and uvula
  • By opening the airway and stabilizing the lower jaw and tongue
  • By increasing the muscle tone of the tongue and throat

Oral appliance therapy involves the selection, design, fitting and use of a specially designed oral appliance that, when worn during sleep, maintains an opened, unobstructed airway in the throat. Appliances are typically used to treat mild-to-moderate OSA and are the primary treatment method for snoring.

The American Academy of Sleep Medicine has concluded that a custom made mandibular repositioning appliance is a first line of treatment for mild-to-moderate sleep apnea and for use when a patient cannot tolerate CPAP therapy.