How Mandibular Advancement Appliances Can Improve Oral Health

By: Dr. Elizabeth Eggert

When you’re diagnosed with obstructive sleep apnea (OSA), your doctor may first prescribe CPAP therapy — you know, the face or nose mask attached to a machine that you have to wear at night. However, while CPAP therapy is extremely effective, many people can’t tolerate sleeping with it on every single night.

That’s why oral sleep appliances -– also known as mandibular advancement appliances — are also used to treat sleep apnea. In fact, they have an 80% compliance rate over the CPAP’s 40%. 

We fit mandibular advancement appliances at Eggert Family Dentistry and have been able to help many people with OSA improve their sleep, oral health, and overall quality of life.

What is a Mandibular Advancement Appliance?

A mandibular advancement appliance (MAA) is a device that can be custom-fitted to a person’s mouth, and works by temporarily moving the jaw and tongue forward. This adjustment reduces throat constriction and opens up the airways, effectively preventing snoring and sleep apnea. 

Benefits of Using a Mandibular Advancement Appliance

You probably already know that sleep apnea causes a myriad of health issues, most notably cardiovascular problems. But did you know that your sleep apnea also wreaks havoc on your dental health? People with sleep apnea also are more likely to experience TMD, bruxism, and dry mouth. Luckily MAAs can reduce and relieve each of these symptoms. 

1. Relief from Tooth Grinding and Clenching

Many people who suffer from sleep-disordered breathing also grind their teeth or clench their jaw during sleep. This can lead to a host of dental problems, including tooth sensitivity, worn-down enamel, and even tooth fractures. MAAs can help alleviate these issues by positioning the lower jaw in a more forward position, which reduces the likelihood of grinding or clenching. The thought is that since the body can breathe better, the jaw doesn’t have to move around, trying to find the best position for air exchange.

2. Reducing Dry Mouth

People with OSA often sleep with their mouth open in an attempt to get more oxygen, which leads to dry mouth. Because saliva plays an important role in reducing the amount of plaque on your teeth, dry mouth can cause or accelerate tooth decay. Using an MAA will open up the airway and improve breathing, which will reduce the need to breathe through the mouth during sleep. This will reduce all dry mouth symptoms and keep tooth decay under better control by maintaining the proper amount of saliva in your mouth. 

3. Reducing the Risk of Gum Disease

Gum disease is a common oral health problem that can lead to tooth loss if left untreated. People with sleep-disordered breathing are at an increased risk of developing gum disease, as the reduced oxygen flow to the gums can make them more susceptible to infection. By improving breathing and oxygen flow, MAAs can help reduce the risk of gum disease and promote overall oral health.

4. Improving Overall Sleep Quality and Quality of Life

Finally, the most important benefit of using an MAA is improved sleep quality, which can have a positive impact on your quality of life in general. Poor sleep quality has been linked to a range of health problems, and by improving breathing and reducing sleep disturbances, MAAs can help promote your overall health and wellbeing.

Want Better Sleep, Healthier Teeth, and a Higher Quality of Life? 

If you have sleep apnea and would like to be fitted for a mandibular advancement appliance, Dr. Jeff Eggert or Dr. Elizabeth Eggert can help! After hearing from your medical doctor and doing an assessment of your bite, we can custom-design your device by taking impressions or digital scans of your mouth. Once the device is ready, we’ll ask you to come into our office for a fitting so we can make sure it’s comfortable and effective. Contact us or call us at 651-482-8412 today to schedule your mandibular advancement device consultation!

Sleep Apnea Treatments: Mandibular Advancement Appliances vs. Traditional CPAP Therapy

By: Dr. Elizabeth Eggert

Obstructive sleep apnea (OSA) is a common sleep disorder that affects 18 million people around the world. It is characterized by pauses in breathing during sleep, which can lead to snoring, daytime sleepiness, and other health problems. 

There are several treatment options available for sleep apnea, but two of the most popular are Mandibular Advancement Appliances (MAAs) and Continuous Positive Airway Pressure (CPAP) therapy. While both of these treatments can be effective, they work in different ways and have different benefits. 

Let’s explore the differences between MAAs and CPAP therapy and help you determine which treatment option may be best for your individual needs.

Sleep Apnea Treatment Options 

First, let’s take a look at all of the treatment options that patients are given when first diagnosed with OSA: 

  1. Lifestyle changes: Losing weight, quitting smoking, avoiding alcohol and sedatives, and sleeping on your side may be recommended to improve sleep apnea symptoms.
  2. Oral appliance therapy: This involves wearing a mouthguard-like device (like an MAA) that helps to reposition the tongue and jaw to keep the airway open during sleep.
  3. Continuous Positive Airway Pressure (CPAP) therapy: CPAP therapy involves wearing a mask at night that is attached to a machine. This machine delivers air pressure to keep the airway open during sleep.
  4. Surgery: In some cases, surgery may be recommended to remove excess tissue in the throat or to reposition the jaw.

You and your doctor will be able to review your unique situation to determine which of these solutions is right for you. 

While lifestyle changes can treat more mild cases of sleep apnea, they won’t be able to completely relieve symptoms of more severe cases. On the opposite end of the spectrum is surgery: this sleep apnea treatment is usually saved for the most severe cases of OSA. 

The middle ground, then, is where Continuous Positive Airway Pressure (CPAP) therapy and Mandibular Advancement Appliances (MAAs) lie. These are the most popular treatment options among people with sleep apnea. While both treatments can be effective treatment options, they work in different ways and have different benefits.

Benefits of CPAP Therapy 

Continuous Positive Airway Pressure (CPAP) therapy is:

  • Highly effective: CPAP therapy is considered the most effective non-surgical treatment option for sleep apnea.
  • Produces immediate results: CPAP therapy can provide immediate relief from symptoms of sleep apnea, such as snoring and daytime sleepiness.
  • Can be used for any level of sleep apnea: CPAP therapy can be used to treat all levels of sleep apnea, from mild to severe.
  • Helps improve overall health: CPAP therapy can help improve blood pressure, reduce the risk of heart disease and stroke, and improve overall quality of life.

However, because of the cumbersome nature of the CPAP machine, many people have a difficult time sticking to it over an extended period of time. It’s also difficult to travel with so many people don’t use their CPAP machine during vacations or trips. 

Benefits of Mandibular Advancement Appliances

While CPAP therapy is extremely effective, many people can’t tolerate sleeping with the discomfort of the face or nose mask night after night. That’s where Mandibular Advancement Appliances (MAAs) come in: MAAs have an 80% compliance rate over the CPAP’s 40% compliance rate. 

In addition to being easier to stick to as a treatment modality, Mandibular Advancement Appliances are: 

  • Comfortable: MAAs are often more comfortable to wear than CPAP masks, as they are custom-made to fit the patient’s mouth.
  • Portable: MAAs are small and easy to travel with, making them a convenient treatment option.
  • Non-invasive: MAAs do not require surgery and can be easily adjusted by Dr. Jeff Eggert or Dr. Elizabeth Eggert.
  • Effective for mild to moderate sleep apnea: MAAs are often recommended for individuals with mild to moderate sleep apnea who are unable to tolerate CPAP therapy.

Ultimately, the best treatment option for sleep apnea will depend on your specific needs and preferences. Your doctor can help determine the most appropriate treatment option based on the severity of your condition, medical history, and other factors. 

Think You Could Benefit from a Mandibular Advancement Appliance? 

At Eggert Family Dentistry, we custom-fit mandibular advancement devices for patients with Obstructive Sleep Apnea or other Sleep Related Breathing Disorders. Call us today at 651-482-8412 to schedule a consultation during which Dr. Jeff Eggert or Dr. Elizabeth Eggert can discuss this treatment option with you and answer any questions you may have. Once we’ve decided an MAA is right for you, we can custom-design your device and then calibrate the finished product to make sure it’s comfortable and effective. Contact us to schedule your appointment today!