There are several treatments available for Snoring and Obstructive Sleep Apnoea and should be directed by your sleep physician or medical general practitioner based on your diagnosis and clinical presentation. Choosing the best treatment option will increase the likelihood for success. The Perth Oral Medicine and Dental Sleep Centre specialises only in Oral Appliance Therapy and you will require a referral to visit our practice.
1. Oral Appliance Therapy
Oral appliance therapy is often used when the patient is unable to tolerate CPAP therapy. It has been proven to be very effective for snoring and those suffering mild to moderate obstructive sleep apnoea. Also oral appliance therapy may be utilised in the patient with severe obstructive sleep apnoea who are unable to tolerate or refuse CPAP therapy.
There are two types of oral appliance therapy:
Mandibular Advancement Device
The most common type of oral appliance used. They are also known as Mandibular Advancement Splint or Mandibular Repositioning Device. This is an area of speciality at the Perth Oral Medicine and Dental Sleep Centre. Click here for further information regarding the mandibular advancement device.
Tongue Retaining/Stabilising Device
Engages and holds the tongue in a forward position by means of a suction bulb without affecting the mandible or teeth. When the tongue is in a forward position, it prevents the back of the tongue from collapsing during sleep and obstructing the airway in the throat. Tongue retaining/stabilising devices are non-adjustable.
2. Lifestyle and Behavioural Changes
- Weight loss
- Good sleep hygiene (e.g. have a regular sleeping pattern, avoid caffeine and eating large meals late at night)
- Sleep position - sleeping on the side is beneficial
- Avoid sedatives and tranquilisers such as sleeping pills
- Avoid alcohol
- Avoid smoking
3. CPAP (Continuous Positive Airway Pressure)
CPAP is considered as the "gold standard" treatment for patients diagnosed with obstructive sleep apnoea. CPAP has been clinically proven to assist symptoms and long-term consequences of obstructive sleep apnoea.
Every night during sleep, patients wear a face mask (worn over nose, mouth or both) connected to a pump which blows a steady flow of air into the nasal passages at pressures high enough to gently force the airway open and stimulate normal breathing.
4. EPAP (Expiratory Positive Airway Pressure) - Provent Therapy
Provent is a small, disposable nasal device, which covers each nostril and secured by an hypoallergenic adhesive. Provent uses microvalve technology and the pressure of your own breathing to keep your airway open. The microvalves allow you to inhale normally but let only a small amount of air out when you exhale, increasing the pressure inside your airway and preventing it from collapsing. This creates an "expiratory positive airway pressure".
There are different surgical procedures performed to the nose, tongue, soft palate, walls of the throat and upper and lower jaws. These procedures aim to enlarge the airway and decrease the collapsibility of the airway. An ENT Surgeon or Oral and Maxillofacial Surgeon may perform these surgeries. Your Sleep Physician will be able to advise you, whether you are a candidate suitable for surgery.
- Tonsillectomy and adenoidectomy
- Nasal Surgery
- Uvulopalatopharyngoplasty (UPPP)
- Palatal implants (Pillar Procedure)
- Genioglossus Advancement
- Tongue Base Reduction
- Maxillo-mandibular (jaw) Advancement