Treatment options for snoring and OSA

Treatment options for snoring depend on a number of factors, but the two key ones are these:

  • Do your patients snore through their nose or their throat?
  • Do your patients snore AND have obstructive sleep apnoea (OSA)?

At ResMed, we have solutions for throat snorers who don’t suffer from sleep apnoea, as well as a full range of solutions for people with various forms of sleep apnoea.

 

Mandibular repositioning devices

Mandibular repositioning devices (MRDs) are oral appliances that can be used in first instance to effectively treat throat-based snoring as well as mild to moderate cases of OSA (AHI ≤ 30), for which they are a clinically-proven alternative to continuous positive airway pressure (CPAP) therapy.1,2,3

They can also be used to treat more severe OSA (AHI ≥ 30) in second instances, when CPAP has been demonstrated not to work.

Dentists who specialise in dental sleep therapy have the skills necessary to properly evaluate patients for MRD suitability, as well as to fit and titrate them for an optimal balance between efficacy and comfort.  Dentists often get their patients through referrals from sleep physicians who’ve screened their patients for sleep apnoea.

Dentists can also use the ApneaLink Air™ home sleep screening device to better manage their titration process.

 

Positive airway pressure therapy

PAP therapy is considered the gold standard when it comes to treating sleep apnoea of all types. PAP therapy must be prescribed and monitored by sleep physicians.

PAP therapy can be delivered in a number of ways:

  • Continuous positive airway pressure: pressurised air at one fixed pressure
  • Automatic positive airway pressure therapy: automatically adjusted air levels based on a patient’s breathing (suited to patients with REM-related sleep apnoea, positional apnoea or those who are noncompliant with standard CPAP therapy)
  • Bilevel therapy: higher inspiratory pressure and lower expiratory pressure (appropriate for certain patients who are non-compliant).

Other options to stop snoring include surgery and radiofrequency treatment.

 

References

  • 01

    Practice Parameters for the Treatment of Snoring and Obstructive Sleep Apnea with Oral Appliances: An Update for 2005, AASM report, Sleep 2006;29(2): 240-243, US Guidelines

  • 02

    Non-CPAP therapies in obstructive sleep apnoea, ERS task force Eur Respir J. 2011 May;37(5):1000-28, Systematic Review. Recommendations (European)

  • 03

    B. Fleury et al. OSAHS treatment with mandibular advancement oral appliance. Rev Mal Respir. 2010 Oct;27 Suppl 3:S146-56. Systematic Review. Recommendations (France)

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