Oral Appliance Therapy

Oral Appliance Therapy

Getting Started with Oral Appliance Therapy for Sleep Apnea: Your Atlanta Guide
By Dr. Young H. An, MD

If you're in Atlanta and struggling with snoring or sleep problems or finding your CPAP machine more of a nightly nuisance than a sleep solution, you might be wondering about alternatives. Untreated sleep apnea can lead to significant issues, including chronic fatigue. One effective option many of our Georgia patients are exploring is Oral Appliance Therapy (OAT). Let's dive into what OAT is and how it can help you achieve a better night's sleep.


What is Oral Appliance Therapy Atlanta?: Understanding Your Options

Oral Appliance Therapy, or OAT, involves wearing a custom-fitted dental device in your mouth while you sleep. Think of it like a specialized mouthguard designed to keep your airway open. The most common type of oral appliance is a Mandibular Advancement Device (MAD). These devices work by gently moving your lower jaw (mandible) and tongue slightly forward. This small adjustment creates more space in the back of your throat, preventing the airway from collapsing and allowing you to breathe more freely throughout the night. You can learn more about these devices from resources provided by the AASM and the AADSM.

Watch this video as Dr. Young H. An, MD shares about Oral Appliance Therapy


Are You a Candidate for OAT in Georgia?: Who Can Benefit?

Oral Appliance Therapy is often a great solution, but it's not for everyone. Generally, OAT is most effective for Atlanta patients with mild to moderate obstructive sleep apnea. It's also a leading alternative for individuals who cannot tolerate CPAP therapy—perhaps you find the mask uncomfortable, the pressure difficult to adjust to, or the machine too cumbersome.

The clinical guidelines also support OAT for patients who simply prefer an alternative to CPAP. However, it's important to note that OAT is not recommended for central sleep apnea (where the brain doesn't send proper signals to breathe) or generally for children, who may require different treatment approaches. A thorough evaluation by a sleep specialist at our Atlanta clinic is crucial to determine if OAT is the right path for your specific needs in Georgia.


The OAT Process at ENT of GA South: From Consultation to Custom Device - Your Journey in Atlanta

If you and your ENT specialist decide that Oral Appliance Therapy is a good option, here's what the journey typically looks like for our Atlanta patients:

  1. Initial ENT Consultation: Your first step is a comprehensive assessment with one of our Board-certified sleep doctors here in Atlanta. We'll evaluate the severity of your sleep apnea and your overall health to confirm if an oral appliance is a potentially beneficial treatment for you.

  2. Dental Impressions/Scans: If OAT is deemed appropriate, we will take precise impressions or 3D scans of your teeth to create a custom-fitted oral appliance designed specifically for your mouth. Customization is critical for both comfort and effectiveness.

  3. Sleep Apnea Mouthpiece Fitting: Once your custom sleep apnea mouthpiece is ready, you'll return to our office for the fitting. We will ensure it fits comfortably and securely, and will provide detailed instructions on how to use and care for your new device.

  4. Titration Process: This is a crucial phase of the OAT Process at ENT of GA South. "Titration" involves gradually adjusting the oral appliance over a period of weeks. These adjustments, made easily in the comfort of your home, gently advance your lower jaw to the optimal position for keeping your airway open. Regular follow-ups for guidance and support are available during this period, and sometimes a follow-up sleep study is recommended to confirm the device is effectively treating your sleep apnea.


Benefits of OAT for Atlanta Patients: Why Choose This CPAP Alternative?

Many of our Atlanta patients who choose Oral Appliance Therapy report significant improvements in their quality of life. Some of the key benefits include:

  • Comfort: For many, oral appliances are simply more comfortable and easier to wear all night compared to a CPAP mask and headgear.

  • Portability: OAT devices are small, discreet, and require no electricity, making them incredibly easy to travel with - whether you're heading out of Atlanta for vacation or business.

  • Silence: Unlike CPAP machines, oral appliances are silent, which can be a big plus for both you and your bed partner.

  • Effective Snoring Reduction: OAT can significantly reduce or even eliminate snoring, leading to quieter nights.

  • Good Efficacy: While CPAP is often considered the gold standard for severe OSA, OAT can be highly effective, particularly for mild to moderate OSA or for those who struggle with CPAP adherence. Consistent use of OAT can lead to meaningful improvements in sleep apnea symptoms.


Your Atlanta OAT Journey Support: We're With You Every Step

Embarking on any new treatment can come with questions and an adjustment period. Here at our Atlanta practice, we're committed to supporting you through your OAT journey:

  • Managing the Adjustment: It's normal to experience some initial side effects as you get used to your oral appliance. These can include temporary jaw or tooth discomfort, excessive salivation, or dry mouth. For most Atlanta patients, these sensations are mild and typically resolve within a few weeks as your mouth adapts.

  • Clinic Support and Guidance: We'll provide guidance on managing any initial discomfort. This might include gentle jaw exercises to do in the morning, or in some cases, a small device called a morning occlusal guide to help your jaw return to its normal position after wearing the appliance. Regular follow-up appointments are scheduled to ensure the device is working correctly, remains comfortable, and to address any concerns you may have.


Ready to Explore Oral Appliance Therapy in Atlanta?

If you're tired of restless nights and are looking for an effective, comfortable alternative to CPAP for your sleep apnea, Oral Appliance Therapy might be the answer. Effective treatment can lead to quieter nights and more energized days.

Are you in the Atlanta, Stockbridge, or Fayetteville area and curious if oral appliance therapy at ENT of Georgia South is right for you? Contact us today to schedule a consultation. We'll discuss your specific sleep apnea needs, explain the OAT process GA in detail, and help you determine if a custom sleep apnea mouthpiece fitting could lead to quieter nights and more energized days.


About the author: Dr. Young H. An, MD is a double board-certified specialist in Sleep Medicine and Otolaryngology (Head & Neck Surgery), bringing 25 years of dedicated patient care experience to the Atlanta community. A graduate of the Emory University residency program, Dr. An focuses on minimally invasive solutions for nasal and sinus problems, and is a leading expert in CPAP alternatives, particularly oral appliance therapy, for sleep apnea.

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