Diagnosis and Treatment of Obstructive Sleep Apnea in Adults
Background: Treatment of Obstructive Sleep Apnea (1 of 2)
Obstructive sleep apnea (OSA) is commonly treated with continuous positive airway pressure (CPAP), but many patients refuse to use CPAP therapy, do not tolerate it, or fail to use it properly. There are various types of CPAP that allow for choices regarding fit, air pressure, humidity, and oral versus nasal. Oral devices can also be used to treat OSA, most commonly mandibular advancement devices (MADs). MADs are generally fitted by a dentist and come in various designs to allow for choices about the degree of mandibular advancement, adjustment options, material, fit, tongue stabilization, and intraoral versus extraoral placement. The American Academy of Sleep Medicine recommends oral appliances for patients with mild to moderate OSA who prefer the oral appliance to CPAP, do not respond to CPAP, cannot have CPAP for various reasons, or who fail CPAP.
Keywords: continuous positive airway pressure | CPAP | MAD | mandibular advancement device | oral device | treatment | standards
- Balk EM, Moorthy D, Obadan NO, et al. Diagnosis and Treatment of Obstructive Sleep Apnea in Adults. Comparative Effectiveness Review No. 32 (Prepared by Tufts Evidence-based Practice Center under Contract No. 290-2007-10055-I). Rockville, MD: Agency for Healthcare Research and Quality; July 2011. AHRQ Publication No. 11-EHC052-EF.
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