CPAP is an acronym for Continuous Positive Airway Pressure.

The CPAP device is positioned near your bed and consists of a hose with a mask that is worn over the nose and/or mouth during sleep. An air-compressor delivers air through the mask into the airway, ensuring it remains open throughout the night. CPAP is widely regarded as the “gold standard” for managing sleep apnea due to its high effectiveness, particularly in controlled lab settings. In cases of severe OSA, CPAP may be the most effective and essential treatment option.

To be deemed “compliant” with CPAP treatment, the mask must be worn for a minimum of 4 hours per night, at least 21 days per month. However, even with this lenient definition, rates of CPAP compliance have been estimated as low as 17%*.

Surprisingly, more than 4 out of 5 CPAP users are non-compliant, meaning they are not effectively treating their condition and putting their well-being at risk each night. For patients who cannot tolerate CPAP or struggle with compliance, Oral Appliance Therapy offers an alternative treatment option. However, not every case qualifies for this therapy, and treatment decisions should be made in consultation with your primary care doctor and/or a board-certified sleep physician.

While CPAP has demonstrated greater effectiveness in reducing polysomnographic variables in lab settings, due to the higher compliance rate of Oral Appliance Therapy, their effectiveness is nearly equivalent in real-world scenarios.

Oral Appliance Therapy

Oral Appliance Therapy (OAT) employs a custom-fitted dental appliance, resembling a retainer, to promote unobstructed airflow during sleep. By positioning the lower jaw forward, it gently shifts the base of the tongue, ensuring the airway remains open throughout sleep. This compact, non-powered device requires no hoses or pumps and conveniently fits in the palm of your hand.