But many patients find that sleeping with the mouth guard is less uncomfortable than using a CPAP machine. The technical term for these devices is a mandibular slider. It is named because it works by pushing the lower jaw forward. which in most people keeps the airways open These devices are available in a wide variety of pharmacies. But dentists can design more efficient personal appliances. and make adjustments or adjustments when necessary. Patients in the Laryngoscope study were examined again after initial insertion. and the most necessary adjustments over a period of two to four weeks.
“We recommend prescription devices,” says Dr Benjamin. “And you should be retested to see how well it works. There are subjective and objective improvements that should be followed.”
But there are some people where neither the CPAP nor the dental device work. because it cannot be used consistently or accurately. or because the device itself cannot solve the problem even with proper use. for these patients There are several effective surgical procedures.
The most common soft tissue surgery is to modify or cut the tissue at the back of the mouth. It depends on the structure and muscles of the mouth. Surgeons can trim the soft palate and uvula, remove tonsils, and shrink tissue with heating. Straighten the septum separating the nasal cavity. or change the position of the tongue muscles All this has a purpose. of improving air flow
There is also a bone surgery that moves the jaw forward to make the entire breathing area larger. This is a procedure that may involve extended recovery periods.
In 2014, the Food and Drug Administration approved a device called the Inspire Upper Airway Stimulation. This is a small device that is implanted under the skin like a pacemaker. Using two electrical wires, it detects breathing patterns and stimulates the nerves that control the tongue to move the tongue out of the way and allow air to pass freely. The implant is a one-day surgical procedure that takes about two hours.
Dr. Maria V. Suurna, associate professor of otolaryngology at Weill Cornell Medicine, who specializes in sleep apnea surgery, said: “It doesn’t change the anatomy. And recovery is easier than other surgeries. “It’s effective. It has the lowest complication rate of all surgeries.