Management of complications of oral appliance therapy for snoring and obstructive sleep apnea

Jo,  Jung-Hwan

J Korean Dent Assoc > Volume 57(5); 2019 > Article

The Journal of The Korean Dental Association 2019;57(5):270-278.
Published online May 31, 2019.

코골이 및 폐쇄성 수면무호흡증의 구강내 장치 치료시 부작용 및 관리

조정환

서울대학교치과병원 구강내과

Management of complications of oral appliance therapy for snoring and obstructive sleep apnea

Jung-Hwan Jo

Department of Oral Medicine, Seoul National University Dental Hospital

Abstract

Oral appliances therapy is becoming increasingly recognized as a successful treatment for snoring and obstructive sleep apnea(OSA). Compared with continuous positive airway pressure(CPAP), the gold standard therapy for OSA, oral appliance therapy are less efficacious for severe OSA but are more acceptable and tolerable for patients, which in turn, may lead to a comparable level of therapeutic effectiveness. Nevertheless, the various side effects of oral appliance therapy, such as, increased salivation or dryness, pain or discomfort in the teeth or gums, occlusal discomfort in the morning, temporomandibular disorders, dental and occlusal changes may cause discontinuation of treatment or changes in treatment plan. Therefore, oral appliance therapy should be provided by a qualified dentist who can evaluate oral tissues, occlusion, and temporomandibular joints, and prevent and manage the possible side effects.

Key Words: Snoring;Obstructive sleep apnea (OSA);Oral appliance;Complications;Occlusal changes;Dental changes;Temporomandibular disorders;