Sleep Apnea and Tongue Retaining Devices: Experts Weigh In

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Sleep apnea is a serious sleep disorder that affects millions of people worldwide. It is characterized by pauses in breathing or shallow breaths during sleep, which can lead to a decrease in oxygen levels in the body. This condition not only disrupts the quality of sleep but also poses significant health risks, such as heart disease, stroke, and diabetes. While continuous positive airway pressure (CPAP) therapy is the most commonly prescribed treatment for sleep apnea, it is not always well-tolerated by patients. As a result, many people with sleep apnea are turning to tongue retaining devices (TRDs) as an alternative treatment. In this blog post, we will dive deeper into the world of sleep apnea and TRDs, and hear from experts about their thoughts on this treatment option.

What is Sleep Apnea?

Before delving into the effectiveness of TRDs, it is essential to understand what sleep apnea is and how it affects the body. Sleep apnea is a sleep disorder where the muscles in the throat relax, causing the airway to become blocked. This can lead to pauses in breathing, which can last from a few seconds to minutes. These pauses can occur numerous times throughout the night, disrupting the normal sleep pattern and causing the person to wake up briefly. This constant interruption in sleep can result in daytime fatigue, irritability, and difficulty concentrating.

There are three types of sleep apnea: obstructive sleep apnea (OSA), central sleep apnea (CSA), and complex sleep apnea syndrome (CSAS). OSA is the most common type, where the airway becomes blocked due to the relaxation of throat muscles. On the other hand, CSA is caused by a malfunction in the brain’s signals to control breathing. CSAS is a combination of both OSA and CSA. While the causes of sleep apnea may vary, the most common risk factors include obesity, smoking, nasal congestion, and family history.

What are Tongue Retaining Devices?

Tongue retaining devices (TRDs) are oral appliances that are designed to keep the tongue in a forward position during sleep. They are similar to mouthguards and are worn in the mouth while sleeping. The purpose of TRDs is to prevent the tongue from falling back and blocking the airway, thus reducing sleep apnea symptoms. TRDs are made of soft, flexible materials and are custom-fit for each individual to ensure comfort and effectiveness.

TRDs work by creating a vacuum seal around the tongue, keeping it in place throughout the night. This allows for a clear airway and reduces the risk of pauses in breathing. Unlike CPAP machines, TRDs do not require electricity or make any noise, making them a more discreet and travel-friendly option. They are also relatively affordable compared to other sleep apnea treatments.

Sleep Apnea and Tongue Retaining Devices: Experts Weigh In

Expert Opinions on TRDs

To get a better understanding of TRDs and their effectiveness in treating sleep apnea, we spoke with Dr. Ronald Popper, a board-certified sleep specialist and founder of the Southern California Pulmonary and Sleep Disorders Medical Center. According to Dr. Popper, “TRDs are a viable option for patients with mild to moderate OSA who are unable to tolerate CPAP therapy.” He also mentioned that “TRDs work by keeping the tongue in a more forward position, which opens up the airway and reduces the severity of sleep apnea.”

Dr. Popper also highlighted the importance of proper fitting and follow-up with a sleep specialist when using TRDs. “It is crucial to have a custom-fit TRD and regular follow-ups to ensure its effectiveness and make any necessary adjustments,” he said. He also noted that TRDs may not be suitable for patients with severe OSA or those who have a history of jaw problems.

We also spoke with Dr. Michael Gelb, a sleep specialist and creator of the Gelb Center for TMJ, Sleep, and Headache Disorders. Dr. Gelb shared his experience with using TRDs for sleep apnea patients. “TRDs have been a game-changer for patients who cannot tolerate CPAP or are looking for a more comfortable and portable option,” he said. “They have provided significant improvement in sleep quality and overall health for many of my patients.”

However, Dr. Gelb also stressed the importance of proper diagnosis and monitoring when using TRDs. “It is crucial to have a sleep study to determine the severity of sleep apnea and regular follow-ups to ensure the effectiveness of the treatment,” he said. He also mentioned that TRDs may not be suitable for everyone and that it is essential to work closely with a sleep specialist to find the right treatment plan for each individual.

Summary

Sleep apnea is a common and potentially serious sleep disorder that can have a significant impact on a person’s overall health and well-being. While CPAP therapy is the most prescribed treatment for sleep apnea, it is not suitable for everyone. This has led many people to explore alternative options, such as tongue retaining devices (TRDs). TRDs work by keeping the tongue in a forward position, preventing it from blocking the airway during sleep. While TRDs have shown promising results for those with mild to moderate OSA, it is essential to work closely with a sleep specialist to ensure proper diagnosis, fitting, and follow-up. TRDs may not be suitable for everyone, and it is crucial to find the right treatment plan for each individual.

In conclusion, TRDs are a viable alternative for those who cannot tolerate CPAP therapy or are looking for a more comfortable and portable option. However, proper diagnosis, fitting, and follow-up are crucial for their effectiveness, and it is essential to work closely with a sleep specialist when considering this treatment. If you are struggling with sleep apnea, consult with a sleep specialist to determine the best course of action for your specific needs.

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