Types of oral appliances

1. What is an oral appliance?

In dentistry and oral health, oral appliances play an important role. These appliances can be removable or fixed and are used to protect teeth and gums, change the position of the jaw or help treat sleep disorders such as sleep apnea.

The most common types of oral appliances are orthodontic appliances (such as braces and clear aligners), mouthguards, mandibular elevation devices (MEDs), and tongue depressors.

1.1. Orthodontic appliances

Tool orthodontics used to help align teeth, improve oral functions such as chewing and speaking, and enhance the aesthetics of a smile. Braces, retainers, jaw expanders, and orthodontic appliances fall into this category.

1.2. Mouthguard

Has a protective function, used mainly in sports to protect teeth and gums from injury, as well as in everyday life to prevent teeth grinding at night.

1.3. Mandibular advancement appliance (MED) and tongue retainer

Often prescribed to control sleep disorders, especially obstructive sleep apnea (OSA) and snoring. These appliances move the lower jaw or tongue forward to keep the airway open during sleep.

2. Advantages and disadvantages of oral appliances

2.1. Advantages

Oral appliances are often a non-invasive, cost-effective, and easy-to-use solution to oral health problems. They can be customized to fit your mouth perfectly, ensuring comfort and effectiveness. Additionally, many appliances are removable and easy to clean, making them a convenient option for many people.

2.2. Disadvantages

However, like any medical treatment, oral appliances can have some side effects or drawbacks, such as discomfort, dry mouth, or excessive salivation, especially in the first few days of use. Some people may also experience temporary changes in their bite.

Point 5 below will further highlight the side effects associated with the use of oral appliances.

Although some oral appliances can be purchased over-the-counter, it is recommended that you have a custom-made appliance from a dental professional. This ensures that the appliance fits properly, works effectively, and does not harm your oral health.

In short, oral appliances are devices designed to protect, correct, or enhance your oral health. Whether you want to straighten your teeth, protect your mouth during sports, stop grinding your teeth, or control a sleep disorder, there is a chance that an oral appliance can help. Consult with your dentist at Sakura to determine which type of oral appliance is best for your needs.

3. How do oral appliances work?

3.1. Sleep apnea and snoring

The most common type of oral appliance used to treat sleep apnea and snoring is the mandibular advancement appliance (MED). This appliance is similar to a sports mouthguard but is more rigid and is worn while sleeping. It works by gently pushing the lower jaw forward and down, helping to keep the airway open. In this way, it helps reduce the frequency of sleep apnea episodes and reduces snoring.

3.2. Temporomandibular joint disorder (TMD)

Oral appliances used for TMD (temporomandibular joint disorder) are often called occlusal splints or occlusal guards. They help by creating a physical barrier between your upper and lower teeth to relieve pressure on your jaw joint, reducing pain and discomfort. They also help prevent tooth wear from grinding.

3.3. Teeth grinding

Like TMD, it is possible to treatment of bruxism with an oral appliance called a night guard. They are designed to protect teeth from the damaging effects of teeth grinding. They work by creating a cushion between the upper and lower teeth, preventing direct contact and reducing the pressure and friction that can damage teeth.

3.4. Malocclusion

Orthodontic appliances such as braces and retainers are used to correct malocclusion, a condition in which teeth are not aligned properly. These appliances work by applying gentle, continuous pressure to gradually move teeth into their ideal position.

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4. Who needs to use oral appliances?

4.1. People with sleep apnea

Sleep apnea is a serious condition that disrupts breathing during sleep. This can lead to a variety of health problems, including heart disease, high blood pressure, and stroke. An oral appliance called a mandibular advancement appliance (MED) can be particularly helpful for people with sleep apnea. This appliance gently pushes the lower jaw forward, reducing the risk of airway obstruction during sleep.

4.2. People who snore

Snoring can be more than just a nighttime annoyance. It can also be a sign of obstructive sleep apnea. Even if it's not a sign of a more serious condition, chronic snoring can disrupt your sleep and leave you tired during the day. Anti-snoring device can help keep airways open and reduce snoring.

4.3. People with teeth grinding

Teeth grinding is a common problem that can lead to tooth damage and jaw pain. A night guard is a solution for people who grind their teeth, creating a barrier between the upper and lower teeth, preventing them from hitting each other.

4.4. People with temporomandibular joint disorder (TMJ)

Temporomandibular joint arthritis, or temporomandibular joint (TMJ), can cause pain in the jaw joint and the muscles that control jaw movement. Oral appliances can help relieve pressure on the jaw joint and muscles, reducing pain and discomfort associated with TMJ.

4.5. Athletes

Oral appliances aren't just for sleep-related problems. There are oral appliances used by athletes to protect their teeth during high-impact sports. These mouth guard for sports can prevent injuries like chipped or broken teeth and even protect against more serious injuries like jaw fractures.

4.6. People undergoing orthodontic treatment

Orthodontic treatment such as braces sometimes still requires oral appliances such as jaw expanders, tongue depressors, etc.

5. How to care for your oral appliance?

The effectiveness and longevity of oral appliances depend greatly on how we care for them. Proper care can prevent damage, prolong their life, and ensure they continue to perform their functions well.

5.1. Cleaning the appliance in the mouth

Cleaning your oral appliance regularly is the first step in maintaining it. Most oral appliances are made of plastic or silicone materials that can harbor bacteria if not cleaned properly. Therefore, cleaning will maintain your appliance and protect your oral health.

5.1.1. Daily cleaning

Rinse your oral appliance with warm water to remove debris and bacteria after each use. But avoid using hot water as this can cause the appliance to deform.

5.1.2. Weekly thorough cleaning

Soak your oral appliance in denture cleaning solution or a mixture of vinegar and water at least once a week. Make sure the appliance is completely submerged and soak it according to the manufacturer's recommendations. This process can help remove stains and kill bacteria.

5.1.3. Brushing teeth

Gently brush your appliance with a soft toothbrush and non-abrasive toothpaste or soap. Make sure you reach all corners and surfaces. However, avoid brushing too hard as this can cause scratches.

5.2. Storage of oral appliances

Proper care is important to maintain the shape and function of your oral appliance. Here are tips for caring for your oral appliance.

5.2.1. Moisturizing

Always keep your appliance moist in your mouth when not in use. Dry conditions can cause some materials to warp or crack. You can store it in a humidifier.

5.2.2. Use suitable containers

Most oral appliances come with a protective case. Always store your appliance when not in use.

5.2.3. Avoid direct sunlight and heat

Exposing your oral appliance to direct sunlight or heat can cause it to lose its shape. Always store it in a cool, shady place.

5.3. Regular inspection

Finally, regular dental checkups are essential to maintaining your appliance in your mouth. Your dentist can identify any signs of wear and tear and recommend replacement or adjustment as needed. It also provides an opportunity to ensure that your appliance is functioning properly and maintaining your oral health.

6. How often do I need to replace my oral appliance?

6.1. Type of instrument

Different types of oral appliances have different lifespans. For example, mouthguards used for sports or to prevent teeth grinding while sleeping may need to be replaced every year, depending on how often they are used.

6.2. Frequency of use

The more often an oral appliance is used, the faster it will wear out. For example, if you wear a night guard every night, it may need to be replaced sooner than if you only wear it occasionally.

6.3. Care and maintenance

How well you care for your oral appliance will greatly affect its longevity. Any oral appliance needs to be cleaned regularly to prevent the build-up of bacteria and plaque. It is also important to store your appliance properly when not in use. For example, dentures should be kept moist when not in use to prevent them from drying out and changing shape.

6.4. Your oral health status

Changes in your oral health may require you to replace your appliance. For example, if you lose or gain weight, the shape of your mouth may change, requiring you to get a new appliance. Likewise, you will need a new appliance if you have teeth removed or new teeth added (through procedures such as implants).

In general, it is necessary to have your oral appliance checked by a professional at least once a year. They can assess the condition of the appliance and let you know if it is time to replace it.

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7. How much will I have to pay for my oral appliance?

The cost of an oral appliance can vary significantly based on several key factors.

7.1. Type of instrument

There are several different types of oral appliances available, ranging from simple over-the-counter solutions to custom-fit appliances designed by dental professionals.

7.2. Supplier

The cost of appliances can also vary depending on the treatment provider. Appliances from a general dentist may cost less than appliances from a specialist such as an orthodontist or prosthodontist.

7.3. Payment from insurance

Whether or not your insurance covers the cost of your oral appliance can make a big difference. Many insurance companies will cover at least part of the cost of medically necessary appliances, such as those used to treat sleep apnea. However, coverage can vary widely, so it's important to check with your insurance company.

8. Compare oral appliance solutions with CPAP solutions

8.1. Advantages of CPAP (Continuous Positive Airway Pressure)

CPAP, the most common treatment for sleep apnea, delivers a continuous stream of pressurized air to keep the airway open. This treatment is typically used for moderate to severe cases of sleep apnea.

CPAP is considered the gold standard for treating sleep apnea due to its high effectiveness. It can significantly reduce or even eliminate apnea episodes, improve sleep quality, and reduce daytime sleepiness. However, its effectiveness is closely tied to compliance, which can be difficult for some users due to discomfort or inconvenience.

8.2. Disadvantages of CPAP

While CPAP is highly effective, it may not be the most comfortable or convenient option for everyone. Users often complain about discomfort from the mask, noise from the machine, or difficulty moving around with the device. These factors can significantly impact patient compliance.

Using CPAP can also lead to side effects such as nasal congestion, dry mouth, skin irritation, and chest discomfort. However, these side effects can usually be managed by adjusting the machine or using additional devices such as a humidifier.

8.3. Which solution is better, an oral appliance or CPAP?

When comparing oral appliances to CPAP machines, the severity of sleep apnea, comfort, and lifestyle of the user must be considered. While CPAP is highly effective for moderate to severe cases, its use can be hampered by discomfort and inconvenience. On the other hand, although less effective for severe cases, oral appliances offer significant advantages in terms of comfort and convenience.

Ultimately, the choice between an oral appliance and a CPAP machine should be made in consultation with your healthcare provider. The decision should be based on individual needs, preferences, and ability to comply. Both treatments can significantly improve sleep quality and overall health when used properly, although each has some potential side effects.

In addition, there are now combination therapies that can effectively treat snoring and obstructive sleep apnea (OSA), including severe OSA.

Customers can contact Sakura for more details.