Treatment Options
Positive Airway Pressure (PAP) Therapy
Positive Airway Pressure (PAP) therapy is the most common, safe and effective form of treatment for OSA. A PAP device creates pressurized airflow, making it easier for you to breathe during sleep by keeping the upper airway open. PAP therapy is effective for mild, moderate, severe and very severe cases of OSA. CPAP users may experience dry mouth, nasal irritation or congestion for 1-2 weeks until they are assimilated to therapy.
Oral Appliance Therapy
Oral appliances are similar to a retainer, holding the lower jaw forward during sleep, increasing space for airflow in the upper airway. Oral appliances are only approved to treat mild or moderate cases of OSA. Side effects of oral appliances include dental pain, TMJ pain and jaw discomfort.
Surgery
The most common surgical procedure for OSA is uvulopa- latopharyngoplasty (UPPP), or the removal of the uvula and excess tissue around the soft palate, increasing the size of the airway and improving airflow. A second surgical procedure, genioglossal advancement (GA) may be required, which involves carving the lower jaw and moving it forward to open additional space in the upper airway. The success rate of surgery is about 50-70%. Risks of surgery include bleeding, infection and risks associated with general anesthesia.