ORAL APPLIANCE THERAPY FOR OSA/SNORING |
QUESTIONS AND ANSWERS | 2025/2026 UPDATE |
100% CORRECT
True or False, patients with mild to moderate OSA can choose to get a CPAP as
their first line treatment after behavioral treatment? Answer - True
What year was the first oral appliance used to reposition the mandible?
Answer - 1934
In what year were oral appliances first written into the sleep medicine
guidelines? Answer - 1995
All the studies used to show the use and results of oral appliances for sleep
were what level of evidence? Answer - Level 5
How the oral appliances for OSA work? Answer - They prevent he
oropharyngeal tissues and the base of the tongue from collapasing and
obstructing the upper airway
Describe the process of a medical diagnosis for OSA Answer - - Medical
evaluation prior to oral appliance therapy
- Provide baseline and establish effectiveness of treatment
, What are some indications for oral appliances? Answer - - Primary snoring
without OSA that do not respond to behavioral changes
- CPAP intolerance
- Surgical contraindications
What are the indications for oral appliances in severe OSA? Answer - - Only
after the initial trial of nasal CPAP
- After consideration/performance of upper airway surgery
When may upper airway surgery supersede appliance therapy in OSA? Answer
- When surgery is predicted to be a highly effective treatment
What was added in 2009 into the AASM clinical guidelines? Answer - A
thorough dental exam must be performed prior to oral appliance therapy
True or False, a cephalometric evaluation of a patient is needed prior to oral
appliance therapy? Answer - False, they are not always required and only
performed when deemed necesary
What is the follow up testing for oral appliance therapy in primary snorer's and
OSA patient's? Answer - - No follow up sleep testing for primary snorer's
- Repeat sleep study for OSA patients
After optimal fit and efficacy for OAT's has been established what is the follow-
up protocol? Answer - Follow up with a dental specialist every 6 months and at
least annually therafter
What is ambulatory sleep testing? Answer - Unattended portable monitors
which may be indicated to monitor response to non-CPAP treatments,
including appliances
QUESTIONS AND ANSWERS | 2025/2026 UPDATE |
100% CORRECT
True or False, patients with mild to moderate OSA can choose to get a CPAP as
their first line treatment after behavioral treatment? Answer - True
What year was the first oral appliance used to reposition the mandible?
Answer - 1934
In what year were oral appliances first written into the sleep medicine
guidelines? Answer - 1995
All the studies used to show the use and results of oral appliances for sleep
were what level of evidence? Answer - Level 5
How the oral appliances for OSA work? Answer - They prevent he
oropharyngeal tissues and the base of the tongue from collapasing and
obstructing the upper airway
Describe the process of a medical diagnosis for OSA Answer - - Medical
evaluation prior to oral appliance therapy
- Provide baseline and establish effectiveness of treatment
, What are some indications for oral appliances? Answer - - Primary snoring
without OSA that do not respond to behavioral changes
- CPAP intolerance
- Surgical contraindications
What are the indications for oral appliances in severe OSA? Answer - - Only
after the initial trial of nasal CPAP
- After consideration/performance of upper airway surgery
When may upper airway surgery supersede appliance therapy in OSA? Answer
- When surgery is predicted to be a highly effective treatment
What was added in 2009 into the AASM clinical guidelines? Answer - A
thorough dental exam must be performed prior to oral appliance therapy
True or False, a cephalometric evaluation of a patient is needed prior to oral
appliance therapy? Answer - False, they are not always required and only
performed when deemed necesary
What is the follow up testing for oral appliance therapy in primary snorer's and
OSA patient's? Answer - - No follow up sleep testing for primary snorer's
- Repeat sleep study for OSA patients
After optimal fit and efficacy for OAT's has been established what is the follow-
up protocol? Answer - Follow up with a dental specialist every 6 months and at
least annually therafter
What is ambulatory sleep testing? Answer - Unattended portable monitors
which may be indicated to monitor response to non-CPAP treatments,
including appliances
