Do Oral Appliances for Snoring & Sleep Apnea Mess Up Your Teeth?
Dr. Peter Balacky, DDS
Oral appliance therapy, particularly custom-made mandibular advancement devices (MADs), is a proven and effective treatment for obstructive sleep apnea (OSA) and snoring. These devices work by gently repositioning the lower jaw forward to keep the airway open during sleep, allowing for proper breathing. However, a common concern among patients is whether these devices can affect their teeth, bite, or overall dental health.
Tooth Movement and Bite Changes: A Possible Side Effect
It is true that some patients using oral appliances for OSA or snoring may experience side effects such as tooth movement or changes in their bite (also known as occlusal changes). These effects occur because the appliance applies continuous pressure on the teeth and jaw, which can lead to gradual adjustments over time.
However, the incidence of these side effects is not as common as many fear. According to research and patient reports, the majority of users experience little to no significant dental changes. And for those who do notice some movement or bite alteration, these changes are often minor and gradual, not severe enough to cause functional or aesthetic issues.
Airway Is King: The Bigger Picture
When considering the use of an oral appliance, it’s essential to weigh the pros and cons. While slight changes in tooth alignment or bite might occur, the benefits of treating OSA far outweigh these concerns. As some doctors say, "Would you rather breathe properly at night or have a pretty smile and set of teeth in your coffin?" This provocative statement highlights an important reality: untreated OSA can lead to life-threatening health complications such as heart disease, stroke, and diabetes. Addressing snoring and OSA ensures not only better sleep but also long-term health and well-being.
Most patients who notice slight changes in their bite or teeth find these effects to be manageable, especially compared to the drastic improvements in their breathing, sleep quality, and overall energy levels. In short, while tooth movement is a potential side effect, it is typically minor and does not outweigh the critical importance of maintaining an open airway during sleep.
Why Screening Matters
Before starting oral appliance therapy, it’s crucial that patients are screened by a dental professional. Not every patient is an ideal candidate for this therapy, and a thorough evaluation will determine whether an oral appliance is appropriate based on the patient’s dental health, bite alignment, and other factors.
Proper screening ensures that any potential side effects, like tooth movement, can be minimized, and the patient’s dental health is monitored throughout treatment. Ongoing follow-ups with a dental professional will also help address any concerns that may arise during the use of the device.
Daybreak’s At-Home Testing and Treatment
At Daybreak, we offer a convenient, fully at-home solution for diagnosing and treating OSA and snoring. Our process includes an FDA-cleared sleep test and, when appropriate, oral appliance therapy. By working with both dental and medical professionals, we ensure that each patient is thoroughly evaluated to determine if they are a good candidate for oral appliance therapy.
If you're ready to prioritize your health and sleep quality over concerns about minor dental changes, our team is here to help. With our easy at-home sleep testing and custom-made oral appliances, you can experience the benefits of better breathing and better sleep without the hassle of multiple in-office visits.
In the end, while oral appliances for snoring and OSA do carry the possibility of dental side effects, the priority should always be your airway health. Remember, when it comes to your well-being, airway is king.