A 49 year old adult male has been diagnosed with mild to moderate OSA. The patient was given several therapeutic options including positive pressure therapy and also oral appliance therapy. The patient was leaning towards the oral appliance however primary concerns were perceived gag sensitivity and cost of custom appliance, CPAP therapy was initiated at a pressure of 7.0 cm H2O, after some months patient was unable to meet compliance standards.
The patient was fitted with an ApneaRx transitional appliance as a method of testing the patients ability to tolerate an oral appliance and to predict a therapeutic outcome.
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Epworth of 14
Noted snoring and pauses in breathing by spouse.
BMI of 30.5
No medical co-morbidities
Patient demonstrated mild overall OSA with an AHI of 11/hr and
and AHI of 15\hr while supine. The lowest desaturation was 83%
The patient’s response was constant with a oral appliance responder. A referral to a sleep disorders dentist was provided and the patient is now managed dentally for his sleep disordered breathing.