CPAP Alternatives for Sleep Apnea

CPAP is a machine that blows air through a mask to keep your airway open. It is the gold standard (best proven) treatment for obstructive sleep apnea (OSA), but it is not the only option. If CPAP has been hard for you, several proven options can treat your sleep apnea well.

What are oral appliances?

These are custom-fitted mouth guards. They move your lower jaw and tongue forward to keep your airway open. They work best for mild to moderate OSA. A dentist trained in dental sleep medicine fits them.

What is Inspire therapy?

Inspire is a device placed inside your body, so it is a surgical option. It stimulates the hypoglossal nerve (the nerve that moves your tongue) to keep your airway open. It is for people with moderate to severe OSA who cannot get used to CPAP.

Can sleep position or weight loss help?

• Positional therapy — Some people have sleep apnea mostly when they sleep on their back. Special devices or pillows help you sleep on your side.
• Weight management — Losing even 10% of your body weight can greatly improve mild to moderate sleep apnea. It may even make it go away.

What surgeries can help?

• UPPP — Removes extra tissue from the throat
• Jaw advancement (MMA) — Moves the upper and lower jaw forward
• Tongue reduction — Makes the tongue smaller
• Nasal surgery — Helps air flow through the nose

How do you choose the right option?

The best option depends on how severe your sleep apnea is. It also depends on the shape of your airway. Talk about all your options with your sleep specialist.