3 KINDS OF APPLIANCES

The patient inserts their tongue into the bulb at the front of the appliance. This device is sealed at the front so that the patient must be able to breathe quite well through the nose in order to use it. Also, the patient cannot swallow very easily when wearing it.

The flange is intended to hold the tongue out of the airway. The patient cannot swallow when using this type of device. Also, the flange can cause obstruction of small upper airways (a common finding in OSA). These devices are unsafe.

Device that Advances the Mandible

There are many variations on the theme. The best ones allow for gradual advancement of the mandible and permit some movement of the jaw. The particular device shown is called the Silencer.