Alternatives to CPAP

The standard treatment for obstructive sleep apnea (OSA) is continuous positive airway pressure (CPAP), which involves wearing a mask during sleep. The mask conducts pressurized air through the nose, or through the nose and mouth, to the throat. The added pressure in the throat then keeps it from collapsing during sleep to enable normal breathing.

CPAP therapy, however, is not well tolerated by some. For these patients, surgical and non-surgical alternatives are available.

Surgical Alternatives to CPAP

Surgery may be an option for select patients with obstructive sleep apnea who are unable to tolerate CPAP. Surgeries are performed by an ear, nose and throat (ENT) surgeon or an oral and maxillofacial specialist.

Some OSA surgeries are designed to improve CPAP compliance, whereas others are designed to improve, and in some cases, cure sleep apnea.

Types of surgeries to improve or elimiate sleep apnea include those performed by an ear, nose and throat (ENT surgeon or an oral and maxillofacial specialist:

  • Surgeries Performed by an Ear, Nose and Throat (ENT): These include Trans Oral Robotic Surgery (TORS); the Inspire Hypoglossal Nerve Stimulator; uvulopalatopharyngoplasty (UP3); lateral pharyngoplasty or expansion sphicteroplasty (a variation of UP3); lingual tonsillectomy; palatal z-plasty; tongue reduction surgery; and thyrohyoidopexy.
  • Surgeries Performed by an Oral and Maxillofacial Specialist: These surgeries include maxillomandibular advancement (MMA) surgery; maxillomandibular expansion (MME) surgery; and genioglossus muscle advancement.

Visit our Surgical Alternatives to CPAP page to learn more about specific surgeries.

Non-Surgical Alternatives to CPAP

Sleep medicine dentists offer a non-surgical treatment for obstructive sleep apnea known as a sleep apnea oral appliance. The sleep apnea oral appliance is suitable for patients with mild to moderate obstructive sleep apnea who have attempted CPAP without improvement or who could not tolerate using CPAP and do not want to pursue a surgical approach.

The sleep apnea oral appliance is considered a secondary option to CPAP that could provide improved treatment results. 

Visit our Non-Surgical Alternatives to CPAP page to learn more about sleep apnea oral appliances.

Make an Appointment

To schedule an appointment at the multi-disciplinary Alternatives to CPAP Clinic, please call 734-936-9158. To find out more about what a visit to the clinic includes visit the Alternatives to CPAP Clinic page. A physician referral is required prior to your appointment date.