C-PAP Alternatives

C-PAP is the common treatment for Sleep Apnea. C-PAP pumps air through the nose, while you sleep, preventing the collapse of the airway. This is the treatment of choice for Severe Sleep Apnea. Unfortunately many people cannot tolerate it and abandon it after a short period of time. Here at Indy Snore Crushers we offer an effective and exciting C-PAP Alternative to traditional C-PAP treatment, Oral Appliance Therapy. An Oral Appliance holds the lower jaw forward and slightly open to help maintain an open airway reducing snoring & sleep apnea. Oral Appliances are an effective, comfortable and non-invasive alternative for patients with comfortable jaw movement and healthy natural teeth. The American Academy of Sleep Medicine states that oral appliance therapy is appropriate for patients with mild to moderate sleep apnea and patients who prefer them to continuous positive airway pressure (C-PAP) therapy, or who do not respond to, are not appropriate candidates for, or fail treatment attempts. Severe apnea patients can wear C-PAP in conjunction with an oral appliance to dramatically reduce the air pressure flow making C-PAP much more comfortable and effective!


C-PAP Intolerance (Continuous Positive Airway Pressure)

Continuous Positive Airway Pressure (C-PAP) is the most common long term treatment for sleep apnea. It is the gold standard for more severe sleep apnea and the treatment of choice of physicians and medical sleep specialists. At Indy Snore Crushers, we do not “hate” C-PAP like some other dental sleep organizations. With a little effort and proper follow-up, C-PAP can have good success. For those who cannot tolerate C-PAP we may be able to help you.

C-PAP requires the person to wear a mask, over the nose, during sleep. A small air compressor blows air through the mask into the nasal passages. The pressure is adjusted, during a titration sleep study, to keep the airway open during the night. C-PAP is the only 100% successful treatment for severe sleep apnea.

C-PAP is often successful in treating sleep apnea. Men are more tolerant to C-PAP than women. Patients rarely wear it for an entire night. Many people find C-PAP an undesirable treatment because of discomfort or claustrophobia. While C-PAP is certainly effective, it is often unsuccessful because of noncompliance. It has been estimated that 80% of patients are non-compliant after one year. The compliance of an oral appliance is over 90% after one year.

C-PAP Compliance

Figures vary regarding C-PAP compliance. This is certainly a serious problem. While the advantage of this device is that it is nearly always 100% successful when utilized, literature suggests that 30%-40% of users become non-compliant within 90 days. Going to bed with this device every night is not going to be acceptable to many younger men and women. The majority of C-PAP users are older men who are obese, have severe sleep apnea and find a tremendous improvement in their quality of life and sleep when they wear the C-PAP on a regular basis. 50% of patients reject C-PAP before they even take it home for a trial. On average patients only wear C-PAP for 4-5 hours per night, 5 days a week. This rate of wear will not eliminate all the symptoms of snoring & sleep apnea or prevent the associated medical problems.

Reasons Given For C-PAP Intolerance:

• Claustrophobia
• Discomfort with the mask
• Air blowing past the mask into the eyes
• Noise
• Restriction of movement during sleep
• Pressure sores around the nose
• Sinus congestion
• Upper airway infections
• Sore throat
• Bloating of the stomach from swallowed air
• Headaches from the mask straps
• Irritation of the nose and face
• Difficulty going to sleep
• Deprivation of sleep
• Difficulty breathing against the air pressure
• Social embarrassment
• Bed partner objection
• Difficult to travel with

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