re: Sleep apnea treatment options

I'm the dentist from earlier. There are 2 options and 2 options ONLY that work. And they are all based on what your Apnea-Hypopnea Index...which is obtained from a sleep study. If that number, which is the number of times per hour that you either stop breathing or struggle to breath,is above 30-35 then you are best served with a CPAP.If that number is less, then it's very acceptable to use an oral appliance...of which there are MANY. I've been in practice for 30 years and treated this condition for over 20 years...I've prescribed nearly every lab fabricated option out there. They either cannot be adjusted as much as many patients need or they are too flimsy...or both. That's why I ONLY prescribe the appliance I mentioned earlier. It's known as The Moses...named after the dentist who invented it, Dr Allen Moses.
It's also important to know if there is a condition present known as central apnea...which cannot be treated with an oral appliance at all...best treated with a BIPAP.
I WOULD CONFIDENCE prescribing an oral appliance to a patient if they just refused to do a sleep study...or just refuse to wear a CPAP.In that instance an oral appliance is better than a patient doing nothing.