An Oral Appliance Does Not Improve Sleep in Patients with Less Severe Sleep Apnea


Am Fam Physician. 2015 Dec 1;92(11):1021-1022.

Clinical Question

Can an oral appliance decrease snoring, improve quality of life, and decrease daytime sleepiness with mild to moderate obstructive sleep apnea?

Bottom Line

An oral appliance does not improve daytime sleepiness or other measures of a good night's sleep. It does, however, decrease apnea scores, snoring, and restless legs. Although not studied, these improvements may be valuable for bed partners who sleep each night enduring patients' lower limb restlessness and breathing irregularities ranging from loud snoring to silence until breathing resumes. (Level of Evidence = 1b)


The Swedish researchers evaluated the e

POEMs (patient-oriented evidence that matters) are provided by EssentialEvidence Plus, a point-of-care clinical decision support system published by Wiley-Blackwell. For more information, please see http://www.essentialevidenceplus.com. Copyright Wiley-Blackwell. Used with permission.

For definitions of levels of evidence used in POEMs, see http://www.essentialevidenceplus.com/product/ebm_loe.cfm?show=oxford.

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This series is coordinated by Sumi Sexton, MD, Associate Deputy Editor.

A collection of POEMs published in AFP is available at http://www.aafp.org/afp/poems.


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Dec 1, 2016

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