Suffolk Reporter

Michelle Sands, Sleep Apnea Director at Silent Night Therapy (SNT), stated that patients now prefer oral appliances over CPAP machines to treat sleep apnea due to the inhalation risks associated with CPAP technology.

"Philips Respironics recalled millions of units because it was found that there was foam that was breaking down and being inhaled into the lungs," said Michelle Sands, Silent Night Therapy’s Sleep Apnea Director. "Patients now prefer oral appliances over CPAP because of its risks. In this climate of doubt, I can say an oral appliance is a noninvasive and compelling alternative."

USA Today reported that Philips Respironics recalled millions of CPAP devices in 2021 after discovering foam breaking down and being inhaled into the lungs. Following this, the medical device company reached a settlement in April to pay $1.1 billion to cover hundreds of personal injury lawsuits linked to its respiration and sleep apnea machines.

Oral appliances offer several advantages over CPAP therapy. They are compact, portable, and easier to use, making them ideal for travelers or those who struggle with CPAP's bulkiness. Additionally, oral appliances are quieter, eliminating the noise associated with CPAP machines, which can disrupt sleep for the user and their partner. A study published in the Journal of Dental Sleep Medicine highlights high compliance rates among patients using oral appliances, citing comfort and convenience as primary reasons.

One of the most common complaints among CPAP users is discomfort, often stemming from the mask and headgear. This discomfort can lead to non-compliance, with some studies reporting up to 50% of patients discontinuing CPAP therapy within the first year. According to a review published in the Journal of Clinical Sleep Medicine, these challenges emphasize the need for alternative treatment options like oral appliances.

Sands said the oral appliance gently repositions the lower jaw and, although not perfect, patients usually adapt to it over time. Custom-fitted for comfort, the appliance undergoes gradual adjustments to avoid jaw strain, with progress checked in follow-up appointments. It's easy to maintain with simple cleaning and a weekly soak in denture cleaner. "Most appliances come with a three-year warranty and don't require part replacements, making them a cost-effective and low-maintenance alternative to CPAP machines," said Sands.

According to the Silent Night Therapy website, throughout her 25-year career, Sands has assumed various roles including hygiene team lead, hygiene team trainer, and clinical director. Currently, she holds the position of Sleep Apnea Director.