We've got a little followup this week about appliances for snoring/sleep apnea. First off, a clarification.
Dr. Virginia Hughson-Otte wrote in to say:
"There are NO proven, safe, useful OTC apnea devices. I surely would NEVER recommend to my patients to EVER get an OTC device for sleep apnea."
Last week, when we talked about a sleep apnea appliance that "fits more loosely (like an over-the-counter sport mouthguard)," that was just an analogy to describe the looseness of the fit. Obviously, an actual OTC sport mouthguard shouldn't be used as a sleep apnea appliance. Thanks for pointing out the potential for confusion there, Dr. Hughson-Otte.
Dr. Hughson-Otte also wrote:
"I'm a fan of the aveoTSD during ClearCorrect therapy... In fact the CPAP machine can actually produce some much anterior pressure you'll end up fighting this with your aligners also and it can prolong TX."
More than one doctor gave us positive feedback about the aveoTSD device. Dr. Marion N. Wilson wrote:
"aveoTSD works great in place of the custom fitted appliances while wearing aligners. It is a good alternative during TX. In fact I use it extensively for my patients who will not use their CPAP machines."
We contacted Glidewell Laboratories, the US distributor of the aveoTSD, to ask them about using the device with clear aligners. Jim Shuck, their VP of Sales & Marketing, responded:
"I personally wear clear retainers myself along with the aveoTSD virtually every night. The intra-oral dimension of the aveoTSD is very thin and since your tongue is held between your upper and lower teeth inside the silicone bulb it is completely comfortable and effectively keeps my airway open so I do not snore."
He also offered a promotional discount for ClearCorrect providers. If you're interested, you can order the aveoTSD here:
$39 off one aveoTSD device for ClearCorrect providers
We should point out that, although clinical trials in other countries have found the aveoTSD effective for mild to moderate obstructive sleep apnea, the FDA has only cleared it for use as an anti-snoring device in the United States.
We have no affiliation with Glidewell Laboratories, and we aren't getting any financial compensation from them. We have not tested the aveoTSD ourselves, so we can't recommend for or against using it. We're just passing along the feedback we've received.