博仁國際醫療
Service Introduction
Service
Obstructive-sleep-apnea characterized by repetitive episodes of pharyngeal airway collapse resulting in decreased airflow despite ongoing respiratory effort during sleep.   
American Academy of Sleep Medicine (AAOSM) recommended oral appliances for use in patients with primary snoring and mild to moderate OSA.It can be used in patients with a lesser degree of oxygen saturation, relatively less day time sleepiness, lower frequency of apnea, those who intolerant of CPAP, or those who refuse surgery.
The membership of our dept. had joined the research of NTU sleep center and other dept, to develop the new oral appliance. We also joined the sleep conference at Taipei every month and the morning meeting with NTU sleep center technicians. We had finished about 400 cases who had the problems of sleep, and the success rate up to 95%.
 

Risks
Initial stage, patients (about 30%) would fell mucscle pain on bilateral masseter muscle, this situation would dispear about used the oral applicane one month later.
 
Routine PSG check when wearing the oral appliance to make the appliance work well.
 

Self-care Instruction
Before wear the oral appliance, using tooth brush to cleaning the surface.
Don’t use hot water to clean the appliance.
Cleaning the oral appliance carefully. 

 
Successful Case
The 55 y/o male patient came to our dept., complained about the snore and sleep apnea during the sleep time. So check up this patient oral condition, then suggest him to wear the oral appliance to improve the snore and the SPO2. After 3 months wear the oral appliance, the patient PSG data show that SPO2 from initial 83% up to 97%, the snore noise was disappear. The AHI score also become normal.