Comfortable and effective CPAP alternative

A comfortable, custom made SomnoDent oral appliance is a clinically proven and effective treatment for mild and moderate OSA and for those patients with severe OSA that can’t tolerate or won’t try CPAP.  

Imagine the dawn of a new era in oral appliance therapy

Imagine if you could be assured that your patient received an oral device from their dentist. Assured they were being treated adequately with an oral appliance? Assured they were being compliant and happy with their therapy?

OSA/ Hypopnea & Obesity hypoventilation

On 20th August 2021, the new NICE Guidance “Obstructive sleep apnoea/hypopnoea syndrome and obesity hypoventilation syndrome in over 16s clearly states that bespoke, dentally fitted oral devices are the recommended alternative to CPAP for the treatment of mild, moderate and severe sleep apnoea.


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The Effectiveness Equation

We’ve developed the Effectiveness Equation – a tool that allows you to simulate a night’s treatment for your patient on either CPAP or an oral appliance. While CPAP is an effective treatment for a compliant patient, patients who stop CPAP therapy during the night may not be well treated. As patients generally wear their oral appliances for most of the night, the reduction in AHI over the night’s sleep may be similar on both therapies.

Click the video on the left to find out more about the Effectiveness Equation.

CPAP or oral appliances - What does the literature say?

For patients with mild OSA, the published clinical literature is clear – a custom made oral appliance is a good choice. For more information about treating your patients with mild OSA using an oral device, click the link below.

Patient Consulting Sleep Physician photo

The SomnoMed® Medical Initiative

At SomnoMed®, we understand that in many markets, patients receive CPAP as first-line therapy for OSA treatment. Our Medical Initiative looks to address the reasons why oral appliance therapy is not prescribed as first-line therapy.

We help Sleep Physicians:
• To find a trusted sleep dentist they can work with in the long term.
• Address misconceptions about oral appliances
• Promote and conduct clinical research in oral appliances.
• Position oral appliances as a first-line therapy for mild and moderate OSA, and for patients who refuse or give up on CPAP.

We work equally with dentists and sleep Physicians to help them treat their patients and address the ever-increasing burden of OSA.

Custom-made versus off-the-shelf

Should I choose a custom-made oral appliance or an off-the-shelf “Boil and Bite” oral appliance for my patients?
A systematic review of 3 studies and 129 patients published in 2018 examined this question and found:

Custom-made oral appliances achieved a significantly greater (p = .01) reduction in AHI when compared with the off-the-shelf oral appliance (-3.52 events per hour).

There was a significantly worse treatment response with the off-the-shelf appliance (p = .004) defined as either partial (50% reduction in AHI) or complete response (AHI < 5 per hour). 

The observed post-trial daytime sleepiness for the off-the-shelf device was higher (0.98), as determined by the ESS (p = .05).

Patient preference was significantly (p < .001) in favour of the custom-made oral appliance.

Patient adherence was also greater with the custom-made appliance, with two RCTs reporting patients wore custom made devices for more hours per night on more nights per week than off-the-shelf devices.

The conclusion from this study was that:

“Custom-made (oral appliances) offer clear definable advantages, demonstrating significant clinical effectiveness, patient preference and adherence.”

Reference: Johal et al “Ready-made versus custom-made mandibular advancement appliances in obstructive sleep apnea: A systematic review and meta-analysis” Sleep Res. 2018;27

Patient stories

Michael’s story 

“I have been using my Somnomed® device for about two years now. It has completely improved the quality of sleep that I get and consequently certain aspects of my life for the better.

On the rare occasion that I forget to put it in the device my sleep deteriorates immediately. It’s invaluable.” Read more

Liz’s story

“Having suffered jaw and tooth pain over several months and following several appointments with my GP and regular dentist to no avail, I asked April (dentist) if she could give me a second opinion. After careful consultation April suggested that sleep apnoea and teeth grinding might be behind the issues and recommended a Somnomed® device to wear at night. Read more

Simon’s story

“My name is Simon Wilsdon I am a general dentist in York with a special interest in dental sleep medicine. Over several years I have experienced mild sleep apnoea and, unfortunately for my wife, loud snoring. I have tried several different mandibular advancement devices over the years. These have given initial improvement but nothing long lasting and were uncomfortable over time. After investigating different options, I decided to give the new SomnoMed® Avant appliance a try. Read more

Mohammed’s story

Mohammed was diagnosed with Severe Sleep Apnoea in 2018.

“For the first year after my diagnosis, I had a CPAP machine in the home, but I really struggled with it, due to the anxiety of the mask being on my face all night. When I saw my Sleep Consultant, I was advised that I should not drive, and my driving license has now been revoked for more than 2 years. I have a family at home, with four children, so having no driving license has really affected our day-to-day lives. Little things like food shopping and trips out are much more difficult. Read more

Roy’s story

Like many people, l became aware that l was snoring during the night and feeling tired in the morning. This led me down the route of seeing my GP who felt l may have obstructive sleep apnoea and referred me to the hospital for further tests. There, l was given the Epworth Sleep Study questionnaire to complete which indicated l had daytime sleepiness but not severely. However further investigation was necessary and an overnight hospital stay was arranged where l had a sleep study conducted. Read more

Find out what our patients faced

Stories of how sleep apnoea affected their lives.