Respiratory Disease in Practice

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Using mandibular splints for sleep apnoea
RDIP, Volume 21, Number 1.

Obstructive sleep apnoea/hypopnoea syndrome (OSAHS) affects 4% of middle-aged men and 2% of middle-aged women (see Box 1). The most effective treatment is continuous positive airway pressure (CPAP) therapy, which prevents collapse of the upper airway during sleep. Treatment with CPAP therapy, however, can be very obtrusive and noisy. Compliance with, and acceptability of, CPAP is another major issue, with initial acceptance varying, in reported series, from 72% to 84% with only 46–83% of initial acceptors using it for more than four hours each night.

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