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Efficacy versus Effectiveness in the Treatment of Obstructive Sleep Apnea: CPAP and Oral Appliances

This article compares the concepts of efficacy and effectiveness between CPAP and oral appliance therapy.  Although CPAP is considered more efficacious in bringing down the apnea hypopnea index, or AHI, randomized trials suggest similar improvements in health outcomes between the two treatment modalities.  Health outcomes such as daytime sleepiness, quality of life, driving performance, and…

Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy

This paper expounds on the 2006 practice parameter paper, and incorporates an extensive literature review that is up to date.  It was done by a seven member task force commissioned by the American Academy of Sleep Medicine (AASM) and the American Academy of Dental Sleep Medicine (AADSM).  The result was a set of guidelines, or…