OTC VS Custom MAS
Navigating the Choice: Over-the-Counter vs. Custom-Made Mandibular Advancement Splints (MAS) for OSA
Obstructive Sleep Apnea (OSA) poses a significant challenge to individuals seeking effective treatment for a good night's sleep. Amid the myriad of available solutions, Mandibular Advancement Splints (MAS) stand out as a viable option, offering a spectrum of choices that include over-the-counter (OTC) and custom-made variants. Understanding the differences between these two options is crucial in making an informed decision tailored to individual needs.
Over-the-Counter MAS: Convenience at a Cost
Over-the-Counter MAS presents itself as a readily accessible, one-size-fits-all solution available without the need for a prescription. These devices typically come in a standard size and design, aiming to provide a generic fit to the user's mouth. The appeal of OTC apnoea splints lies in their convenience and affordability, allowing users to acquire a potential remedy for snoring and mild OSA without a visit to a healthcare professional.
However, the convenience of OTC splints comes with limitations. The generic design may not cater to the specific needs of individual users, leading to potential discomfort or inadequate effectiveness. The lack of professional guidance in fitting and adjusting the device may result in suboptimal outcomes, and users might find it challenging to achieve the desired results. Moreover, these types of splints often prove to be less durable, requiring frequent replacements. This recurrent expense can add up over time, making them less cost-effective in the long run.
Custom-Made MAS: Precision Tailoring for Optimal Results
On the other end of the spectrum, custom-made apnoea splints offer personalised and precision-crafted solutions. This type of device is designed, fabricated, and adjusted under the supervision of a qualified healthcare professional, typically a dentist with expertise in sleep medicine. The process begins with a thorough examination, including dental impressions, to ensure a tailored fit that accommodates the unique anatomy of the user's mouth and jaw.
Custom-made MAS provides several advantages over its OTC counterpart. The precise fit enhances comfort, encouraging consistent usage throughout the night. Professional oversight ensures that the device addresses the specific needs and severity of the user's OSA, making it a more effective solution for moderate to severe cases. Regular follow-ups with the healthcare provider allow for adjustments and optimisation, ensuring optimal outcomes.
Making the Decision: Factors to Consider
The choice between OTC and custom-made MAS depends on various factors, including the severity of OSA, comfort preferences, and budget constraints. While OTC splints offer a quick and affordable entry point, individuals with moderate to severe OSA may find greater benefit and long-term success with the personalised approach of custom-made devices.
In conclusion, the difference between OTC and custom-made MAS for OSA lies in the level of personalisation, comfort, and effectiveness. Consulting with a qualified healthcare professional is pivotal in determining the most suitable option, aligning the chosen MAS with the individual's unique needs and ensuring a path to restful sleep and improved quality of life. Additionally, the long-term durability and cost-effectiveness of custom-made MAS make them a prudent investment in sustained sleep quality.
RESOURCES:
Johal et al. Ready-Made Versus Custom-Made Mandibular Repositioning Devices in Sleep Apnea: A Randomized Clinical Trial. J Clin Sleep Med. 2017 Feb 15; 13(2): 175–182.
Vanderveken OM, Devolder A, Marklund M, et al. Comparison of a custom-made and a thermoplastic oral appliance for the treatment of mild sleep apnea. Am J Respir Crit Care Med 2008;178:197-202
