Q: Can an appliance be used with cpap successfully?
Dr. Smith: At the same time? Yes, it’s called combination therapy, and allows a CPAP user to have the pressure reduced to make it easier to use. They can also be used alternately when they are hunting, on airplanes, etc.. Of course, the right type of mask would need to be used, and preferably one of the nasal cone type that does not place any retrusive forces on the maxilla.
Another use for combination therapy is if you would like to prevent any potential occlusal (bite) changes with the mandibular advancement devices. If someone wears a MAD during the week, and CPAP on weekends, for example, they will get no bite changes.
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