One must understand that mild-to-moderate sleep apnea may be successfully treated with a custom made oral appliance. The reported success rate is >85% with one-year compliance @ >85%. Too often an oral appliance is over-looked and only considered when CPAP cannot be tolerated. When in fact, oral appliance therapy should be recommended for the initial treatment of mild-to-moderate sleep apnea.

On the other hand, severe sleep apnea should be treated…