Is there any role for using mandibular advancement splints on select nights in place of CPAP in the management of patients with OSA who have difficulty tolerating CPAP?  

Oral appliances are a very good treatment for sleep apnea; however, before "substituting" one for CPAP, in anyone with moderate to severe sleep apnea, it is important to retest with the OA in place to make sure it is reducing AHI to an adequate level. If there is relative "equivalence," then it is o...