Role of Oral Appliances in managing Sleep Disordered Breathing during the COVID pandemic

A night of good quality sleep is more important than ever to maintain a strong immune system especially during the critical time of the COVID-19 pandemic. CPAP continues to be the gold standard for the management of Obstructive Sleep Apnea. 

  The coronavirus has been shown to remain viable for hours after aerosolization. As per the statement published on the website of the American Academy of Sleep Medicine, “positive pressure ventilation is thought to generate aerosols composed of smaller virus-containing particles suspended in the air that may travel to greater distances, be inhaled increasing the risk of transmission” it would be rationale to consider mandibular advancement appliances that can be used in reducing this potential risk in patients with mild-moderate OSA on CPAP especially those with COVID symptoms such as cough or fever.