Exploring Aveo Tongue Stabilizing Devices (Tongue Retaining Devices)

Snoring and Apnea Treatment: Exploring Aveo Tongue Stabilizing Devices

Airway sleep breathing disorders such as snoring and obstructive sleep apnea have been treated with oral (dental) appliances effectively for decades.  A lesser discussed and prescribed category of oral appliance is a tongue stabilizing device (TSD) such as the AVEOtsd. (The “tsd” stands for tongue stabilizing device).  TSD devices are also called tongue retaining devices.

The AVEO tsd and The Good Morning Snore Solution by MPowerX are examples of tongue stabilizing devices that have been recommended by dental sleep medical providers for the treatment of primary snoring(absence of apnea) as well as with obstructive sleep apnea cases.

The TSD category of oral appliance therapy is quite different from the mandibular advancement splint category. Both types of oral appliances are used to treat snoring and apnea, although TSDs are much less commonly prescribed.

In this article, we will delve into what Aveo tongue retaining devices are, how they work, what they’re made of, and other essential information to help you understand their benefits and usage side effects. We will also review who are appropriate candidates for tongue stabilizing devices such as the AVEOtsd.

What are Aveo Tongue Stabilizing Devices?

Aveo Tongue Stabilizing Devices are oral appliances designed to address sleep-related breathing disorders, including snoring and obstructive sleep apnea. Unlike traditional CPAP machines, which use continuous positive airway pressure to keep air passages open, Aveo devices focus on stabilizing and retaining the tongue forward during sleep. By preventing the tongue from collapsing backward and obstructing the airway, Aveo devices promote unobstructed breathing, leading to improved sleep quality and reduced snoring.

How do Aveo devices work?

Aveo Tongue Stabilizing Devices utilize a simple yet effective mechanism to alleviate sleep apnea and snoring symptoms. The device consists of a soft, flexible mouthpiece that fits comfortably in the mouth. It resembles a “pacifier” and has a small compartment that accommodates the tip of the tongue. It features a small bulb or suction cup that attaches to the tip of the tongue, gently holding it forward throughout the night. This forward positioning prevents the tongue from falling backward and obstructing the throat, allowing air to flow freely and reducing the occurrence of breathing interruptions involved in snoring and apnea patients.

Introduction to the aveoTSD® (Tongue Stabilizing Device):
https://www.youtube.com/watch?v=47Xhs4rkLrg

How the AVEOtsd works:
https://vimeo.com/352619763

How the Good Morning Snore Solution tongue retaining device works: See demo video https://www.amazon.com/vdp/0132452711f94e899a8562323c34a795?ref=dp_vse_ibvc2

What are the most common side effects in using a tongue stabilizing device such as the AVEOtsd?

Early users may find tongue retaining devices uncomfortable. It is essential to recognize that discomfort is often temporary and diminishes as users become accustomed to wearing the device.

Compliant patients have commented that initially their sides of the tongue were sore, but over time, almost a callous-like tissue replaced tender spots making the use of the tongue stabilizing device comfortable.

Other potential side effects include dryness, drooling, tooth movements, and difficulty swallowing.

How Long Does It Take to Get Used to Aveo Devices?

Adapting to wearing an Aveo Tongue Stabilizing Device is similar to other tongue retaining devices and may vary from person to person. While some individuals adjust quickly within a few nights, others may require a week or more to become fully comfortable with the device. Following the manufacturer’s instructions and gradually increasing wearing time is crucial to allow the mouth and tongue muscles to adapt. With patience and persistence, many users experience significant improvements in sleep quality and snoring reduction.

Materials and Construction

The AVEOtsd tongue retaining device is made from medical-grade silicone or thermoplastic materials. It is designed to be lightweight, flexible, and hypoallergenic, minimizing irritation and discomfort during use. Additionally, Aveo devices are customizable, allowing for a personalized fit that maximizes effectiveness and comfort for each user.

How do you clean the AveoTSD?

Each day after use the AveoTSD should be rinsed under warm water and turned upside-down to allow it to dry. In addition to the daily rinsing, the manufacturer advises that the device is submerged in a denture cleaning solution weekly for several minutes.

For whom are tongue stabilizing appliances such as AVEOtsd recommended?

Dentists who are trained in airway sleep breathing disorders more typically work with the category of devices called mandibular advancement splints(MAS). The MAS category of oral appliances is more heavily researched.  Because most MAS devices are customized to fit an individual’s teeth and dental arches, they are typically more comfortable and have a higher compliance rate than tongue retaining devices.  However, not all snoring and apnea patients are candidates for MAS type of devices. 

Here are some circumstances, in which tongue retaining devices may be recommended by a sleep breathing disorder dentist or a sleep medical provider:

  • not successful with CPAP nor mandibular advancement splints
  • denture patients
  • not enough teeth to support  an MAS device
  • can not afford custom made mandibular advancement splints
  • undergoing considerable amount of dental work
  • Has active active periodontal disease
  • “TMJ” pain/ temporomandibular joint dysfunction

Who are not good candidates for TSD treatment?

TSD therapy is not recommended for those:

  • who can not breathe through their nose
  • that can not stick their tongue out past their teeth
  • that have central sleep apnea
  • children

How effective are tongue retaining devices such as the AVEOtsd?

Recent studies have demonstrated that TSD therapy demonstrated a good long-term subjective effectiveness against obstructive sleep apnea, but had a relatively low treatment acceptance rate.

Participants who continued with therapy reported improvements in daytime sleepiness, quality of sleep, and overall quality of life.

Studies have shown that TRDs can significantly reduce the Apnea-Hypopnea Index (AHI), which measures the severity of sleep apnea. In some cases, the AHI reduction with TRDs is comparable to that achieved with continuous positive airway pressure (CPAP) therapy and mandibular advancement splint therapy,  especially in patients with mild to moderate OSA.

It is also advisable to have a sleep study with the device inserted to determine whether your condition is adequately being treated by the retainer.

TSD’s are not effective for everyone. They are generally more suitable for patients with mild to moderate OSA rather than severe OSA.

According to the 2021 research article The efficacy of a titrated tongue-stabilizing device on obstructive sleep apnea: a quasi-experimental study, ….

Many adults with obstructive sleep apnea who could tolerate a tongue-stabilizing device showed positive responses in terms of respiratory event index, oxygen desaturation index, and fatigue levels. This suggests that tongue-stabilizing devices can be a viable short-term alternative treatment for obstructive sleep apnea. However, regular follow-ups are necessary to address possible side effects and ensure patients adhere to the treatment, as only about half of the patients could tolerate it.

Interested in trying an AVEOtsd? Some quick facts:

  • The website for AVEOtsd is: https://na.aveotsd.com/
  • The current price for a single unit is approximately : $99(US)
  • The ‘medium’ is the most common size ordered

In summary, Aveo tongue retaining devices offer a practical and non-invasive solution for individuals struggling with sleep apnea and snoring issues. By gently holding the tongue in a forward position, these devices help prevent airway obstruction, promote uninterrupted breathing, and enhance overall sleep quality. While adapting to wearing an Aveo device may require patience, the benefits it provides in terms of improved sleep and enhanced well-being make it a possible treatment alternative for snoring and apnea patients.

References

Alshhrani WM, Hamoda MM, Okuno K, Kohzuka Y, Fleetham JA, Ayas NT, Comey R, Almeida FR. The efficacy of a titrated tongue-stabilizing device on obstructive sleep apnea: a quasi-experimental study. J Clin Sleep Med. 2021 Aug 1;17(8):1607-1618. doi:10.5664/jcsm.9260

Alshhrani, W. M., Kohzuka, Y., Okuno, K., Hamoda, M. M., Fleetham, J. A., & Almeida, F. R. (2021). Compliance and side effects of tongue stabilizing device in patients with obstructive sleep apnea. CRANIO®, 42(2), 171–184. https://doi.org/10.1080/08869634.2021.1917900

Lazard, Diane & Blumen, Marc & Lévy, Pierre & Chauvin, Pierre & Fragny, Dorothée & Buchet, Isabelle & Chabolle, Frédéric. (2009). The Tongue-Retaining Device: Efficacy and Side Effects in Obstructive Sleep Apnea Syndrome. Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine. 5. 431-8. 10.5664/jcsm.27598.

Mehta, A., & Qureshi, A. (2013). Comparison of Tongue Retaining Device with Mandibular Advancement Device in Patients with Mild to Moderate Obstructive Sleep Apnea. Journal of Clinical Sleep Medicine, 9(5), 451-456.

This article is general in nature and for educational purposes only. Please consult with your sleep health provider before starting any treatment option for snoring and apnea.