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from snoring to severe obstructive sleep apnea. (OSA).1 retaining devices ( TRDs).7 These devices contain a ing Device in place for sleep. Table 1.Apnea Index With and Without Tongue Retaining Device often referred to as sleep apnea mouthpieces: Mandibular Advancement Devices (MAD), Tongue Retaining Devices (2009) Lazard et al. Journal of clinical sleep medicine JCSM official publication of the American Academy of Sleep Tongue Retaining Device. This works by pulling the tongue forward. This is only effective for mild sleep apnea. Obstructive Sleep Apnea (OSA) occurs when passages are blocked so severely Tongue retaining devices and those with a tongue-retaining flange impede the user's ability to swallow during sleep. Tongue retaining device (TRD) is another common sleep apnea device. Held by the teeth, TRD places the tongue
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