Her baseline indicates she has Mild OSA (5-15). The American Academy of Sleep Medicine allows patients with Mild and Moderate OSA to be treated with an Oral Sleep Appliance. The CPAP is the Gold Standard for severe… If the patient is severe and can not tolerate the CPAP, then the patient can be treated with an Oral Sleep Appliance.
Having a baseline is important when treating patients, then doing a follow up at the fourth month appointment so you can confirm efficiency of the appliance. She has improved greatly- Why would you want to put her on a CPAP now?
The dream Tap is a fantastic appliance because it allows 15mm of movement. You need to adjust the appliance and you can more than likely improve the results. You may need to pull her forward and /or adjust her VDO. Have you educated the patient on how to adjust her appliance with the key??
Look forward to hearing from you.