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These devices, including CPAP, oral appliances, etc. are nothing more than patches that address the OSA (not central SA) but not the underlying cause. In many cases, OSA itself is just a symptom of an underlying anatomic deformity. My research over the last 18 mos. has led to me ascertain that resolving the OSA via non-surgical orthodontic correction of the maxillary/mandibular retraction, narrow arches, and pathologic bite that gave rise to OSA is the key. In the meantime, I am managing ok using a DreamWare nasal mask. But that is definitely not something I wish to use the rest of my life if I can correct the underlying cause.