17.01.2014
During sleep, gravity and muscle relaxation allows the tongue and surrounding soft tissues to fall back into the throat area obstructing air flow. The diagnosis of sleep apnea may be estimated by taking a thorough sleep and medical history; however, it requires objective testing during sleep to confirm and quantify. Dentists are in a unique position to provide limited medical therapy for patients with SRDB conditions for many reasons.
Properly trained dentists were acknowledged by the American Academy of Sleep Medicine (AASM), as being able to provide first line therapy for the treatment of mild to moderate sleep apnea. Identifying the CPAP non-compliant group and offering OAT co-therapy with physicians is uniquely possible for dentists. Increased public awareness of sleep disorders has resulted in increased public demand for more patient-friendly, non-surgical treatment options besides CPAP.
Current dental training in SRBD is increasing and there are now expanding avenues for the interested dentist wanting to take the journey towards competency in treating this problem. May 19, 2012 By PPD Sleep There are several treatment options for patients diagnosed with sleep-disordered breathing. Many drivers in the industry are volunteering to undergo the screening process and receive CPAP treatment.
CPAP works by generating a flow of air through the airway that creates a pressure high enough to keep the throat open.
Recent studies on CPAP treatment of sleep-disordered breathing and motor vehicle accidents showed a reduction in accidents among those undergoing CPAP treatment. Treatment can save long-haul commercial carriers millions of dollars, and can help reduce the number of sleep-related accidents.
The American Academy of Sleep Medicine and the American Academy of Dental Sleep Medicine have come together to develop standards and protocols for the joint effort to treat sleep apnea as it relates to the use of oral appliances. As specialists in dental treatment for sleep apnea, Dental Health and Wellness Boston offers oral appliance therapy for mild to moderate obstructive sleep apnea. For many patients, oral appliances are a welcome treatment option instead of cumbersome CPAP (Continuous Positive Airway Pressure) machines. At Dental Health and Wellness Boston, one of our specialties is helping patients who suffer from sleep apnea understand the benefits of oral appliance therapy.


Tags: American Academy of Dental Sleep Medicine, American Academy of Sleep Medicine, Boston Dentist, Boston Dentist for Sleep Apnea, Boston Dentist Office for Sleep Apnea Treatment, Boston Dentistry for Sleep Apnea, Boston Oral Appliances, Boston Sleep Apnea, Bronchitis, Claustrophobia, Continuous Positive Airway Pressure, CPAP Machines to Treat Sleep Apnea, Dental Health and Wellness Boston, Dental Sleep Appliance, Dental Sleep Medicine Boston, Dental Treatment for Sleep Apnea, Disrupts Breathing Patterns, Dr. Very interested in the mouth guard approach to protecting teeth as well as for a sleep apnea solution. However, it also includes any associated daytime sleepiness and sense of poor restfulness even with adequate time spent sleeping.
While the current gold standard for testing is an overnight, observed, laboratory sleep study in a sleep lab called a Polysomnogram (PSG), the trend towards more cost-effective and readily available testing has stimulated growth of home sleep testing. They may also identify sleep disorders by observing a SRBD behavior such as "snorers in dental chair" where patients fall asleep within a short time at dental appointments. All treatment options are intended to prevent obstructions from occurring, usually by widening the airway. With PPD, this treatment includes education and compliance monitoring, along with the distribution of appropriate medical equipment. As more and more patients are turning to dental professionals for guidance about these appliances, a new sub-specialty in dentistry, called “Dental Sleep Medicine” has emerged. Smith and our team at Dental Health and Wellness provide for each sleep apnea sufferer.They can have a dramatic impact on nightly breathing issues. CPAP machines are worn nightly, similar in appearance to oxygen masks, and provide consistent airflow to keep sleep apnea sufferers’ airways open. Going through airport security with a CPAP machine can only rival going through the line with a breast milk pump. If you are seeking options for sleep apnea treatment or are unhappy with current sleep apnea treatment including the use of CPAP machines, we urge you to call us today at and set up an appointment to be evaluated for treatment and to prevent medical complications. An example includes the excessively sleepy individual who takes naps daily, drinks massive amounts of coffee and energy drinks, and despite 7 to 8 hours of sleep at night continues to experience excessive drowsiness and a lack of energy.
Sufferers frequently have significant brain damage and require an extensive, careful work up and management along with the use of breathing equipment called Continuous Positive Airway Pressure or CPAP for short.
One approach is to screen and refer suspect patients to their physician for diagnosis and treatment. However, CPAP users often complain of discomfort when wearing the mask which makes sleep difficult.


If the device could blow the right amount of air at the right pressure, it could revolutionize the treatment of sleep apnea. There are also mixed apnea patients who have both obstructive and central apnea events during their sleep cycle. For business people who travel weekly, an oral appliance that fits in the palm of their hand has been a wonderful option.
These dental approaches address increasing the volume of the upper airway primarily by bringing the tongue forward away from the throat. Oral appliances serve a very important role in treating today’s epidemic of obstructive sleep apnea. Even for patients who successfully wear the CPAP, a dental sleep appliance allows for the continuation of medical treatment in a discrete, easy-to-pack form. There is a great deal of scientific evidence supporting both the OAT and surgical, hard tissue approaches; thus, dentists should actively seek training to reach competency so they can offer these treatment options to their patients. Properly trained dentists have been acknowledged by the American Academy of Sleep Medicine (AASM), as being able to provide first line therapy for the treatment of mild to moderate sleep apnea. OAT has been shown to be slightly less effective than CPAP therapy, but cross over trials comparing both treatments have validated significant patient preference and increased long-term use by patients using OAT.
Yet another common compliant among CPAP users is the amount noise the actual machine makes, again causing difficulties in both falling and staying asleep. Although proper use of CPAP machines has been found to be effective in treating sleep apnea, and better able to treat more severe sleep apnea cases, the array of issues and side effects result in lowered patient compliance, ultimately doing little or no good for the sleep apnea sufferer. In other words, if you are not able to wear your CPAP every night for the majority of the night, it will not help you.



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