28.03.2015
If our questionnaire has determined that your snoring type is either NOT-SOS, BUT or SOS snoring sleep apnea dental appliance may appear to be the most effective solution to the problem. We still strongly advise to visit a sleep specialist if our our questionnaire has determined that your snoring type is either NOT-SOS, BUT or SOS snoring.
Although CPAP is the most commonly prescribed treatment for obstructive sleep apnea, it can be an uncomfortable, unpleasant, and difficult to use treatment. Oral appliances for the treatment of sleep apnea work by preventing the soft tissue collapse that obstructs the airways. After an evaluation to see if you are a candidate for an OPAP, we can help you choose from among the list of FDA-approved oral appliances according to that which best meets your needs for prevention of airway constriction, including whether you need tongue positioning or not. To learn more about oral appliance therapy for sleep apnea, contact us for an appointment today. Webster Dental Care always uses a physician to make the diagnosis of sleep apnea and will work in conjunction with the physician.
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.
Only dentists are able to fabricate, fit, adjust, monitor, and treat complications associated with Oral Appliance Therapy (OAT), used in managing SRBD. Because dentists see patients on a regular maintenance schedule during wellness dental and dental hygiene care, they are in a unique position to identify early SRBD illness. Dentists are familiar with the mouth, oral cavity and parts of the upper airway and can easily learn to screen components of the airway with little additional training. Identifying the CPAP non-compliant group and offering OAT co-therapy with physicians is uniquely possible for dentists. Through screening and co-treating, dentists add to the limited supply of medical practitioners who are able to assist in this area of medicine. 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.
We will provide you with information that is accurate, authoritative, and trustworthy on all aspects of dentistry.
Avoid caffeine and eating a heavy meal before bed, both of which can interfere with a good night’s sleep. OAT is a therapy that treats snoring and Obstructive Sleep Apnea using a dental appliance that opens the airway during sleep. In 1995, the American Academy of Sleep Medicine (ASM) issued a position paper stating that oral appliances were the second line of treatment for CPAP non-compliance patients. The average Medical School in the United States spends exactly 4 hours teaching their future graduates about sleep—the one part of the human existence that takes up (or should take up) one-third of our life. I have asked my physician about oral appliances for sleep apnea, he has said that they have not been very effective for significant sleep apnea.
It’s unusual in 2012– ten years after the American Academy of Sleep Medicine granted acceptance to oral appliance therapy for OSA treatment, especially in cases where the CPAP is not tolerated– for your doctor to report that oral appliances don’t work for significant apnea. CPAP is a type of therapy used to effectively treat obstructive sleep apnea in which an air compressor forces air through the nose and airway.
The Pillar procedure is a solution for both snoring and mild to moderate sleep apnea originating from the soft palate.


Somnoplasty is an effective, minimally-invasive choice for the treatment of obstructive sleep apnea syndrome. Clinical results show that Somnoplasty effectively treats obstructive sleep apnea by shrinking the base of the tongue (the most difficult source of obstruction to treat) in moderately and severely affected patients. All potential candidates should be evaluated by a sleep physician to confirm the presence of obstructive sleep apnea (including an overnight sleep study) and identify the possible sites of airway obstruction.
Somnoplasty has been cleared by the FDA for use in the treatment of 3 conditions: habitual snoring (soft palate and uvula), chronic nasal obstruction (enlarged inferior turbinates), and Obstructive Sleep Apnea.
Welcome to Chicago, Illinois’ most unique oral surgery and sleep related breathing disorder treatment center. Obstructive sleep apnea is a potentially serious sleep disorder in which breathing repeatedly stops and starts during sleep. Oral appliances are most effective in the treatment of mild to moderate sleep apnea although they do provide a treatment alternative for patients with severe OSA who cannot or will not tolerate positive airway pressure therapy. In this case there is high probability that you have sleep apnea, which is quite serious condition and needs special attention to be treated properly, but this does not mean that you will have to pass snoring surgery or sleep with a cpap machine by all means.
These devices, which can help you sleep well and eliminate the side effects of sleep apnea such as snoring, can be custom-fitted by sleep apnea dentists.
Worn in the mouth like an orthodontic appliance during sleep, oral appliances reposition the lower jaw, tongue, soft palate, and hyoid bone to keep the airway open.
Once you have been fitted with an oral appliance, you will receive follow-up consultations to ensure that the appliance is sufficiently curing the problem.
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. However, there are two main avenues dentists may take in helping to address this enormous health burden. Because dentists see patients on a regular maintenance schedule during wellness dental and dental hygiene care, they are in a unique position to identify early SRBDs. 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. The bar is being raised with earlier exposure of our future dentists to this medical problem and how they can contribute to its identification and co-management. Oral Appliance Therapy involves the selection, design, fitting and use of a custom designed oral appliance that is worn during sleep.
The CPAP Machine is essentially a quiet air compressor that continually forces air thorough the tubing to the mask or cannula (cannulas are small tubes that fit within the nose). Several types of sleep apnea exist, but the most common type is obstructive sleep apnea, which occurs when your throat muscles intermittently relax and block your airway during sleep.
After they have been molded sleep apnea dental appliances can treat obstructive sleep apnea by preventing the obstruction of the air passages and allow its consumer to breathe continuosly. After a complete diagnoses, if your physician recommends sleep apnea dental appliance, you are lucky as you have the mildest form sleep apnea! Oral appliances, on the other hand, directly target the cause of most obstructive sleep apnea: the collapse of airways during sleep as a result of muscle relaxation.
In addition, the appliances increase muscle tone to prevent collapse and resulting airway blockage. 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.


This appliance then attempts to maintain an opened, unobstructed airway in the throat by repositioning the lower jaw, tongue, soft palate and uvula. The CPAP is, will be, and always has been the “gold standard” in sleep medicine because it works 100% of the time–but only in 25% or so of the population that needs it–so it is hardly “gold standard-worthy” in the eyes of many.
The continuous air pressure forces the airway to remain open, which allows for normal breathing for the entire night. Four to five small, flexible implants are placed into the upper soft palate to add support during sleep. Sleep apnea dental appliances can be worn comfortably during sleep, they are just like other orthodontic appliances. Sleep apnea dental appliances can be molded easily by a dental specialist and you can sleep without threat to your life provided by obstructive sleep apnea.
Our doctors will fit your oral appliance for comfort by using a mold of your mouth to design a uniquely fitting appliance.
There are also mixed apnea patients who have both obstructive and central apnea events during their sleep cycle.
The second method is to co-treat the condition with the patient's physician using Oral Appliance Therapy (OAT), oral surgical procedures, or possibly orthodontic approaches.
Difference between Bi-level and Auto CPAP machines: Bi-level CPAP machines have two different settings, one for inhalation and one for exhalation.
Despite the difference in the root cause of each type, in all three, people with untreated sleep apnea stop breathing repeatedly during their sleep, sometimes hundreds of times during the night and often for a minute or longer. The only difference is that they are specially designed to keep the soft tissues of your mouth and throat from collapsing and therefore give you possibility to sleep breathing without interruption. These dental approaches address increasing the volume of the upper airway primarily by bringing the tongue forward away from the throat. In most cases the sleeper is unaware of these breath stoppages because they don't trigger a full awakening. This can be done by a sleep apnea dental appliance by repositioning your lower jow, soft palate, hyoid bone or tongue into a certain position, which results in the unobstructed air passages, or by providing artificial tone to the muscles, which results in the airway blockage prevention. 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. Only dentists are able to fabricate, fit, adjust, monitor, and treat complications associated with Oral Appliance Therapy, used in managing SRBD. There are many different options for surgical treatment and they should be tailored to the individual patient’s needs. Using surgery as an alternative to CPAP is sure to be an attractive option for many but it is also a drastic one with a number of risks. These oral devices look like mouth guards, the difference being they move the tongue or lower jaw forward, opening the airway making it easier to breathe.
Although not suitable for patients with severe OSA, when used correctly, this form of treatment is safe and relatively reliable. When you breathe out , however, the valve closes and air is forced out through a smaller channel. The biggest drawback is the cost, which works at around $2 per night, more expansive than CPAP in the long run.AcupunctureThe final procedure in this guide to alternatives to CPAP is a treatment that will be familiar to many but perhaps not widely associated with sleep apnea. Researchers in Brazil have been studying the potential of acupuncture as a viable, affordable substitute for CPAP treatments.



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Comments Dental appliance for sleep apnea effectiveness

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