04.07.2014
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. 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. If you have tried the CPAP and found that it didn't work for you now there is a alternative treatment.
The Thornton Adjustable Positioner (TAP®) is a custom-made adjustable appliance that is worn while sleeping. PAP for sleep apnea: Continuous Positive Airflow Pressure, or CPAP for short, is the most common treatment for moderate to severe obstructive sleep apnea. The CPAP device is a mask-like machine that provides a constant stream of air which keeps your breathing passages open while you sleep.


We provide auto-CPAP titration versus traditional lab titration, you do not need to spend the night at sleep lab in addition to the auto-titration will save you 90% of the cost especially if you are un-insured or have high deductible insurance.
Most dental devices are acrylic and fit inside your mouth, much like an athletic mouth guard. If you have exhausted other apnea treatment options, you may want to discuss surgical options with your doctor or sleep specialist. 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. 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. Two common oral devices are the mandibular repositioning device and the tongue retaining device. There are also mixed apnea patients who have both obstructive and central apnea events during their sleep cycle.
Device will prevent the softer tissues from the throat and soft palate from collapsing through over relaxation,and subsequently obstructing the airway. These devices open your airway by bringing your lower jaw or your tongue forward during sleep.


These dental approaches address increasing the volume of the upper airway primarily by bringing the tongue forward away from the throat. The TAP® holds the mandible in a forward position so that it does not shift or fall open during the night.
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 devices for sleep apnea

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  5. 858
    Type of non-invasive ventilation that is utilized for patients with and central respiratory drive.