Six Recommendations on the Use Of An Oral Appliance

The AASM and AADSM have six clinical recommendations for treating patients with snoring or obstructive sleep apnea. 1.) We recommend that sleep doctors treat adult patients with primary snoring and no obstructive sleep apnea with oral appliances. 2.) We recommend that dentists use a titratable, custom appliance for adults with obstructive sleep apnea. 3.) We recommend that adults patients who cannot tolerate the CPAP treatment or prefer another treatment be treated with oral appliance therapy. 4.) We recommend that patients follow-up with their dentists. This will ensure that patients are not developing any bite changes or dental-related side effects. 5.) We recommend that sleep doctors perform follow-up testing in order to ensure that the treatment is working for patients who use oral appliance therapy. 6.) We recommend that both dentists and sleep physicians instruct patients who have obstructive sleep apnea and are being treated with oral appliance therapy to return to the office periodically for... read more

Best Practices for an Effective Physician-Dentist Collaboration

When a dentist and sleep physician work together, following clinical guidelines will help the patient get the best outcomes. The following is a list of specific recommendations: 1.) It is best to have obstructive sleep apnea diagnosed by a board-certified sleep physician. 2.) Once the patient has been diagnosed with obstructive sleep apnea, he or she can get oral appliance therapy from a dentist. 3.) The dentist should use a custom-made oral appliance. 4.) The dentist will need to provide oversight in order to make sure that the patient is not having any occlusal changes or side effects. The dentist can also correct these problems. 5.) A sleep physician can perform follow-up tests in order to ensure that the treatment is working. 6.) People who suffer from obstructive sleep apnea are strongly advised to see a dentist and sleep physician on a regular... read more

Benefits Of Oral Appliance Therapy

Oral appliance therapy is non-invasive and effective. Patients like oral appliance therapy for the following Fluoridated water is the most efficient way to protect your teeth from tooth decay. Tooth decay is one of the most common childhood diseases and is a leading reason why kids need dental surgery. Not only does fluoride protect children from cavities, but it also helps to protect adults from tooth decay. Fluoridated tap water prevents up to 25 percent of dental cavities in people of all ages. Fluoridation of water saves money. The cost to fluoridate a lifetime supply of water for one person costs less than one dental filling. Every $1 invested in fluoridating water saves $38 in dental treatment. Fluoride is safe and effective at protecting teeth. Fluoride is naturally present in water. It has been used and studied for more than 70 years. The American Dental Association, Centers for Disease Control and Prevention and the World Health Organization all endorse the fluoridation of public water supplies. reasons: *Easy to care for *Portable *Quiet *Convenient to travel with *Comfortable *Easy to wear How Dentists Can Help: What To Expect During The First Visit Dentists work closely with medical doctors to treat sleep apnea and snoring. Your dentist will discuss the benefits and drawbacks of the treatment. You will also receive a thorough evaluation. This includes an examination of your teeth, jaw, tongue and x-ray. You may also get an x-ray. Oral appliances are made by taking a physical or digital expression. The models will be sent to a dental laboratory, which is where the appliance will be made. You will have... read more

Insurance Coverage for Sleep Apnea Devices

Question: Does medical insurance cover oral devices? If so, which ones? Answer: Many insurance plans cover devices that meet certain criteria. They must be FDA approved, custom-made, and placed and monitored by a dentist. There are more than 100 FDA-approved oral care devices. Question: How can I know if my insurance covers oral devices and how much of the cost it covers? Answer: Policies vary. Call your insurance provider or ask your dentist to call. A benefit estimator will know if your plan includes coverage though he or she may not know how much it covers. Question: Does medical insurance pay for anti-snoring devices? Answer: No. Covered devices must be medically necessary, custom made, and fitted by a dentist to ensure that you receive the best care. When snoring stops, you may still have sleep apnea episodes. Your dentist and physician should cooperate to manage your sleep... read more

Oral Appliance Therapy

More patients with obstructive sleep apnea are being treated with oral appliance therapy. Studies have shown that the oral appliance therapy is highly-effective. It also has a high rate of success. Oral appliance therapy is ideal for patients with obstructive sleep disorder or snoring. It is also great for people who are looking for an alternative treatment. People who want to get oral appliance therapy should have at least 10 well-supported, healthy and well-distributed teeth. They must also have a tempo-mandibular joint system that is stable without restriction and pain during protrusive or lateral excursions. Dentists have to receive extra training in dental sleep medicine because this is not taught in residency programs or dental school. There are several oral appliances available. Patient physiology, anatomy, preferences and sleep behavior are things that determine the type of oral appliance that is recommended. Patients who use oral appliance therapy will need to follow-up regularly with their physicians and... read more

Predictor of Bad Health and Behavior

A study that was published in JAMA in 2013 showed that snoring is a health killer that is not so silent. The reason that people with sleep apnea snore so loudly is because they have a partially obstructed airway. Snoring can also have a negative effect on the heart. A study done by Henry Ford Hospital in Detroit showed that snoring can be one of the first indications of heart damage. Snoring can also have a number of negative effects on children. Children who snore may have behavioral issues in the future. Researchers have found that children who snore are more likely to develop hyperactivity disorder. They are also likely to develop anxiety, depression and other emotional problems. A report done by the Melbourne Monash Institute of Research stated that snoring affects behavior and learning in children by waking them... read more

A Dentist’s Role In Sleep Apnea

A good night’s sleep helps restore the mind and body. However, it is estimated that 18 million people in America do not get a good night’s rest due to the fact that they have sleep apnea. Obstructive sleep apnea is a serious condition that causes a person to stop breathing for 10 seconds or more at night. According to J. Micheal, DDS, FAGD, dentists are often the first ones to diagnose sleep apnea because patients typically see them more than their doctor. A dentist may refer the patient to a sleep medicine specialist. The patient may have to return to the dentist for further treatment. The treatment that is recommended is contingent upon the severity of the disorder. Losing weight, quitting smoking and altering the sleep position can help treat sleep apnea. A dental appliance can also be used to treat sleep apnea. Patients with severe sleep apnea may be required to use a continuous positive airway pressure, or CPAP machine. This device keeps the airway open by distributing continuous air pressure. It is important for you to have an open and honest conversation with your dentist if you suspect that you have sleep apnea. Morning headaches, insomnia, dry mouth and excessive snoring are some of the symptoms of sleep apnea. To receive a complimentary dental sleep apnea training consultation, please call us at (818)... read more

How Doctors Diagnose Sleep Apnea

Sleep apnea is a condition wherein a person unknowingly stops breathing while asleep, only to start breathing again a few seconds later. Frequent incidents of sleep apnea can lower the quality of sleep and typically results in excessive daytime sleepiness. Obstructions within the throat, mouth, or nose, can cause sleep apnea, but such obstructions are not always discovered by a physician’s standard visual evaluation. At this point, a physician may refer their patient to a sleep specialist or an ear, nose, and throat doctor for further evaluation. A sleep specialist may perform an overnight examination of the patient known as polysomnography, whereby a patient is connected to monitoring equipment while they sleep in the controlled environment of a sleep center. At-home polysomnography equipment also exists for full-night sleep studies that do not require any sort of special intervention, such as in the case of a split-sleep study where they wake the patient and connect them to a positive pressure breathing apparatus. Read testimonials of some of our valued clients who have taken our dental sleep apnea... read more

The Afib/OSA Profile

It is estimated that 2.7 to 6.7 million people have Afib. There are 25 million people living with obstructive sleep apnea, or OSA. One percent of the patients in my office have both conditions. The Afib/OSA Profile My typical patient is a middle-aged person. Both men and women can have Afib and OSA. Many patients complain that they have an irregular heartbeat, night sweats and cannot sleep. Some patients also show up exhibiting symptoms of sleep apnea, such as shortness of breath, extreme fatigue and lightheadedness. Additionally, it is common for women with sleep apnea to have a neck circumference of 16 inches and men to have a neck circumference of 17 inches. AFIB And The Heart AFIB is a type of arrhythmia that causes the top and bottom chambers of the heart to beat out of sync. People who have AFIB are four to five times more likely to have a stroke. It is estimated that 15 to 20 percent of ischemic strokes are caused by AFIB. What Do OSA And AFIB Have In Common? OSA often occurs during midlife and older age. It causes frequent interruptions in breathing. A person can stop breathing for 10 to 30 seconds. OSA can cause increased blood pressure and irregular heartbeat. These are the same symptoms that a person with Afib may experience. What Should I Do? Both OSA and AFIB are very treatable. You should see your primary care doctor if you notice palpitations and an irregular heartbeat. Make sure you tell your doctor if you snore or have morning headaches. Your primary care doctor may refer you to a... read more

Sleep Apnea Facts

Approximately 1 in 5 American adults have at least mild symptoms of obstructive sleep apnea (OSA), which amounts to nearly 18 million adults. About 1 in 15 people with OSA have severe symptoms, which causes considerable effects on their health and well-being. Only about 20 percent of people with OSA know they have it and are receiving any treatment for their conditions. Anyone can have OSA, including kids. Risk factors for OSA include being older than 50, smoking and going through menopause. Genetics are also important in the development of OSA, and up to 25 percent of people with OSA have a genetic predisposition to the condition. People with OSA are at risk for a broad array of health problems. The sleep deprivation caused by OSA often leads to obesity, heart disease, diabetes and hypertension. OSA also contributes to depression, accidents, and mental errors at work. People with OSA have an increased risk of causing a motor vehicle... read more

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