For those who have never consulted a dentist about treatments for sleep apnea and snoring, it may be time to make an appointment. Dental sleep medicine is a growing segment of dentistry that focuses on managing snoring and sleep apnea with oral appliance therapy (OAT) – an effective alternative to the standard continuous positive airway pressure (CPAP) machine and mask. According to the American Academy of Dental Sleep Medicine (AADSM), up to 50 percent of sleep apnea patients do not comply with or tolerate CPAP.
Oral appliance therapy (OAT) uses a “mouth guard-like” device worn only during sleep to maintain an open, unobstructed airway. OAT devices prevent the airway from collapsing by either holding the tongue or supporting the jaw in a forward position. For many, oral appliance devices are more comfortable to wear than a CPAP mask. The devices are also quiet, portable and easy to care for. Research suggests that oral appliance therapy often can equal CPAP in effectiveness and offers a higher patient compliance rate than CPAP. There are more than 80 different styles of oral appliance devices that have received FDA clearance.
The many faces of OSA are revealed by examining frequently associated conditions such as: high blood pressure (hypertension), heart failure, heart rhythm disturbances, Atherosclerotic heart disease, pulmonary hypertension, insulin resistance, and even death are some of the known complications of untreated obstructive sleep apnea. Cognitive impairment (memory problems), depression, anxiety, and gastro esophageal reflux disease (GERD) are also among possible complications of untreated sleep apnea. Dentists can treat the vast majority of patients with OSA and have the ability to screen for it, at a minimum, within our patient population. The most commonly quoted statistics on OSA are summarized below.
1/3 of population suffers from some sleep disorders (20M OSA 10M PLMD, 20M Insomnia)
Snoring prevalence 67% general population. NSF 2005 (habitual snorers 35% Parati)
94% of OSA population snores, 6% are silent apneics
Wisconsin Study 1938: 17-20% of general population have some OSA (AHI>5)
Sleep Heart Health Study: 22% have OSA (Smoking gun intermittent Hypoxia)
Young in 1993, Wisconsin Study : AHI>5 w/o EDS (excessive daytime sleepiness), 9% females, 24% males
Metabolic Syndrome effects 24% of general population
Weight loss of 10% can decrease AHI (apnea-hyponea index) 30-50%
We are now providing oral appliance therapy for sleep-related breathing disorders. It’s our goal to treat this disorder working with your physician and health care provider and improve your health and well being.
The American Academy of Sleep Medicine now recommends oral appliances as a primary or first line of treatment for mild to moderate obstructive sleep apnea. The guidelines state that patients should always be offered the choice of an oral appliance if they have mild to moderate OSA.
For Mild to Moderate Obstructive Sleep Apnea:
Oral appliances (OAs) are indicated for use in patients with mild to moderate OSA who prefer OAs to Continuous Positive Airway Pressure (CPAP), or who do not respond to CPAP, are not appropriate candidates for CPAP, or who fail treatment attempts with CPAP or treatment with behavioral measures such as weight loss or sleep position change.
For Moderate to Severe Obstructive Sleep Apnea:
The American Academy of Sleep Medicine recommends Continuous Positive Airway Pressure (CPAP) for the treatment of moderate to severe sleep apnea. If patients have tried and failed CPAP, they should be offered treatment with an oral appliance.
Patients with severe OSA should have an initial trial of nasal CPAP [prior to trying oral appliances]. Reference: 1.American Academy of Sleep Medicine website http://www.aasmnet.org
Below is a SECURE CONFIDENTIAL LINK to complete our online sleep disorder/apnea evaluation forms.
Sleep Screening Consultation SleeSleep Screening Consultation Sleep Screening Consultation Sleep Screening Consultation Sleep Screening Consultation Sleep Screening Consultatio Please have the following available before you begin. This registration will take about 15-20 minutes to complete so please save enough time. Once we have your information, we can visit further about your symptoms.
- your insurance card
- a list of your physicians
- a complete medication list and dosage
Online Dental Education Librarycontact us contact us
Our team of dental specialists and staff strive to improve the overall health of our patients by focusing on preventing, diagnosing and treating conditions associated with your teeth and gums. Please use our dental library to learn more about dental problems and treatments available. If you have questions or need to schedule an appointment, contact us.
Online Dental Education Library
Our team of dental specialists and staff strive to improve the overall health of our patients by focusing on preventing, diagnosing and treating conditions associated with your teeth and gums. Please use our dental library to learn more about dental problems and treatments available. If you have questions or need to schedule an appointment, contact us at 785-738-3758,
Anyone who participates in a sport that carries a significant risk of injury should wear a mouth protector. Sports like basketball, baseball, gymnastics, and volleyball all pose risks to your gum tissues, as well as your teeth. We usually think of football and hockey as the most dangerous to the teeth, but nearly half of sports-related mouth injuries occur in basketball and baseball.
A helmet can prevent serious injuries such as concussions, cerebral hemorrhages, incidents of unconsciousness, jaw fractures and neck injuries by helping to avoid situations where the lower jaw gets jammed into the upper jaw. Mouth guards are effective in moving soft tissue in the oral cavity away from the teeth, preventing laceration and bruising of the lips and cheeks, especially for those who wear orthodontic appliances.
Mouth protectors, which typically cover the upper teeth, can cushion a blow to the face, minimizing the risk of broken teeth and injuries to the soft tissues of the mouth. If you wear braces or another fixed dental appliance on your lower jaw, a mouth protector is available for these teeth as well.
A properly fitted mouth protector may be especially important for people who wear braces or have fixed bridge work. A blow to the face could damage the brackets or other fixed orthodontic appliances. A mouth protector also provides a barrier between the braces and your cheek or lips, limiting the risk of soft tissue injuries. Although mouth protectors typically only cover the upper teeth, your dentist or orthodontist may suggest that you use a mouth protector on the lower teeth if you have braces on these teeth too. If you have a retainer or other removable appliance, do not wear it during any contact sports.
Types of mouth guards
There are three types of mouth protectors:
- Stock - Inexpensive and come pre-formed, ready to wear. Unfortunately, they often don't fit very well. They can be bulky and can make breathing and talking difficult.
- Boil and bite - Can be bought at many sporting goods stores and may offer a better fit than stock mouth protectors. They should be softened in water, then inserted and allowed to adapt to the shape of your mouth. If you don't follow the directions carefully you can wind up with a poor-fitting mouth protector.
- Custom-fitted - Made by your dentist for you personally. They are more expensive than the other versions, but because they are customized, they can offer a better fit than anything you can buy off the shelf.