Sleep Apnea Treatment | TMJ Treatment | Snoring Treatment | Redlands CA | Riverside CA | Ontario CA
Sleep Apnea Treatment | TMJ Treatment | Snoring Treatment | Redlands CA | Riverside CA | Ontario CA

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Sleep Apnea Treatment | TMJ Treatment | Snoring Treatment | Redlands CA | Riverside CA | Ontario CA Sleep Apnea Treatment | TMJ Treatment | Snoring Treatment | Redlands CA | Riverside CA | Ontario CA Sleep Apnea Treatment | TMJ Treatment | Snoring Treatment | Redlands CA | Riverside CA | Ontario CA Sleep Apnea Treatment | TMJ Treatment | Snoring Treatment | Redlands CA | Riverside CA | Ontario CA

Sleep Apnea Treatment | TMJ Treatment | Snoring Treatment | Redlands CA | Riverside CA | Ontario CASleep Apnea Treatment | TMJ Treatment | Snoring Treatment | Redlands CA | Riverside CA | Ontario CA

Sleep Apnea Treatment

The use of oral appliance therapy in the management of airway obstruction dates back to early 1900 when the French stomatologist Pierre Robin used oral appliance therapy to manage upper airway obstruction of infants born with Pierre Robin syndrome.  Since then oral appliance therapy and therefore sleep disorders dentistry has become an important component in sleep apnea treatment.  It wasn't until February 2006 that oral appliance therapy was officially recognized and recommended as a treatment modality for the treatment of obstructive sleep apnea by the American Academy of Sleep Medicine. These recommendations were published in their journal SLEEP: Practice Parameters for the Treatment of Snoring and Obstructive Sleep Apnea with Oral Appliances: where they recommended oral appliance therapy for the treatment of snoring, mild to moderate obstructive sleep apnea and for patients that fail treatment attempts with continuous positive airway pressure (CPAP) therapy.  Oral appliance therapy and CPAP therapy are the only "recommended" treatments for obstructive sleep apnea.  Various studies have proven that oral appliance therapy is an effective solution for a significant number of patients with mild to moderate obstructive sleep apnea and is the only recommended alternative for CPAP intolerance.  All other therapies including surgery are "optional".

First Things First!

There can be no treatment without a diagnosis!  A diagnosis must first be made from the results of an overnight sleep study. There are two categories of overnight sleep studies: attended and unattended. The attended sleep study, called a Polysomnogram (PSG), is considered the most accurate and therefore the most recommended type of sleep study.  A polysomnogram however requires the patient to sleep overnight in a sleep center rather than in their own bed at home which can be problematic for some patients.  For these patients, unattended sleep studies also known as ambulatory or home sleep studies are available. Though considered not as accurate as the polysomnogram and not a covered benefit of some health insurance plans, home sleep studies are more convenient, less costly and study the patients sleep in their home sleep environment.

Once a diagnosis is made from an overnight sleep study, treatment can be prescribed for either simple snoring or obstructive sleep apnea. As the word "simple" would indicate, the treatment for snoring is much less complicated than the treatment for obstructive sleep apnea.  Though simple snoring is not a covered benefit of any dental/medical insurance plan, if left untreated it will eventually progress to obstructive sleep apnea.

Computer – Driven Technology

In order to treat obstructive sleep apnea effectively with oral appliance therapy, it is important to determine the location and degree of airway obstruction of your sleep disordered breathing problem. We therefore must "map" your nasal passages and your oral airway with a quick and painless technique called Acoustic Reflection Technology (ART). We employ a suite of ART enabled diagnostic equipment that emits sound waves through two tools; the rhinometer and the pharyngometer. The ART technique draws a picture of your nasal passages and oral airway with sound. ART is used during the course of active therapy for obstructive sleep apnea to make slow incremental adjustments to the appliance over the course of treatment, ensuring that these adjustments always improve the airway, which results in successful treatment. After pinpointing the location of the obstruction, we will be able to select one of the numerous FDA approved appliances available only by prescription, which will provide the necessary support for the airway during sleep. There is no one appliance that works well in all situations because we are all individuals, each with our own unique airway anatomy.  Experience with these appliances in addition to knowledge, training and testing is crucial for the successful treatment of obstructive sleep apnea utilizing oral appliance therapy.  It's not as simple as boiling a "one size fits all" snoring appliance purchased from an ad on T.V. or the internet and popping it into your mouth when you sleep. 

In an article published in the Inland Empire Edition of M.D. NEWS December 2008, Vol.1, No.12 Dr. Fritzsche states:

I've been wearing appliances myself for over 15 years. Every appliance I use in this office, I've tried on myself. I've had over 20 different appliances made for myself and have slept with them all, so I've gotten a lot of information on the day-to-day use, and in what situation one will work better than another.

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To schedule a consultation, call The Center for Sleep & TMJ Disorders at 909-798-3516 today!

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