Daniel Tebbi DMD Cosmetic Dentistry and Orthodontics

(818) 789-2034

Sleep Disorder Treatment Options

Dental Solutions

Sleep Prosthodontics/Obstructive Airway Treatment

If you’ve tried CPAP (continuous positive airway pressure) and self-help tips and your sleep problems persist, you may benefit from a simple dental device. In some cases, our patients find oral appliances are much easier to use than a CPAP machine. The goal for the dental device is to relieve snoring and mild obstructive sleep apnea.

Dental devices are designed to open your throat by bringing your jaw or tongue forward during sleep. When the jaw moves forward it allows more room for the tongue and soft tissue. Dental devices slightly open the teeth to help decompress the jaw joint and open the airway down your throat.

Most dental devices fit inside your mouth, much like an athletic mouth guard or night guard. it offers a full range of dental/oral appliances, including the:

. Mandibular repositioning device

  • Surgical Solutions 

In extreme cases and only when medically warranted, Your Surgeon offer several surgical solutions to address sleep apnea and snoring disorders. The goal of surgery is to get you back to a regular breathing pattern while you sleep. Surgery is often effective in treating snoring and sleep apnea when the bones and tissues in your mouth, neck and throat are not aligned properly.

During a consultation and evaluation, Your Surgeon will determine what part of your upper airway is causing the airflow obstruction. There are several locations where airway obstruction may occur and it is important that you are properly diagnosed to determine which type of operation is required to treat your sleep disorder.

Surgery for sleep apnea removes excess tissue from your nose or throat that may be vibrating and causing you to snore, or that may be blocking your upper air passages and causing sleep apnea. Surgical options may include:

  • Uvulopalatopharyngoplasty (UPPP). Under a general anesthetic, your doctor removes tissue from the rear of your mouth and top of your throat. Your tonsils and adenoids usually are also removed. This type of surgery seeks to stop throat structures from vibrating and causing snoring. It is usually not recommended for sleep apnea, since tissue farther down your throat may still block your air passage.
  • Tracheostomy is for severe, life-threatening sleep apnea. In this procedure, your surgeon makes an opening in your neck and inserts a metal or plastic tube through which you breathe. You keep the opening covered during the day. At night you uncover it to allow air to pass in and out of your lungs, bypassing the blocked air passage in your throat.

Other types of surgery may help reduce snoring and contribute to the treatment of sleep apnea by clearing or enlarging air passages:

  • Nasal surgery to remove polyps or straighten a crooked partition between your nostrils (deviated nasal septum)
  • Surgery to remove enlarged tonsils or adenoids

Surgical solutions may be combined with other non-surgical treatments to ensure that your sleep apnea and snoring are properly treated.

Maxillomandibular Advancement: Jaw is broken and moved forward as is the area below the

nose. This opens up the upper airway. This is one of the most effective surgical options

available, but it basically does the same as an Oral Appliance with the same "success rates."

Why have surgery when you could just use an oral appliance. This will change your facial

features by pulling the bottom half of your face forward. 

Information about CPAP Equipment

What is Sleep Apnea?

Sleep apnea is a condition that affects a person’s breathing primarily when the person is sleeping. It is often defined as a cessation of breathing during the sleep process. There are several different kinds of sleep apnea. Sleep apnea is a very serious disorder and it can lead to many medical problems if it is not treated. Some of these problems include high blood pressure, heart disease, strokes and difficulty concentrating. There are several ways that this is diagnosed including through a physical examination and through a sleep study. When a sleep study is conducted, the doctors will evaluate a person’s breathing while he is asleep. The doctor will be able to tell if the breathing stops and how often this occurs. This is the best way to diagnose sleep apnea. When a person stops breathing during sleep it is usually caused by a stoppage of airflow. A CPAP machine helps with this because it continuously blows fresh air into the person’s nose. The person is able to breathe the entire night and this offers many benefits.

CPAP Equipment

If a doctor determines that a person has sleep apnea, he may recommend getting CPAP. It is only prescribed for people with sleep apnea or other medical conditions that are similar to this. A CPAP machine uses several different components. First you have the machine that produces the air. When the machine is turned out, it offers a quiet, rhythmic sound while it pulls air to use to help the person breathe. Another component is the mask. The person must place a CPAP mask over his head. There are many different kinds of masks and you may have to try a couple kinds to find one that is comfortable for you. The mask contains a device that fits over your nose and mouth. This is where the air will blow when the machine is turned on. The mask has straps that are adjustable to help with comfort. The other part is the tube. The tube connects the actual machine to the mask. It must be connected in order for this to work. There are other components that you can add to the machine for increased comfort. One of these things is a humidifier. This will help because it will keep moisture in the air. Without it, many people find discomfort and irritation in their nose from dry air being pushed through it all night.

Quick, easy and painless ways to assess your risk for a sleep disorder. Complete this short questionnaires on this link . If you would like you can forward your completed form(s) to us for a professional evaluation.

To assess your risk for Obstructive sleep apnea (OSA), click here

Medication and Behavioral Therapy

Treatment for sleep disorders related to an underlying psychological or neurological condition may include medication and behavioral therapy.

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