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I can’t use my CPAP, what else can I do?CPAP is the first line treatment of most sleep Doctors. When a patient is unable or unwilling to wear their CPAP device, the sleep Doctor can recommend an Oral Appliance as a good alternative. Many patients choose this option first, due to issues with claustrophobia, ill fitting masks and sleep partner intolerance to machine noise. A Qualified sleep trained Dentist should be involved in your proper examination and treatment. This includes the choice and production of the appropriate appliance. Proper annual checkups are a necessary part of your treatment.
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Can children have Sleep Apnea?Yes, children can have sleep apnea related to large adenoids, tonsils, throat and palate shape, as well as other factors. Children also may grind their teeth as a result of sleep disturbances. Some studies note a resulting lower IQ in children with untreated sleep apnea.
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What increases the risks of Sleep Apnea?The risks of developing a common condition like Obstructive Sleep Apnea increase with being overweight, large neck size, tongue size, excessive alcohol consumption and poor sleep hygiene
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How is it treated?There is no single treatment option for the condition as it largely depends on the cause. As a patient, you will undergo a sleep study followed by a review of your medical history and dental history, teeth, periodontal status, jaw joint, hygiene, radiographic examination to determine a diagnosis. The Sleep Doctor will advise either a CPAP machine or an Oral Appliance to treat a simple snoring problem or Obstructive Sleep Apnea. Exercise and weight reduction is also advised as this has a positive impact on the patient’s perception of daytime sleepiness, quality of life and mood state.
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What are the symptoms?Symptoms are often manifested in a partner's loud and persistent snoring punctuated with periods of silence and then gasping or snorting. The individual can experience excessive tiredness during the waking hours, including immediately after waking up, being irritable, high blood pressure and the tendency to doze off while at work, driving or even during conversations. Some patients even have trouble falling asleep.
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What causes Sleep Apnea?In its most common form, Obstructive Sleep Apnea occurs when the back of the throat (Oropharynx), tongue and related structures relax during sleep. These structures either completely or partially block the airways causing a total or partial reduction of airflow to the lungs. Obesity is a common contributor of Obstructive Sleep Apnea. Central Sleep Apnea can be a result of accident or stroke.
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Who suffers from Sleep Apnea?Sleep Apnea can occur in all ages, but is primarily found among adults starting in their 30s. The condition is most prevalent in adult males above age 49, certain ethnic groups and in the obese. Severely Obese males and females with age greater than 49 years are at greatest risk of Sleep Apnea. Shift workers are also more likely to have sleep disturbances than the general population. These can include increased daytime sleepiness and increased difficulties in falling asleep.
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What is a sleep study?A definitive diagnosis of Sleep Apnea can only be made by conducting a sleep study called Polysomnography (PSG) conducted during a visit to a sleep lab, usually overnight, or a home study performed with special equipment. These studies are done to determine if a patient suffers from a specific sleep disorder. A healthcare professional will monitor and record the results of your sleep to determine your condition and offer treatment options. A sleep study generates several records of activity during several hours of sleep, usually about six. Generally, these records include an electroencephalogram, or EEG, measuring brain waves; an electroculogram, or EOG, measuring eye and chin movements that signal the different stages of sleep; an electrocardiogram, ECG, measuring heart rate and rhythm; chest bands that measure respiration; and additional monitors that sense oxygen and carbon dioxide levels in the blood and record leg movement.
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Who can diagnose if I have Sleep Apnea?Only a trained medical professional can accurately diagnose Sleep Apnea. This is done by conducting a laboratory sleep study. The results are analysed and treatment options will be discussed.
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If untreated, what other conditions occur?If you’ve been diagnosed with Sleep Apnea and you are not being treated, your chance of serious medical conditions is significantly greater than the average. Heart disease, high blood pressure, stroke, poorly controlled diabetes, and mood alterations. Poor Uncle Fred ‘who died quietly in his sleep’, probably died from a potentially manageable sleep apnea related event.
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Does insurance cover treatment costs?While the patient is responsible for the treatment fee, in some instances, third party insurance coverage is available. Financing is also available through a third party company. Our staff would be pleased to discuss which options would be right for you.
Frequently Asked Questions
Patient Testimonials
Dear Dr. Richardson,
Thank you so much for helping my husband with his Sleep Apnea. His new appliance not only stops him from snoring but now he doesn't stop breathing during the night like he used to. Not only do I have a quieter night but I can sleep soundly knowing that he is breathing! I can't tell you how much it has changed both of our lives. Thank you again.
E.V. Bochove
Dear Dr. Richardson,
I thought that the learning curve to wear my appliance would be difficult and uncomfortable. I am amazed at how quickly I got used to the appliance and how much better I feel in the morning. Thanks again.
S. Puopolo
It’s has been a pleasure to be in Dr Richard son’s hands as a patient. He is extremely professional and caring. My experience trying the sleep dental appliance has been seamless thanks to his expertise. He is probably the best dental professional I have encountered.
My experience with Dr. Richardson made my fears and anxiety about my condition non-existent. I didn't feel awkward...oddly most times I didn't even feel like a patient :-) His careful explanation of the MAD (oral appliance) and its functionality made it easier to use and trust. I have and will continue to recommend him and his office to others