Sleep Hygiene Assistance
Oral appliance fabrication
Continuing care for sleep
Loud Snoring Relief
Oral appliance titeration
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Tel.: 860 674 0707
39 E Main Street, Avon, CT
What is Obstructive Sleep Apnea?
Obstructive sleep apnea is a serious sleep disorder in which breathing repeatedly stops and starts during sleep. It occurs when the muscles in the back of the throat fail to keep the airway open, causing the person to snore loudly and wake up gasping for air. If left untreated, sleep apnea can increase the risk of serious health problems, including heart disease, stroke, and high blood pressure.
Most people affected by sleep apnea wake up feeling tired and have daytime sleepiness. A few other signs may include:
Feeling unrefreshed in the morning
Elevated blood pressure
Anxiety and depression
What is an oral sleep apnea device?
An oral sleep apnea device, also known as a mandibular advancement device (MAD) or a dental sleep appliance, is a type of oral appliance that is used to treat obstructive sleep apnea (OSA) and snoring. It is designed to keep the airway open during sleep by repositioning the lower jaw and tongue.
An oral sleep apnea device is typically custom-fitted by a dentist or sleep specialist. A dentist with a proper training is highly recommended to treat this serious condition. An AADSM Diplomate or a qualified dentist is highly recommended. The oral device is made of moldable plastic and is worn over the teeth during sleep, just like a night guard. It works by advancing the lower jaw forward, which tightens the soft tissue and muscles in the back of the throat, preventing them from collapsing and blocking the airway.
Oral sleep apnea devices are a non-invasive alternative to continuous positive airway pressure (CPAP) therapy, which is considered the gold standard treatment for sleep apnea. CPAP therapy involves wearing a mask over the nose or mouth that delivers a continuous flow of air to keep the airway open during sleep. While effective, some people find CPAP therapy uncomfortable and difficult to tolerate.
Oral sleep apnea devices are generally well-tolerated and can be an effective treatment option for mild to moderate sleep apnea. However, they may not be suitable for everyone. People with severe sleep apnea or certain dental conditions may not be able to use an oral sleep apnea device.
If you are considering an oral sleep apnea device, it’s important to consult with a qualified dentist or sleep specialist to determine if this treatment is right for you. Your healthcare provider can help you weigh the risks and benefits of different treatment options and help you make an informed decision about your care. Please call 860.674.0707 to schedule a consultation with Dr. Kumar who is a Diplomate of American Academy of Dental Sleep Medicine.
Steps for fabricating a sleep device
The process of fabricating a mandibular advancement device typically involves several steps:
Consultation and Examination
The first step is to consult with a qualified dentist or sleep specialist who can evaluate your symptoms and determine if a mandibular advancement device is right for you. This may involve a physical exam, a review of your medical history, and sleep testing to confirm a diagnosis of obstructive sleep apnea.
Once it has been determined that a mandibular advancement device is appropriate for you, the dentist will take impressions of your teeth and gums using a moldable material. This will create an accurate model of your mouth, which will be used to create a custom-fitted device.
Bite Registration / setting initial appliance position
After the impressions are taken, the dentist will also take a bite registration to determine the position of your jaw when it is in a comfortable and effective forward position for treating sleep apnea.
Design and Fabrication
Using the impressions and bite registration, the dentist will design and fabricate a mandibular advancement device specifically tailored to fit your mouth. The device is typically made of a moldable plastic and may have adjustable components to ensure a comfortable and effective fit.
Fitting and Adjustment
Once the device has been fabricated, you will return to the dentist for a fitting appointment. The dentist will ensure that the device fits properly and make any necessary adjustments to ensure comfort and effectiveness.
After you have started using the device, you will need to schedule follow-up appointments with the dentist to monitor your progress and make any necessary adjustments to the device. It is important to follow your dentist’s instructions for the use and care of the device to ensure its effectiveness and longevity.
Overall, the process of fabricating a mandibular advancement device typically takes several weeks and requires multiple visits to the dentist. However, a well-fitted and properly used device can be an effective treatment option for mild to moderate obstructive sleep apnea and snoring.
Frequently Asked Questions
If you snore or have mild to moderate sleep apnea, a mandibular advancement device may be a suitable treatment option for you. However, it is important to consult with a sleep specialist or dentist to determine the underlying cause of your sleep problems and to determine whether a MAD is appropriate for you.
A mandibular advancement device works by repositioning the lower jaw forward, which helps to increase the size of the airway and reduce the likelihood of obstruction during sleep. This can help to reduce or eliminate snoring and improve the symptoms of sleep apnea. You can download a guide comparing different types of oral devices for sleep apnea by clicking here
Your medical insurance plan might cover oral appliance treatment for sleep apnea. The total cost of sleep apnea treatment may vary based on your individual situation and may range between $1800 to $6000 without insurance benefits. The variation usually depends upon the severity of OSA (Obstructive sleep apnea), the number of adjustment visits needed, and the type of appliance you or your doctor will choose. There are a number of appliances available and each has its advantages and disadvantages. If you have Medicare, there are strict guidelines to use a medicare approved appliance only. You and Dr. Kumar will decide together which appliance might work best for you during your visit.
The benefits of using a mandibular advancement device include reduced snoring, improved sleep quality, and reduced symptoms of sleep apnea. It is a non-invasive and comfortable alternative to other sleep apnea treatments, such as continuous positive airway pressure (CPAP) therapy.
Advantages of Oral Appliance Therapy:
- Compliance statistics are high
- Easy to use
- Appliances can be customized based on your needs
- Easy to travel with
- Less maintenance
- No noise
- No electricity or plug-in required
The most common side effects of using a mandibular advancement device include jaw pain, tooth discomfort, and dry mouth. These side effects can often be managed with proper adjustment and regular maintenance of the device.
A mandibular advancement device (MAD) is a dental appliance designed to treat snoring and sleep apnea by repositioning the lower jaw forward during sleep, which helps to keep the airway open and prevent obstruction.
You should use your oral appliance every night for at least 4 or more hours during sleep for effective sleep apnea treatment unless advised differently by your sleep physician or Dr. Kumar. If you are unable to use your oral appliance for any reason, you should call our office immediately.
The Valley Press – Local Publication
Recognition forSleep Apnea||Treatment
Dr. Kumar was recognized for his work in the local community. Click below to see the valley press publication
Avon Family and Cosmetic Dentistry
39 East Main Street, Avon, CT 06001
Phone: (860) 674 – 0707
Fax: (860) 678 – 8440
44 South Main Street, East Windsor, CT 06088
Phone: (860) 254 – 6955
Fax: (860) 254 – 6956