Dental device for sleep apnea?

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Posted: Monday, June 9, 2014 4:00 pm

WESTERVILLE, Ohio (Ivanhoe Newswire) – In the U.S, 22 million people suffer from sleep apnea. The most popular treatment is known as continuous positive airflow pressure, also called CPAP. However, if the condition is not severe enough CPAP may not be effective.

So, some patients are trying a different approach that’s been around for a while for treating the sleep disorder, and it’s found in their dental office.

Ted Durkee is 67 years old. He is seeing his dentist, not because of a tooth ache, but for sleep apnea.

“I always had problems with dozing off in the afternoon in the office and people would joke about that,” Durkee told Ivanhoe.

He suffered for years, until he finally decided to participate in a home sleep study to evaluate his sleep patterns. The device measured his heart rate along with blood oxygen levels. The test revealed Durkee had low oxygen levels, which means he has sleep apnea.

“I didn’t have to go for two nights at a different location. I could sleep in my own bed,” Durkee explained.

His doctor prescribed oral appliance therapy, or OAT. It’s a mouth appliance that moves Durkee’s jaw forward to help him breathe easier while sleeping.

“Mr. Durkee was the ideal patient because he has… he’s on the mild end of apnea,” Gretchen Zody, DDS, Dentist/Sleep Expert, told Ivanhoe.

Dr. Gretchen Zody said she can see signs of sleep apnea just by looking in her patients’ mouths.

“Their tongue can be scalloped along the edges so you can actually see the indentations of the teeth,” Dr. Zody explained.

That’s because patients push their tongue forward to clear their airway. Other signs include bruxism, grinding of the teeth, acid reflux, and snoring.

It took a few weeks for Durkee to notice a difference, but he said now his oxygen levels are back to normal and he hasn’t experienced any side effects.

“I have a lot more energy,” Durkee explained. “The bags under my eyes are not as severe as they have been in the past.”

Typically most insurance companies will cover the treatment, but patients must prove they cannot tolerate the CPAP in order to get the appliance.

Without insurance, the treatment will cost about $2500.

Patients who are not good candidates for the treatment are those who don’t have enough teeth, because the appliance must hook onto a solid row of teeth.


BACKGROUND: Sleep apnea is a potentially serious sleep disorder in which breathing repeatedly stops and starts. About 22 million people in the U.S. suffer from sleep apnea. You may have it if you snore loudly and you feel tired even after a full night’s sleep. There are two main types of sleep apnea:

• Obstructive sleep apnea-the more common form that occurs when throat muscles relax

• Central sleep apnea-which occurs when your brain doesn't send proper signals to the muscles that control breathing. (Source: mayoclinic.org)

SYMPTOMS: The symptoms of obstructive and central sleep apneas overlap, sometimes making the type of sleep apnea more difficult to determine. The most common signs include:

• Excessive daytime sleepiness

• Loud snoring

• Attention problems

• Difficulty staying asleep (insomnia)

• Morning headache

• Awakening with a dry mouth or sore throat

• Abrupt awakenings accompanied by shortness of breath (Source: http://www.mayoclinic.org/diseases-conditions/sleep-apnea/basics/symptoms/con-20020286)

TREATMENT: The most popular treatment is called continuous positive airflow pressure, or CPAP. However, if the condition is not severe enough, CPAP may not be effective. If you have mild to moderate sleep apnea, then the best treatment is something called oral appliance therapies. There are more than 80 different oral devices on the market for sleep apnea and snoring. Most of them are varieties of “manibular repositioning dental appliances,” devices that move the lower jaw forward. Most of the remainder are “tongue retaining appliances.” Both reduce the likelihood of the sleeper’s tongue falling backward far enough to block the airway. In the U.S., oral devices cannot be sold over the counter. They must be prescribed by a physician and fitted by a dentist, oral surgeon, or ENT. The American Academy of Dental Sleep Medicine provides a search tool to locate a dentist near you who is qualified. (Source: www.sleepapnea.org and http://www.aadsm.org/)

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