OSA Therapy Choice and Compliance

The two most common therapies for Obstructive Sleep Apnea are continuous positive airway pressure (CPAP) and mandibular advancement splints (oral appliance). These two therapies have similar benefits to patients but differ in comfort, ease of use and compliance levels. Traditionally, CPAP has been the first choice of physicians for treatment of patients with OSA.  Low CPAP compliance rates and high efficacy results for the oral appliance have physicians reconsidering this choice. Studies show that 30 to 50% of CPAP users are noncompliant. In contrast, oral appliance users report nearly 100% compliance. Noncompliant patients are at risk of stroke, obesity, drowsy …

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A Case For The Patient Treatment Pathway For Oral Device Therapy

Featured in the March 2017 edition of Dental Sleep Medicine Insider Magazine is article A Case For The Patient Treatment Pathway For Oral Device Therapy  By Jagdeep Bijwadia: 40% of CPAP users are non-complant. That means that for close to half of all patients being treated for Obstructive Sleep Apnea, CPAP simply is not a viable solution. The ideal metric for treatment should take into account both the AHI and… read more 

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Does skipping CPAP for one night really matter?

A recent study found that sleep apnea, even for one night, can affect blood pressure.  “After just six hours of fluctuating oxygen levels, similar to what happens with sleep apnea, the body’s ability to regulate blood pressure is impaired.”   There is an immediate impact on the body’s ability to maintain a normal blood pressure from sleep apnea the night before. A patient is considered “compliant” if he or she wears a CPAP for 70% of nights; however, every untreated night affects the next day’s health.  Maybe a treatment with a higher compliance rate should be considered.  Mandibular advancement devices (oral …

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Heart Disease and Sleep Apnea are a Dangerous Combination

Sleep disorders such as obstructive sleep apnea (OSA) are common in patients with cardiovascular disease such as coronary artery disease, high blood pressure, and atrial fibrillation. A person suffering from cardiovascular disease is two-to-three times more likely to have sleep apnea, according to the Sleep Apnea and Cardiovascular Disease Study conducted by The American Heart Association. According to the study, sleep apnea can lead to or worsen heart disease. Apneas, or periods when breathing ceases during sleep, causes oxygen levels to drop and triggers a “fight or flight” response in your body which in turn causes your blood vessels to constrict and …

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Increase physician referrals for Dental Sleep by billing In-Network

Has your dental office been speaking and marketing to physicians about oral appliances but receive fewer referrals than expected? One reason may be that you are not contracted as a participating provider with medical insurance. Most insurance companies have taken steps to minimize the use of out-of-network providers, including significantly higher deductibles, higher coinsurance percentages, and even Out-of-Network Consent Policies and patient notification forms. Physicians recognize a discord is created when their patients receive large bills because of using an out of network facility.  Having marketing sleep testing services (Millennium Sleep Lab) to physician offices for several years, one of …

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2017: Get More Sleep

It’s resolution time yet again. Each year we make promises to improve our lives in the coming year. We vow to exercise more, eat less, make new friends and reduce stress along the way. It’s no secret that resolutions are often made but rarely kept. This year throw out the long list of resolutions. Stick with one promise to yourself—to get more sleep. Make 2017 the year of sleep. This year strive for 8-hours of quality sleep each night. Start by improving your sleep environment with a new mattress, white noise machine or thicker shades to block out light.  Next, …

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The Epworth Sleepiness Scale is used to determine the level of daytime sleepiness. A score of 10 or more is considered sleepy. A score of 18 or more is very sleepy. If you score 10 or more on this test, you should consider whether you are obtaining adequate sleep, need to improve your sleep hygiene and/or need to see a sleep specialist. These issues should be discussed with your medical professional. Use the following scale to choose the most appropriate number for each situation:

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Snoring man. Couple in bed, man snoring and woman can not sleep, covering ears with pillow for snore noise. Young interracial couple, Asian woman, Caucasian man sleeping in bed at home.

Snoring affects approximately 90 million American adults and is a common problem among all ages and both genders. It can cause disruptions to your own sleep and your bed-partner’s sleep. It can lead to fragmented and un-refreshing sleep which translates into poor daytime function (tiredness and sleepiness). The two most common adverse health effects that are linked to snoring are daytime dysfunction and heart disease. About one-half of people who snore loudly have Obstructive Sleep Apnea. For details on how we can help you, see Patient Info.

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