Sleep Apnea – Treatment Options

Dental Sleep Apnea Treatment Specialist in Michigan

Sleep Apnea: an Alternative to CPAP?

Dr. Bogrow is a Diplomate and Certified Member of the American Academy of Dental Sleep Medicine (D-ABDSM). His advanced training enables him to deliver exceptional treatment for patients who have problems associated with snoring and obstructive sleep apnea. The viability of dental treatments to treat sleep apnea may be greater than perceived.

As an experienced practitioner in oral appliance therapy, Dr. Bogrow works closely with primary care and sleep physicians in:

  • Screening his patients for OSA and snoring
  • Selecting, customizing and fitting appropriate adjustable oral appliances
  • Providing a home testing unit to help verify correct titration of the appliance
  • Referring his patients back to their sleep physicians for follow up Polysomnography (PSG) to coordinate treatment
  • Scheduling routine follow up exams to maintain and ensure proper fit of the oral appliance
What are my treatment options?

Once you have been correctly diagnosed with obstructive sleep apnea a variety of medical and dental treatments are available: CPAP, Surgery, and Oral Appliance Therapy (OAT) or by combination of these approaches.

Continuous Positive Airway Pressure (CPAP):

Cpap is a machine that will help assist you in breathing during the night while you are sleeping. It forces pressurized air from a bedside machine through a mask that is fitted over your nose and/or mouth, to keep the airway open during sleep. The air pressure prevents the collapse of the airway and the pressure can be adjusted to maintain the airway for people with all severity levels of apnea.

Surgical Procedures:

Surgery is usually an option after other treatments has failed. The approach of surgery for sleep apnea is to enlarge the airway.

Surgical options:

Uvulopalatopharyngoplasty (UPPP):removal of excess tissue in the throat to make the airway wider. Removal of the uvula, one-third of the soft palate, tonsils, and adenoids.

Maxillo-mandibular advancement (MMA): jaw surgery that advances the upper and lower jaw forward opening the airway.
Pillar Procedure- Palatal implant: small rods implanted in the soft palate, keeping the tissue from blocking the airway.
Radiofrequency ablation (RFA): Reduces the size of the tongue and other tissues to open the airway.

Oral Appliance Therapy (OAT):

Oral appliance therapy involves the selections, design, fitting and use of a custom designed oral appliance that, when worn during sleep, maintains and opened and unobstructed airway in the throat. Oral appliances that treat snoring and obstructive sleep apnea are worn in the mouth, similar to orthodontic retainers or sports mouth-guards. Oral appliances work by:

  • Repositioning the lower jaw, tongue, soft palate and uvula
  • Stabilizing the lower jaw and tongue
  • Increasing the muscle tone of the tongue

There are over 40 appliances that have been approved through the FDA for treating snoring and obstructive sleep apnea. Dr. Bogrow is a Diplomate and Board Certified member of the American Academy of Dental Sleep Medicine (AADSM). Through his experience in treating snoring and sleep apnea he can determine which appliance is best suited for your specific needs. Oral appliances may be used alone or in combination with other means of treating OSA. Dr. Bogrow will work closely with primary care and sleep physicians in:

  • Screening his patients for OSA and snoring
  • Selecting, customizing and fitting appropriate adjustable oral appliances
  • Providing a home testing unit to help verify correct titration of the appliance
  • Referring his patients back to their sleep physicians for follow up Polysomnography (PSG) to coordinate treatment
  • Scheduling routine follow up exams to maintain and ensure proper fit of the oral appliance

He is dedicated to helping his patients overcome the potential health risks and life-threatening consequences associated with untreated OSA.

We are taking advanced training to treat our patients with problems associated with snoring and obstructive sleep apnea.

SomnoDent®


SomnoDent® is a custom made device worn during sleep to increase the upper airway volume and reduce collapsibility. SomnoDent® Flex & Classic devices each utilize a unique patented fin coupling component, maximizing patient comfort and compliance. This device is clinically proven to result in successful treatment for patients suffering from sleep apnea.

The SUAD Device


We offer the SUAD Device, a premium dental sleep appliance developed for the treatment of snoring and obstructive sleep apnea. This device is an alternative to CPAP therapy or surgery and offers a comfortable solution to help you achieve a good night’s sleep.

The Narval™


Narval™ CC is ResMed’s premier oral appliance. As one of the lightest oral appliances available, Narval CC is designed to be discreet, comfortable and effective. Crafted from a lightweight, flexible and metal-free biocompatible material.

The EMA


The EMA oral appliance from Myerson increases airwayspace by advancing the mandible using interchangeableelastic straps. EMA elastic straps come in 9 different lengthsand 4 different strengths. The shorter the ema elastic strap, the farther the mandible is advanced. 36 different straps allow for themost effective repositioning with maximum comfort.

The Tap 3


On the TAP 3 TL, a hook mechanism attached to the upper tray fits into a socket attached to the lower tray and positions the lower jaw forward. Allowing for a greater range of lateral movement than previous designs, the TAP 3 Elite features a simple hook mechanism attached to the upper tray slides under a bar attached to the lower tray and positions the lower jaw forward.

Please complete the short form below to receive our special report “Fundamentals of Dental Sleep Medicine: Snoring and Sleep Apnea” and you will be enrolled in Connections©, our (approximately) monthly e-letter to help you achieve and maintain optimum oral and overall health. (* Denotes required field.)

 

Sleep Apnea Report Request

 




 
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