We treat Sleep Apnea problems with an oral appliance, a simple in-mouth appliance (like a retainer).

Dr. Radwa Sobieh holds a Master of Science in TMD and sleep apnea from the University of Minnesota. For snoring and mild to moderate sleep apnea, a custom oral appliance is often an option for people who can’t use CPAP.

Sleep Apnea and Snoring Treatment Options

CPAP (Continuous Positive Airway Pressure) is pressurized air from a bedside machine. The air is delivered through a tube that connects to a mask, covering the nose. The pressure of the air forces and maintains the airway open while you sleep. This is a very successful treatment option, however it is only a great treatment if it is used! Many people find the masks very uncomfortable and cumbersome to wear. The noise created by the machines can also cause difficulty sleeping for the patient and partner. Additionally, the machines are difficult to travel with for many people.

Oral appliance therapy is non-invasive. The appliance is a mouthpiece for patients with snoring or mild to moderate sleep apnea, worn while you sleep, and it is about the size of an orthodontic retainer or sports mouthguard. Most patients find it comfortable and easy to travel with, and it can be used alone or with other treatments. It works by repositioning the lower jaw, tongue and soft palate to keep the airway from collapsing. We select the right design and custom-fit it to your teeth.

Sleep Apnea is a life threatening disorder and should not go untreated because you can’t wear your CPAP! We can make a custom-fit plastic mouthpiece for treating sleep apnea. The mouthpiece will adjust your lower jaw and your tongue to help keep your airways open while you sleep.

Sleep Apnea

Obstructive Sleep Apnea (OSA) is the most common sleep disorder affecting over 18 million people in the United States. Sleep Apnea is characterized by loud or heavy snoring interrupted by the stopping of breathing for more than 10 seconds. The word “apnea” literally means “without breath.”

Under diagnosed and frequently dismissed simply as harmless yet annoying snoring, “obstructive sleep apnea” (OSA) is a very dangerous condition. If you or a loved one snore loudly at night, please have a sleep study done to rule out this potentially fatal condition.

Common Symptoms

  • Excessive Daytime Sleepiness – Do you simply run out of energy after lunch.
  • Poor, unrefreshing sleep – How often do you wake up as tired as when you went to bed?
  • Memory problems or Personality changes – Disturbed sleep can cause these.
  • Nocturia – Getting up more than twice a night to go to the bathroom.
  • History of Heart Disease, Heart Attack, Stroke, and High Blood Pressure.
  • Diabetes: Sleep apnea is common in people with type 2 diabetes.
  • Waking up gasping for air, or Stopping Breathing, while sleeping.
  • Headaches in the Morning – Lack of oxygen can cause this.
  • TMJ and Teeth Grinding: These are often seen together with sleep apnea.
  • Depression and Emotional Conditions – Often go hand-in-hand with Apnea.
  • Chronic Fatigue and Fibromyalgia.
  • Snoring – Not to be ignored, this is a major sign of a partially blocked airway ready to close completely.

How Does Sleep Apnea Occur?

Snoring occurs when the airway or passage through which we breathe becomes partially blocked or occluded. An example would be a tongue that falls back as we drift off into deeper sleep. As the diameter or size of the airway passage is shrinking, the net result is a muffled sound secondary to vibrations in the throat, or snoring.

These incidences can happen many times per hour and hundreds of times in a night’s sleep. When breathing stops, the snoring stops until the individual chokes and gasps for air. They will awaken briefly, sometimes violently, interrupting their sleep patterns and in the morning will have no memories of these incidences.

Sleep Apnea and Snoring

Three Types of Apnea

There are three types of apnea. In all three, people with untreated sleep apnea stop breathing repeatedly during their sleep, sometimes hundreds of times during the night and often for a minute or longer.

  • Obstructive sleep apnea (OSA) the most common is usually caused when the soft tissue in the rear of the throat collapses and closes completely during sleep.
  • Central sleep apnea is not caused by a blocked airway but rather the brain’s failure to signal the muscles to breathe.
  • Mixed apnea is a combination of the two.

With each apnea event, the brain briefly arouses people with sleep apnea in order for them to resume breathing, but consequently sleep is extremely fragmented and of poor quality.

Health Risks of Obstructive Sleep Apnea

Risk factors include being male, overweight, and over the age of forty, but sleep apnea can strike anyone at any age, even children. Yet still because of the lack of awareness by the public and healthcare professionals, the vast majority remain undiagnosed and therefore untreated, despite the fact that this serious disorder can have significant consequences.

Untreated, sleep apnea can cause:

  • Drug resistant high blood pressure
  • Cardiovascular disease
  • Memory problems
  • Obesity
  • Impotency
  • Headaches

Untreated sleep apnea also raises the risk of drowsy driving and trouble at work. If you snore, struggle with CPAP or have been told you stop breathing in your sleep, contact us to schedule a consultation.

Sleep Apnea and Snoring FAQs

Do I need a sleep study first?

Yes, for sleep apnea. A physician diagnoses it with a sleep study, often one you can do at home. Once you have a diagnosis, Dr. Sobieh can make an oral appliance if it suits your case. For snoring without sleep apnea, we can talk with you about an appliance after an exam.

Oral appliance or CPAP: which is better?

CPAP works very well when people use it every night. An oral appliance is smaller, quiet and easy to travel with, so many people wear it more consistently. For mild to moderate sleep apnea, it’s a common alternative; severe cases usually need CPAP.

Does insurance cover an oral appliance?

Medical insurance, rather than dental, often covers oral appliances for diagnosed sleep apnea. We’ll help you check your coverage before we start.

Will an oral appliance stop my snoring?

It often reduces or stops snoring by holding the lower jaw slightly forward so the airway stays open. Read more in is your snoring a sign of sleep apnea?