Advanced ENT Physicians & Surgeons of Central New York is now Advanced Sleep Solutions.
Advanced ENT Physicians & Surgeons of Central New York is now Advanced Sleep Solutions.
Common questions about the diagnosis and treatment of sleep apnea.
Yes. Just like any doctor office visit, your sleep physician needs to review your medical history in order to begin your diagnosis. In order for your 15 or 30 minute web consult to be completed properly, you'll need to complete your online patient intake forms at least 1 business day in advance of your scheduled [...]
Your sleep apnea risk profile and medical diagnosis may require a home sleep test. For more information please visit our Home Sleep Test page here.
Medical options include: positional devices, positional therapy, and weight loss, avoiding alcohol before bedtime, CPAP therapy as well as surgery. Dental options include: Oral Appliance Therapy (OAT or MAD’s) Tongue Retaining Devices (TRD)
An oral appliance is a small and comfortable acrylic device that fits over the upper and lower teeth. It is similar to retainers used in orthodontic therapy or night guards used for grinding of the teeth at night. At night the appliance is used while sleeping to prevent the soft tissues of the throat from [...]
Oral appliances are about 85-90% effective when the problem is limited to snoring. When treating obstructive sleep apnea, oral appliances are 60-80% effective, depending on the severity. While oral appliances tend to be more effective for treating mild to moderate obstructive sleep apnea, they may be successful in patients with severe apnea as well.
In a perfect world, if a patient wears CPAP all night long and keeps it on in all body positions and uses it every night, it has higher efficacy than treatment with an oral appliance. Since patient acceptance and compliance with CPAP is about 50% and patients often don’t wear their CPAP on a [...]
As a rule, the appliances generally last 2-5 years. Warranties against breakage range from 1-3 years, depending on the manufacturer, lab, and appliance selected. In some patients the appliance may last over 5 years but they do continue to wear over time.
Routine dental work usually does not present any significant problems with the fit of the appliance. When there is extensive dental work or loss of teeth after the appliance is fabricated, the appliance may be further adjusted but often may need to be remade. The design and materials of some appliances will accommodate changes in [...]
Since we utilize 5-6 different appliances and each appliance is customized to the individual patient, the cost may vary depending on the individual appliance selected.
The initial consultation involves a complete medical and dental history, a detailed head and neck and dental exam. In addition, the sleep study is reviewed with the patient if it is available at that time. At the second visit, impressions, photographs, radiographs and measurements are obtained. Informed consent for Oral Appliance Therapy is obtained at [...]