Treating Your Obstructive Sleep Apnea

Treatment typically involves lifestyle changes and application of an oral appliance or a continuous positive airway pressure (CPAP) device. In some cases surgery is indicated.

There are over 150 FDA cleared oral appliances for the treatment of OSA. The vast majority of these so-called legacy appliances are made by dental labs with extreme variability in fit, performance and reliability. After 25 years of treating over 5000 patients, Dr Sall has limited his practice to ProSomnus Sleep Technologies.

The Precision EVO Appliance by ProSomnus Sleep Technologies delivers superior efficacy, fit, reliability and performance.

On occasion Dr. Sall will service and adjust appliances from other dentists when circumstances permit. Due to the number of appliances currently on the market and the different labs that have been licensed to fabricate oral appliances, Dr. Sall has taken this approach to provide the best quality and performance in Oral Appliance Therapy.

Use the tabs below to read more about the leading innovators in oral appliance technology recommended by Dr. Sall, or visit our CPAP page for CPAP device information.

The Latest Technology – Digital Impressions

Finally! No more gooey impressions. When fitting all oral appliances, relax with the comfort and accuracy of digital impressions.

Watch the 3Shape oral impression digital scanner video.

Mandibular Advancement Devices:

1. Custom made device for each patient.
2. Fabricated from dental impressions of the upper and lower arches.
3. Made of a hard acrylic material that may include clasps.
4. Fits comfortably over the upper and lower teeth.
5. Holds the lower jaw slightly forward to open the airway and prevent the airway from collapsing during sleep.
6. Has a built-in adjustment mechanism that allows for the gradual advancement of the jaw to help to open the airway to achieve optimum effectiveness.

 Tongue Retaining Devices:

Picture of tongue retaining device.

Tongue Retaining Device

Tongue retaining devices (TRD) like the one pictured here are sometimes effective for treating mild obstructive sleep apnea. TRD devices work by holding the tongue from blocking the airway.

ProSomnus oral appliances are easy-to-use, comfortable devices that safely alleviate snoring and symptoms of Obstructive Sleep Apnea. If a patient has been diagnosed with Obstructive Sleep Apnea or snores, the ProSomnus lower jaw advancement device will assist him/her in waking with a better sense of rest and provide the energy needed to enjoy the day.

  • Lifestyle Changes Known to Reduce or Eliminate Sleep Apnea Symptoms

    – Weight loss to restore normal BMI.

    – Avoid alcohol, especially before bedtime.

    – Avoid medications that cause drowsiness.

    – Regular exercise.

  • Oral Appliances – Effective for most patients.

    – According to the Guidelines of the AASM Oral Appliances are indicated for treatment of patients with mild to moderate OSA who prefer them to treatment with CPAP.

    – Oral Appliances are also indicated for patients who fail CPAP or reverse CPAP due to claustrophobia.

    – While there are over 150 FDA cleared oral appliances for the treatment of OSA, Dr. Sall prescribes the best quality appliance suited for the individual patient with the longest industry warranty (3 years).

  • CPAP Devices – Positive Airway Pressure

    – Mask worn over the nose.

    – Gentle air pressure from connected hose assists in keeping the airway open.

    – Today, a variety of styles are available, offering both comfort and affordability.

  • Hypoglossal Nerve Stimulation

    – Implant device.

    – Pulse generator stimulates the medial division of the hypoglossal nerve.

    – External remote controls impulse settings.

  • Surgery – for severe cases when non-surgical options like those listed above are not adequate. When indicated, Dr. Sall is available to guide you to the best surgical option. Dr. sall has unique training as both a DDS (doctor of dental surgery) and an MD (doctor of medicine) performing Otolaryngology/Head and Neck Surgery. This highly specialized training makes him uniquely qualified to diagnose and prescribe treatment for a wide variety of conditions including:

    – Removal of tonsils and adenoids, when indicated.

    – Remove extra throat tissue, when indicated.

    – Airway bypass, when indicated.

    – Nasal surgery including septoplasty, turbinate surgery, and endoscopic balloon sinuplasty may be indicated as an adjunct to treatment of OSA.

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