A good night’s sleep is essential for good health. Stamford Dental Medicine has the training and expertise to help you get the rest you need. Call us today to get started treating your sleep disorder in our convenient office in downtown Stamford.
Treatment For Sleep Disorder Patients
Over the last five to ten years, the number of people with reported conditions and symptoms described as sleep-related breathing disorders (SRBD’s) has markedly increased and has reached an appropriated level of prominence within the medical and dental community whose groups of dedicated health care providers seek ever improved solutions to these various disorders, which are diagnosed and treated as single disabilities or as a group of disorders.
The conditions, signs, and symptoms associated with SRBD may include one or more of the following:
- Excessive day-time sleepiness
- Temporomandibular joints (TMJ) disorders
- Craniomandibular dystunctions (CMD)
- Myofacial pain dysfunction (MPD)
- Grinding, bruxing, clenching of teeth
- Obstrutive sleep apnea (OSA)
- Dolicofacial/Dolicocephalic facial structure (long face)
- Exess body weight and neck size
- Cervical (neck) pain and restricted movement
TMJ/CMD And Sleep Disorders Are Often Related
Obstructive Sleep apnea (OSA) snoring, bruxing, and TMJ/CMD disorders seem to be related, to a greater or lesser degree with many patients. Often, head, neck, and facial pain, associated with TMJ/CMD disorders, will alert a dental or medical practitioners to the accompanying signs and symptoms of obstructive sleep apnea. Some patients, who report and seek relief from snoring, find out that they also suffer from OSA. Patients who brux, grind, and clench, when evaluated, often become candidates for treatment of sleep apnea and/or TMJ/CMD disorders.
The “goal standard” for treating patients afflicted with moderate to severe OSA has been, for many years, the use of CPAP (continuous positive air pressure) appliance systems; a forced oral ventilation system which, although less bulky, quieter, and more comfortable, in recent design configurations as compared with earlier models, still is not accepted or fully utilized by more than 35-40 % of designated patients. The alternative for some of the non-compliant patients is to seek the services of dental practitioners who can custom design intra-oral devices which will increase the patentcy of the upper airway, while also controlling the snoring problem.
Help is Available At Stamford Dental Medicine
These intra-oral appliances are basically, mandibular (lower jaw) advancement splints which gently guide the lower jaw forward and downward, thus opening up the upper trachea (airway) and preventing soft palate closure of the airway. This action improves oral and nasal air movement. Some of these appliances can be attached to the CPAP air pump (CPAP/pro) if needed, although most are designed to work without CPAP. One of the most modern devices for treating OSA is the SomnoMed MAS (mandibular advancements splint-MAS) that treats both snoring and mild to moderate OSA by advancing the lower jaw forward. To quote the manufacturer: “It is a custom-made device, consisting of upper and lower dental plates with a unique patented fin coupling mechanism” “the device is adjustable, which provides incremental jaw advancement.” “It permits mouth opening, allows speech, permits drinking, and is clinically validated”. “The SomnoMed MAS device is adjustable by titration, so that jaw advancement can be the minimum sufficient setting to alleviate snoring and to reduce OSA.” There are other very effective OSA treatment appliances including the Standard TAP, Silent Night, the Tongue Retaining Device, the Clark (UCLA), modified Herbst, the CPAP/pro, the “Klearway” appliance, the EMA, and a recently developed special series of day and night appliances developed by head, neck, and facial pain specialist, Dr. Steven Olmos, of San Diego, CA.
A Dental/Medical Cooperative Effort Is Essential
Drs. Edwin and Marshall Getz recognize their obligation to ensuring that SRBD and OSA patients get a thorough medically supervised sleep study prior to undertaking a definitive appliance therapy program. Patients with sleep-related breathing disorders are a special group, requiring a very high level of medical-dental co-operative effort in diagnosis and therapeutic rehabilitation.
Working together, dedicated, informed medical and dental practitioners can substantially improve the quality of life for our mutual patients.
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Phone: (203) 323-1888 | Appointments@GetzDent.com