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Doctor insights on: Ema Appliance For Sleep Apnea

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Best dental appliance for sleep apnea and grinding?

Best dental appliance for sleep apnea and grinding?

One for both: Research has shown that a device that positions the lower jaw forward while sleeping as is used for snoring and sleep apnea, also reduces sleep bruxism episodes. This is the only type of oral device that will actually reduce the number of bruxism events. Other dvices for bruxsim will protect the teeth and in some instances, decrease the intensity of the muscle contractions seen in bruxism. ...Read more

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Dr. Patricia Mcgarry
467 doctors shared insights

Obstructive Sleep Apnea (Definition)

Sleep apnea has two causes. It may be 'central' or 'obstructive'. Central apnea occurs as a disorder in the way the brain controls breathing. Obstructive sleep apnea is much more common and involves an anatomical blockage of the airway. Usually, the tongue blocks the airway, preventing the passage of air between the a sleep study is needed to diagnose particular ...Read more


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Is cpap the only treatment for obstructive sleep apnea?

Is cpap the only treatment for obstructive sleep apnea?

No: According to 2006 american academy of sleep medicine practice parameters, oral appliances are indicated for use in patients with mild or moderate obstructive sleep apnea who prefer them over CPAP and should be completed by a dentist with advanced training in sleep medicine. ...Read more

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For sleep apnea, why is cpap prescribed more than oral appliances?

For sleep apnea, why is cpap prescribed more than oral appliances?

R/O OSA: cpap is more effective for osal. Excess snoring/daytime sleepiness/apneic episodes/ aM headaches. And the Exam obesity/small oral airway/collar size>18. The definitive test is a PSG with split night/CPAP titration. I would request copy of sleep study and get a second opinion if you are not satisfied with the options. You are young CPAP can be difficult to tolerate. ENT FOR UPP ...Read more

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How effective are cpaps at treating obstructive sleep apnea?

How effective are cpaps at treating obstructive sleep apnea?

Extremely: CPAP that is is properly fitted by therapists who know what they are doing is extremely effective. ...Read more

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What are treatments for obstructive sleep apnea?

What are treatments for obstructive sleep apnea?

Apnea treatments: Treatment choices include; weight loss, change in sleep position, surgery, positive pressure(cpap) and oral appliances. ...Read more

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What are the best dental appliance for sleep apnea?

What are the best dental appliance for sleep apnea?

No best: My practice is limited to dental sleep medicine and I have found there is no best appliance. Each has advantages and disadvantages. The best thing to do is to work with a dentist with lots of experience in this field and have them work with you to select an appliance that best fits your mouth. Many, but not all of those dentists are certified by the american board of dental sleep medicine. ...Read more

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Dr. Robert Arm Dr. Arm
2 doctors agreed:
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Is cpap the only treatment for sleep apnea?

Dr. Robert Arm Dr. Arm
2 doctors agreed:
Is cpap the only treatment for sleep apnea?

Sleep apnea: Impossible to answer withou complete history.Your diagnosis should be based on a sleep study by your md. Cpap, bipap, etc are gold standards, but weigh loss helps, altered medication can help-check with md.If you can't use cpap, an oral appliance like the tap may help.You need to see a dentist that specializes in sleep apnea.Often oral medicine will and dentists in sleep academy. ...Read more

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Is sleep apnea related to COPD and/or asthma? What are some effective treatments for someone with sleep apnea and COPD - cpap, bipap, pillows?

Is sleep apnea related to COPD and/or asthma? What are some effective treatments for someone with sleep apnea and COPD - cpap, bipap, pillows?

Here we go?: No, not related. Treatment is with a c-pap machine are others as you listed. Care is directed by someone trained in sleep disorders. You can have COPD and other lung diseases but not related to sleep apnea. Together, they are difficult. ...Read more

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Can custom oral appliances help with sleep apnea?

Can custom oral appliances help with sleep apnea?

Yes: According to 2006 american academy of sleep medicine practice parameters, oral appliances are indicated for use in patients with mild or moderate obstructive sleep apnea who prefer them over CPAP and should be completed by a dentist with advanced training in sleep medicine. ...Read more

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What surgery treats sleep apnea?

What surgery treats sleep apnea?

Many different types: The surgery depends on where the anatomical problem is. If the only problem is extremely large tonsils then tonsillectomy can be curative. More often it is a combination of airway problems including the back of the throat and the tongue. The most successful operations move the tongue forward or reduce the size of the back of the tongue opening the airway. An ENT evaluation can be helpful. ...Read more

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What is obstructive sleep apnea?

What is obstructive sleep apnea?

OSA: Obstructive sleep apnea occurs when breathing stops (apnea) during sleep usually as a result of a temporary obstruction such as a narrowing and closing in the oropharynx. When the brain detects that breathing has stopped, an alarm goes up that wakes the person so that he starts breathing again. Often the person does not know why he has woken. An observer may note snoring or gasping in the night. ...Read more

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Is sleep apnea surgery effective?

Is sleep apnea surgery effective?

Sleep apnea: Some surgeries are more effective than others. Te most important part is the diagnosis to see where the problem is. Jaw advancement is shown to have great results. This surgery opens up the posterior airway. ...Read more

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What is the treatment for obstructive sleep apnea?

What is the treatment for obstructive sleep apnea?

Various: The gold standard for treatment of obstructive sleep apnea is nasal cpap, or continuous positive airway pressure. However, this is sometimes poorly tolerated. Some case of sleep apnea are treated with oral appliances to advance the mandible and open the airway. Some patients are good candidates for surgical correction to move the jaws forward to open the airway. Treatment depends on many factors. ...Read more

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Is surgery effective to treat obstructive sleep apnea?

Is surgery effective to treat obstructive sleep apnea?

Yes if Multi-Level : Multi-level surgery has been shown to be more effective than traditional methods. Depending on the severity of osa, treating the palate/tonsils in combination with the base of tongue and/or sinonasal obstruction is quite successful in reducing patient symptoms and osa severity. Latest minimally-invasive techniques has reduced pain. 50% success is based on old uppp-alone surgical data. ...Read more

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What is sleep diagnostics and cpap titration to stop snoring?

For Sleep Apnea: A diagnostic sleep study is data that is painlessly collected by sensors while you are sleeping. This is typically done at a sleep center, and evaluated by an md who is a sleep specialist. Sometimes this data indicates that you stop breathing at night. This is called sleep apnea and the treatment is a CPAP device that helps you breath. Titration, is just the adjustment of this device for you. ...Read more

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Is obstructive sleep apnea curable?

Is obstructive sleep apnea curable?

Yes: CPAP will greatly help symptoms, this is a mask that applies a low level of air pressure to the airway keeping it from blocking during sleep and effectively treats sleep apnea. In most patients the sleep apnea is related to obesity. Weight loss will help and sometimes even cure the sleep apnea. ...Read more

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Dr. Jason Hall Dr. Hall
10 doctors agreed:
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Sleep apnea surgery results?

Dr. Jason Hall Dr. Hall
10 doctors agreed:
Sleep apnea surgery results?

Depends: Outcomes depend on the procedure/combination of procedures, as well as the anatomy of the airway. Soft tissue surgery (on the palate, nose, etc) have roughly a 50-70% success rate. Jaw surgery, although a bit more drastic, has approximately a 90-95% success rate. Best to see a surgeon in your area trained in sleep surgery to discuss this at length and choose the right procedure for you. ...Read more

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How effective can a dental appliance be in treatment of sleep apnea over cpap?

How effective can a dental appliance be in treatment of sleep apnea over cpap?

Only if you wear it.: They work very well. The ones i've made are especially useful when traveling. They are a lot less cumbersome than a cpap. ...Read more

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What are the best dental appliance for sleep apnea?

No best: My practice is limited to dental sleep medicine and I have found there is no best appliance. Each has advantages and disadvantages. The best thing to do is to work with a dentist with lots of experience in this field and have them work with you to select an appliance that best fits your mouth. Many, but not all of those dentists are certified by the american board of dental sleep medicine. ...Read more

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Question regarding oral appliance for sleep apnea---Can it be used for someone who removes dentures at night?he would never go for cpap. Cost=? Caroly

Question regarding oral appliance for sleep apnea---Can it be used for someone who removes dentures at night?he would never go for cpap. Cost=? Caroly

Sleep Apnea: Sleep Apnea is a medical condition requiring specific intervention. Diagnosis can only be assured after reviewing results of a sleep study. Oral appliance may be helpful. Indications for Rx, cost of Rx, types of treatment availability can only be determined after full evaluation. Anything else is just a guess. ...Read more

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What can I expect after getting oral appliance therapy for apnea? I'm schedule to go in and talk to my dentist about an oral appliance for sleep apnea, but i'd like a little heads up about what to expect afterwards before i go. Will an oral appliance chan

Depends: There are a number of things that can happen as far as side effect like mild pain, teeth not fitting together in the morning, and possible tooth movement. Follow up care is key to improving the success rate. Not all patients find success. Seeing a dentist with significant experience and education treating this life threatening condition can help with side effects and improve success. ...Read more

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Can custom oral appliances help with sleep apnea?

Yes: According to 2006 american academy of sleep medicine practice parameters, oral appliances are indicated for use in patients with mild or moderate obstructive sleep apnea who prefer them over CPAP and should be completed by a dentist with advanced training in sleep medicine. ...Read more

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Can a dental appliance help sleep apnea?

Can a dental appliance help sleep apnea?

Absolutely!: According to 2006 american academy of sleep medicine practice parameters, oral appliances are indicated for use in patients with mild or moderate obstructive sleep apnea who prefer them over CPAP and should be completed by a dentist with advanced training in sleep medicine. ...Read more

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Sleep apnea - was just told to use the dental appliance. When can I expect it to get better?

Sleep apnea - was just told to use the dental appliance. When can I expect it to get better?

Immediately: According to 2006 american academy of sleep medicine practice parameters, oral appliances are indicated for use in patients with mild or moderate obstructive sleep apnea who prefer them over CPAP and should be completed by a dentist with advanced training in sleep medicine. Followup psg testing should be done by sleep physician to give objective evidence of effectiveness. ...Read more

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Will sleeping on an adjustable bed be helpful for someone with sleep apnea? My mother has been diagnosed with severe sleep apnea. She will not use a cpap (refuses) or an oral appliance. Will an adjustable bed help her if her head and upper body are elev

Will sleeping on an adjustable bed be helpful for someone with sleep apnea? My mother has been diagnosed with severe sleep apnea.  She will not use a cpap (refuses) or an oral appliance.  Will an adjustable bed help her if her head and upper body are elev

Head : Head of the bed elevation can be helpful for osa especially if other options are not possible. Studies have shown that it can decrease the ahi but usually not enough to completely normalize it. You could consider having her do a portable sleep study or in-lab psg while sleeping with the head elevated to determine exactly how much effect it has on her severity of osa. ...Read more

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Is sleep apnea common?

Is sleep apnea common?

Yes: It has been published that it affects 4% of men and 2% of women, but personally, i think it is much higher. Unfortunately, it has been given lower priority than other medical conditions. That is now changing as we are discovering that is is associated with considerable medical and psychiatric morbidity and even mortality. ...Read more

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Dr. Liawaty Ho Dr. Ho
11 doctors agreed:
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Symptoms if sleep apnea?

Dr. Liawaty Ho Dr. Ho
11 doctors agreed:
Symptoms if sleep apnea?

Sleep apnea: Fatigue, snoring, daytime sleepiness, stop breathing for a few seconds while sleeping- are a few symptoms of sleep apnea. Sleep apnea, is frequently associated with increase level of hemoglobin and htn. Sleep study is indicated. CPAP will be the treatment of sleep apnea. ...Read more

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What is organic sleep apnea?

What is organic sleep apnea?

R/O OSA: OSA can be suggested by history and physical. Excess snoring/daytime sleepiness/apneic episodes/ aM headaches. And the Exam obesity/small oral airway/collar size>18. The definitive test is a PSG with split night/CPAP titration. I would request copy of sleep study and get a second opinion if you are not satisfied with the options. You are young CPAP can be difficult to tolerate. ENT FOR UPP EVA ...Read more

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What's done for sleep apnea?

What's done for sleep apnea?

R/O OSA: OSA can be suggested by history and physical. Excess snoring/daytime sleepiness/apneic episodes/ aM headaches. And the Exam obesity/small oral airway/collar size>18. The definitive test is a PSG with split night/CPAP titration. I would request copy of sleep study and get a second opinion if you are not satisfied with the options. You are young CPAP can be difficult to tolerate. ENT FOR UPP EVAL. ...Read more

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What is done for sleep apnea?

Sleep apnea: Options for treatment include CPAP. For patients with mild to moderate sleep apnea oral appliances can be used and are as effective as CPAP. Other options are surgery, weight loss, ...Read more

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Dr. Alan Ali Dr. Ali
2 doctors agreed:
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How can sleep apnea be cured?

Dr. Alan Ali Dr. Ali
2 doctors agreed:

Apnea: Treating the cause, whether obstructive or central apnea. Consult a neurologist. ...Read more

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How is sleep apnea diagnosed?

How is sleep apnea diagnosed?

Sleep Testing: Sleep apnea is diagnosed through a sleep test that is usually done overnight in a sleep lab. A person sleeps overnight in the lab and their arousals, awakenings are recorded. Sometimes this can also be done while wearing the equipment at home, but most of the time the testing is done in a lab. ...Read more

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What is the cause of sleep apnea?

What is the cause of sleep apnea?

Several: Being over weight is probably the biggest risk factor. A loss of muscle tone in neck muscles as we get older. Heredity undoubtedly plays a role. Having a large tongue. Other contributing factors are an underdeveloped lower jaw, a narrow upper jaw and a high palate. These all tend to block the airway and lead to obstructive sleep apnea. In central sleep apnea the brain doesn't say to breath. ...Read more

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What are symptoms of sleep apnea?

What are symptoms of sleep apnea?

R/O OSA: OSA can be suggested by history and physical. Excess snoring/daytime sleepiness/apneic episodes/ aM headaches. And the Exam obesity/small oral airway/collar size>18. The definitive test is a PSG with split night/CPAP titration. I would request copy of sleep study and get a second opinion if you are not satisfied with the options. You are young CPAP can be difficult to tolerate. ENT FOR UPP EVAL. ...Read more

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What causes you to get sleep apnea?

What causes you to get sleep apnea?

Not just weight: Anatomy is king. Obstructive sleep apnea happens in a small airway "box". The airway can be small if what's in it takes up space or if the box is smaller. Weight gain increases tongue size and the thickness of the side walls of the throat. Tonsils may be large. Small jaw size, often inherited , will increase the risk of osa . Low muscle tone is also a factor. ...Read more

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Is sleep apnea considered a disease?

Is sleep apnea considered a disease?

R/O OSA: YES IT IS: OSA DX by history and physical. Excess snoring/daytime sleepiness/apneic episodes/ aM headaches. And the Exam obesity/small oral airway/collar size>18. The definitive test is a PSG with split night/CPAP titration. I would request copy of sleep study and get a second opinion if you are not satisfied with the options. You are young CPAP can be difficult to use.ENT CONSULT FOR UPP EVAL. ...Read more

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How to determine if I have sleep apnea?

How to determine if I have sleep apnea?

NPSG: An npsg is a formal overnight sleep study. You would be monitored for breathing, muscle activity, heart rate, oxygen level and brainwave activity. Typically an ahi (apnea hypopnea index) is calculated to determine if you are positive. A minimum of an ahi = 5 is needed to be positive. An ahi of 5-14 is mild, 15-29 is moderate and >30 is severe. ...Read more

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What are signs of sleep apnea in children?

What are signs of sleep apnea in children?

Sleep apnea: Sleep apnea in children is a pause in breathing while asleep. Many children who have sleep apnea will snore too. Babies with sleep apnea don't usually snore but may have other developmental problems or may have an illness (like whooping cough or respiratory syncytial virus -rsv) that causes them to become stop breathing. A pause of 20seconds or more is too much - talk to your doctor. ...Read more

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Dr. Patrick Melder
1,078 doctors shared insights

Apnea (Definition)

This is the cessation of breathing for 10 seconds or more. Most apnea is obstructive being caused by collapse or obstruction of the airway leading to lack of air flow. However, it can be a central process, where the respiratory center of the brain fails to signal the respiratory respiratory system to initiate a breath. Lastly, some apnea is mixed central ...Read more


Dr. Heidi Fowler
5,158 doctors shared insights

Sleep (Definition)

Sleep is a topic that involves concepts such as how long it takes to fall asleep, how many times one wakes up at night, how many hours one sleeps at night, sleep stages, ...Read more