FAQ

Can snoring be controlled?

Snoring is often well controlled with oral appliances, particularly Mandibular Advancement Device (MAD). Snorers typically do not know that they may be disrupting another person’s sleep creating tiredness for their bed partner.

My husband makes choking sounds during sleep and at times stops breathing. Is this serious?

These are two symptoms of Obstructive Sleep Apnea (OAS) which is a serious medical condition. He should be checked by his physician and evaluated for a diagnostic sleep study, a polysomnogram.

Do dental devices work for snoring and apnea?

Dental Research shows that dental devices are quite effective for snoring, mild and moderate sleep apnea. They have also helped some patients with severe apnea, who are unable to tolerate CPAP.

Do most dentists have training in oral appliance therapy?

No. Few dentists are actually members of the Academy of Dental Sleep Medicine, the organization that trains and educates dentists in the use of oral appliances. Dentists who have been credentialed are listed on the ADSM website with the letters ABDSM after their names. They usually are affiliated with at least one hospital sleep center and have treated significant number of patients with the condition snoring and sleep apnea. Do not hesitate to ask a dentist about the extent of their training in oral appliance therapy.

Are oral appliances costly?

Oral Appliances that are custom made and micro adjustable often have similar cost to surgery of CPAP treatment. In fact oral appliance therapy can often cost about the same as the diagnostic sleep study, the polysomnogram. Unfortunately medical insurance companies vary widely on their coverage of oral appliances. Some companies are now reimbursing patients in part of full for their appliances.

Most people easily adapt to wearing a dental sleep device at night. After wearing the device for a short period of time it will become part of your routine, and most people will hate to go to sleep without it after they realize how much better they feel in the morning.

Compliance rates for dental sleep therapy are much higher than for other forms of non-surgical treatment of obstructive sleep apnea (learn more about obstructive sleep apnea). In other words, patients are much more likely to use a dental device successfully than any other form of treatment. Most scientific studies show that up to 95% of individuals will comfortably wear their devices nightly.

Once patients experience better sleep and improved health associated with use of a dental device, it is rare for someone to stop using it.

The American Academy of Sleep Medicine (AASM) recommends dental sleep devices as a first line of treatment option for anyone who has mild to moderate apnea and for anyone (even patients with severe apnea) who cannot tolerate CPAP. The AASM states that these devices should be made by a dentist who has had specialty training in the field of sleep medicine. This prohibits physicians from making the dental devices, and your device should only be made by dentists with proper training. Dental Sleep Solutions® dentists are highly trained in the field of dental sleep medicine, and we work closely with your physician to make sure that your dental sleep therapy is medically successful.

Longevity of dental sleep devices is highly dependent on the person using the device, and depends on the specific device made, forces placed on the device, and your care of the device. If the device is well-maintained, it should easily last for two to five years before needing to be replaced. Most medical insurance providers will pay for construction of a new dental sleep device every two years and their longevity can be from one to many years in length.

Each type of Dental Sleep Solutions® device has its own warranty, and typically any problems with the device during the first year are covered by the cost of your initial treatment fee. If after the first year a dental sleep device needs repair or to be reconstructed, the replacement fee is less than the initial cost of the device (Learn about dental devices).

Most times the cost for your dental sleep therapy is covered or supplemented by medical insurance (not dental insurance). We are trained and experienced to help you obtain your maximum medical benefits at minimum cost to you.

Drs. Ravin and Schwaber have been trained according to the highest standards, and all providers adhere to proven protocols and best-in-class treatment standards. Fees for the treatments of obstructive sleep apnea (OSA) and snoring with dental sleep therapy vary depending on the particular treatment delivered. In most cases, medical insurance will reimburse you for some or all of the total treatment cost.

We invite you to visit our office for a no-obligation consultation to see if you are a candidate for dental sleep therapy. During this visit, fees associated with your individual treatment needs and particular insurance plan will be discussed. By providing the highest quality care at the lowest possible cost, CT Sleep Dental seeks to provide unmatched patient care.

Yes! We encourage you to continue to see your existing dentist for routine and preventative dental care. Our goal is to successfully treat your snoring or Obstructive Sleep Apnea (OSA).

Although it is necessary for our us to evaluate your teeth, their goals and your normal dentist’s goals are very different.

We evaluate your teeth to insure that they are stable enough for dental sleep therapy. We do not perform routine preventative care. Our staff works closely with your existing dentist and other medical providers, and we forward copies of any pertinent records or x-rays that were completed during your visit to help in future treatment. We work hard to provide the best possible treatment to you by providing coordinated patient care.

Yes, dental sleep devices work quite well at reducing the sound and severity of snoring. However, if you are a snorer and have never had a sleep test (learn more about sleep tests) it is advisable to be screened or tested for the more serious disorder of Obstructive Sleep Apnea (OSA) (learn more about OSA). Many snorers also have obstructive sleep apnea, often without even realizing it.

If a diagnosis is made of Primary Snoring then a dental sleep device can be made to control the sound and severity of your snoring. Usually, the procedures needed to treat snoring are simpler than for treatment of obstructive sleep apnea. This often results in fewer office visits and follow-up observations for people whose primary symptom is snoring.

Although it is necessary for our us to evaluate your teeth, their goals and your normal dentist’s goals are very different.

We evaluate your teeth to insure that they are stable enough for dental sleep therapy. We do not perform routine preventative care. Our staff works closely with your existing dentist and other medical providers, and we forward copies of any pertinent records or x-rays that were completed during your visit to help in future treatment. We work hard to provide the best possible treatment to you by providing coordinated patient care.

Substantial scientific evidence indicates that custom-made adjustable dental sleep devices are far more effective and comfortable than self-fitting, “boil and bite” devices that sometimes appear on television commercials. The self-fitting devices are typically much larger, which decreases their effectiveness because the device may actually obstruct your airway during sleep. Most “As Seen On TV” self-fitting devices are not adjustable, which can lead to discomfort and pain. Successful dental sleep therapy is extremely dependent on precise adjustments of the dental sleep device. Without this ability to finely adjust the device, treatment success rates drop dramatically.

Obstructive sleep apnea (OSA) is a serious and life threatening medical disorder. It is unwise to treat obstructive sleep apnea or any other serious medical problem without proper medical supervision and guidance. Failure to seek medical supervision and ‘do it yourself’ can have serious medical risks, and can lead you to believe the problem is fixed when in fact it is not. We evaluate your teeth to insure that they are stable enough for dental sleep therapy and generally do not perform routine preventative care. Our staff works closely with your existing dentist and other medical providers, and we forward copies of any pertinent records or x-rays that were completed during your visit to help in future treatment. We work hard to provide the best possible treatment to you by providing coordinated patient care.

The answer to this question is unique for each patient, but most patients who have TMJ (jaw joint) problems can be treated successfully with a dental device. Many people incorrectly believe that they are not candidates for a dental sleep device if they have TMJ or jaw disorders. In some instances, dental sleep devices have traditionally not been recommended when certain TMJ or jaw disorders are present, but often these problems will not prevent treatment with dental sleep devices. Use of some dental appliances can sometimes even improve TMJ symptoms.

For the cases where there are TMJ and jaw concerns, there are several types of dental sleep devices available that do not move the jaw forward and have little effect on the jaw joint (learn here about dental devices). If you have jaw problems, Dr. Ravin will be happy to discuss your TMJ concerns and help decide whether you are a good candidate for dental sleep therapy.