Your Patients and Sleep Apnea
Pulmonologists, Cardiologists, Endocrinologists, Otoloaryngologists and Primary Care Physicians: Let Dr. Nugent help you screen your patients. He understands that you only have a limited amount of time with each patient. Our office wants to work with you to help lower all the comorbidities of sleep apnea. Lowering and eliminating the disastrous effects of sleep apnea will allow you to easier manage your patients.
Dr. Nugent will keep you informed and updated. He will send copies of the Home Sleep Tests (HST) to you for your patient records. If you absolutely prefer a CPAP then you can take over the Sleep Apnea Treatment. However, if the Board Certified Sleep Physician that reads the HST indicates and writes a prescription for a Mandibular Advancement Device (MAD) then Dr. Nugent will fabricate one. Dr. Nugent will titrate the oral device and have the patient take another HST to verify the effectiveness of the oral appliance. Furthermore, if you have non-compliant CPAP patients, Dr. Nugent can fabricate a mandibular advancement device.
Obstructive Sleep Apnea: Treating the Not-So-Silent Killer with Oral Appliance Therapy
- An estimated 50-70 million Americans suffer from chronic sleep disorders
- The most common form of sleep-disordered breathing is Obstructive Sleep Apnea (OSA) which effects more than 20 million Americans
- Only about 5% of those 20 million have been diagnosed and treated
“So I snore. What’s the big deal?”
American Academy of Sleep Medicine Practice Parameters Published in 2006:
“Although not as efficacious as CPAP, oral appliances are indicated for patients with mild to moderate OSA who prefer OAs to CPAP, or who do not respond to CPAP, are not appropriate candidates for CPAP, or who fail treatment attempts with CPAP or treatment with behavioral measures such as weight loss or sleep position change.”
- The airway is expanded
- The airway is stiffened
- The tongue is pulled forward
- The lower jaw if moved downward and forward
How Well Do Oral Appliances Work?
- Mild to moderate OSA can be eliminated
- Severe OSA can be greatly improved (>50% reduction in AHI)
- Although CPAP is treatment of choice for severe OSA, for CPAP intolerant patients even a 50% improvement is better than nothing at all!
Problems with CPAP
We want to work with you to help our mutual patients. Decreasing the patient’s sleep apnea is our goal. Learn why dentists are uniquely qualified to screen for sleep apnea and deliver oral appliances.