If you snore or are experiencing any of the signs and/or symptoms of sleep apnea listed, or if you believe you may have a high probability of having a sleep disorder, we recommend that you first discuss with your physician your concerns and ask to have a referral to a sleep physician/sleep center for testing. A medical diagnosis and a sleep test are necessary starting points before we can provide sleep apnea treatment.

Today sleep testing can either be performed as an overnight monitored test in the sleep center (called a polysomnogram or PSG) or as a home sleep test (HST) where you take home the testing equipment to perform the test yourself, in your own bed. Once completed, the data is gathered from the sleep study, analyzed by a sleep physician and a diagnosis made.

Our office provides devices called mandibular advancement devices (MADs) that when used, help to maintain and stabilize an open airway during sleep. Your physician will decide whether to prescribe this form of treatment if it is appropriate based on your diagnosis. In many cases if the diagnosis is mild to moderate sleep apnea, an oral device can be very effective in eliminating snoring and improve the signs/symptoms of sleep apnea. It can be a first choice of treatment.

If your diagnosis is more severe, you will likely be prescribed positive airway pressure (CPAP), a device to help maintain an open airway by pushing air in to eliminate the sleep breathing events that occur. For those people who try this therapy and are unable to wear the CPAP mask or who prefer not to, mandibular advancement devices (MADs) can provide another option for care. With a prescription from your physician, will can provide you an oral device.

We work in conjunction with your sleep physician, your primary care physician and other healthcare providers to ensure that you receive care that is effective and comfortable. The mandibular advancement devices we provide are FDA approved, comfortable and are easy to use at night. The choice of a specific device is both based on a mutual patient/doctor decision and the device’s record of success with other patients. Each mandibular advancement device (also called an OAT, oral appliance therapy) is customized and lab fabricated. Our goal is to eliminate snoring and provide a viable airway for breathing while the patient sleeps. The devices need to be effective in the management of sleep apnea and that is why we will ask that the patient return to their physician for follow-up testing. This is just too important to assume that it is works!

We are happy to discuss with you more about our treatment program with mandibular advancement devices or other treatment methods. If you would like to learn more about sleep apnea and its treatment, please call us at 413-528-4680.

Herbst oral appliance

Somnomed oral appliance