CAN'T WEAR CPAP

Oral appliance therapy ( OAT ) gives patients, who have been diagnosed with obstructive sleep apnea ( OSA ), an alternative treatment to help manage their serious and potentially lethal disorder. In order for a patient to be diagnosed with obstructive sleep apnea, a patient must undergo an overnight sleep study called a polysomnogram ( PSG ) at a sleep center or sleep lab. Once the diagnosis and the severity – mild, moderate or severe – has been determined, the sleep physician will usually recommend the patient wear a CPAP to manage their disorder. However, there are patients who are intolerant to CPAP therapy and choose not to wear their CPAP to bed.

These are the patients that Dr. Gonzalez can help.

Oral appliance therapy can be just as effective as CPAP in managing mild to moderate obstructive sleep apnea. An appliance can also be beneficial in managing severe obstructive sleep apnea. Furthermore, oral appliance therapy has the added benefit that it can reduce the noise of snoring. In some patients, it can totally eliminate their snoring.

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OBSTRUCTIVE SLEEP APNEA ( OSA )

OSA is a sleep-related breathing disorder ( SRBD ). It is characterized by recurring episodes of apnea and/or hypopnea. Some people’s apnea occurs when their throat muscles and tongue relax during sleep and partially block the opening of their airway. When the muscles of the soft palate, the tongue and the uvula relax and sag, the airway becomes blocked making breathing labored and noisy, sometimes stopping it altogether.

Doctor Jaime R. Gonzalez has attended hundreds of hours of advanced postgraduate education courses on the topic of oral appliance therapy. At your initial visit, Dr. Gonzalez will perform an examination of your teeth, muscles of mastication and joints. He will also examine your airway utilizing a computerized pharyngometer and a computerized rhinometer. This will allow Dr. Gonzalez to determine if you are a good candidate for oral appliance therapy. After your custom-made oral appliance has been fabricated and delivered, Dr. Gonzalez will monitor your progress with the Medibyte Jr. and/or Medibyte home sleep testing device.