Oral Appliance Therapy in Sleep Apnea Patients Improve Cognitive and Psychomotor Performance

This new study in the Journal of Clinical Sleep Medicine shows improvement in cognitive function in patients with sleep apnea.

Other recent outcome studies have shown improvement in Blood Pressure and Cardiac Function.

Review these abstracts and you will understand why more and more sleep physicians consider oral appliances to be a first line treatment for moderate obstructive sleep apnea and an alternative for severe sleep apnea.

Find oral Appliance Therapy in Chicago:

www.IHateCPAP.com   find a dentist section

www.ThinkBetterLife.com

www.DelanyDentalCare.com

www.NorthShoreSleepDentist

J Clin Sleep Med. 2015 Feb 15;12(2):177-86. doi: 10.5664/jcsm.5480.

Improvement of Cognitive and Psychomotor Performance in Patients with Mild to Moderate Obstructive Sleep Apnea Treated with Mandibular Advancement Device: A Prospective 1-Year Study.

Galic T1, Bozic J2, Pecotic R3,4, Ivkovic N3, Valic M3,4, Dogas Z3,4.

Author information

Abstract

STUDY OBJECTIVES:

This study aimed to provide the evidence on effect of mandibular advancement device (MAD) therapy on long-term cognitive and psychomotor performance, excessive daytime sleepiness, and quality of life in patients with mild to moderate obstructive sleep apnea (OSA).

METHODS:

A total of 15 patients with mild to moderate OSA were treated with MAD therapy and they were followed up after 3 mo and 1 y oftherapy. The patients were tested on three different tests of cognitive and psychomotor performance using the computer-based system Complex Reactionmeter Drenovac (CRD-series) at baseline and at the time of follow-up, and the 36-Item Short Form Health Survey (SF-36) questionnaire and Epworth Sleepiness Scale were used to assess their quality of life and excessive daytime sleepiness, respectively.

RESULTS:

The mean apnea-hypopnea index (AHI) decreased significantly from 22.9 ± 5.9 events/h at baseline, to 9.7 ± 4.5 events/h after 1 y ofMAD therapy (p < 0.001). There was significant improvement on all three CRD-series tests used after 1 y of MAD therapy, considering total test solving time (TTST) and minimal single task solving time (MinT), whereas total number of errors committed during the tests (TE) remained unchanged. Self-reported measures, excessive daytime sleepiness, and three domains of quality of life, social functioning, general health perception, and health change following MAD therapy showed significant improvements after 1 y of MAD therapy.

CONCLUSIONS:

This study demonstrates significant improvements in cognitive and psychomotor performance, particularly in the domain of perceptive abilities, convergent thinking (constructing and solving simple mathematical tasks) and psychomotor reaction times, excessive daytime sleepiness, and quality of life in patients with mild to moderate OSA following MAD therapy.

JAMA. 2015 Dec 1;314(21):2280-93. doi: 10.1001/jama.2015.16303.

CPAP vs Mandibular Advancement Devices and Blood Pressure in Patients With Obstructive Sleep Apnea: A Systematic Review and Meta-analysis.

Bratton DJ1, Gaisl T1, Wons AM1, Kohler M2.

Author information

Abstract

IMPORTANCE:

Obstructive sleep apnea is associated with higher levels of blood pressure (BP), which can lead to increased cardiovascular risk.

OBJECTIVE:

To compare the association of continuous positive airway pressure (CPAP), mandibular advancement devices (MADs), and inactive control groups (placebo or no treatment) with changes in systolic BP (SBP) and diastolic BP (DBP) in patients with obstructive sleep apnea.

DATA SOURCES:

The databases of MEDLINE, EMBASE, and the Cochrane Library were searched up to the end of August 2015 and study bibliographies were reviewed.

STUDY SELECTION:

Randomized clinical trials comparing the effect of CPAP or MADs (vs each other or an inactive control) on BP in patients with obstructive sleep apnea were selected by consensus. Of 872 studies initially identified, 51 were selected for analysis.

DATA EXTRACTION AND SYNTHESIS:

Data were extracted by one reviewer and checked by another reviewer. A network meta-analysis using multivariate random-effects meta-regression was used to estimate pooled differences between each intervention. Meta-regression was used to assess the association between trial characteristics and the reported effects of CPAP vs inactive control.

MAIN OUTCOMES AND MEASURES:

Absolute change in SBP and DBP from baseline to follow-up.

RESULTS:

Of the 51 studies included in the analysis (4888 patients), 44 compared CPAP with an inactive control, 3 compared MADs with an inactive control, 1 compared CPAP with an MAD, and 3 compared CPAP, MADs, and an inactive control. Compared with an inactive control, CPAP was associated with a reduction in SBP of 2.5 mm Hg (95% CI, 1.5 to 3.5 mm Hg; P < .001) and in DBP of 2.0 mm Hg (95% CI, 1.3 to 2.7 mm Hg; P < .001). A 1-hour-per-night increase in mean CPAP use was associated with an additional reduction in SBP of 1.5 mm Hg (95% CI, 0.8 to 2.3 mm Hg; P < .001) and an additional reduction in DBP of 0.9 mm Hg (95% CI, 0.3 to 1.4 mm Hg; P = .001). Compared with an inactive control, MADs were associated with a reduction in SBP of 2.1 mm Hg (95% CI, 0.8 to 3.4 mm Hg; P = .002) and in DBP of 1.9 mm Hg (95% CI, 0.5 to 3.2 mm Hg; P = .008). There was no significant difference between CPAP and MADs in their association with change in SBP (-0.5 mm Hg [95% CI, -2.0 to 1.0 mm Hg]; P = .55) or in DBP (-0.2 mm Hg [95% CI, -1.6 to 1.3 mm Hg]; P = .82).

CONCLUSIONS AND RELEVANCE:

Among patients with obstructive sleep apnea, both CPAP and MADs were associated with reductions in BP. Network meta-analysis did not identify a statistically significant difference between the BP outcomes associated with these therapies.

Sleep Breath. 2015 Oct 13. [Epub ahead of print]

Comparison of effects of OSA treatment by MAD and by CPAP on cardiac autonomic function during daytime.

Glos M1, Penzel T2, Schoebel C2, Nitzsche GR2, Zimmermann S2, Rudolph C2, Blau A2, Baumann G3, Jost-Brinkmann PG4, Rautengarten S5, Meier JC4, Peroz I5, Fietze I2.

Author information

Abstract

PURPOSE:

The present study compared the effects of mandibular advancement therapy (MAD) with continuous positive airway pressure therapy(CPAP) on daytime cardiac autonomic modulation in a wide range of obstructive sleep apnea (OSA) patients under controlled conditions in a randomized, two-period crossover trial.

METHODS:

Forty OSA patients underwent treatment with MAD and with CPAP for 12 weeks each. At baseline and after each treatment period, patients were assessed by polysomnography as well as by a daytime cardiac autonomic function test that measured heart rate variability (HRV), continuous blood pressure (BP), and baroreceptor sensitivity (BRS) under conditions of spontaneous breathing, with breathing at 6, 12, and 15/min.

RESULTS:

Both CPAP and MAD therapy substantially eliminated apneas and hypopneas. CPAP had a greater effect. During daytime with all four conditions of controlled breathing, three-minute mean values of continuous diastolic BP were significantly reduced for both MAD and CPAP therapy. At the same time, selective increases due to therapy with MAD were found for HRV high frequency (HF) values. No changes were observed for BRS in either therapy mode.

CONCLUSIONS:

These findings indicate that both MAD and CPAP result in similar beneficial changes in cardiac autonomic function during daytime, especially in blood pressure. CPAP is more effective than MAD in eliminating respiratory events.

KEYWORDS:

Baroreceptor sensitivity; Blood pressure; Cardiac autonomic function; Continuous positive airway pressure; Heart rate variability; Mandibular advancement device; Obstructive sleep apnea

PMID:

 

26463420

 

[PubMed - as supplied by publisher]

Chicago Sleep Apnea Dentist: Over 35 years experience treating difficult cases with oral appliances.

I started treating Sleep Apnea in 1982 and became a Visiting Assistant Professor at Rush Medical School in 1985 where I did research on jaw position and sleep apnea.

I was  one of 20 dentists who formed the Sleep Disorder Dental Society which became the American Academy of Dental Sleep Medicine.  I was a charter member of DOSA, The Dental Organization for Sleep Apnea.

I practised at 5 locations across Chicagoland but closed those offices when Elise my wife and companion for 40 years was dealing with end stage cancer.

I am now seeing patients in my Gurnee Dental Office and in my new office in Highland Park that is dedicated to treatment of Sleep Apnea, Snoring, TMJ disorders, Headaches and Migraines.

Visit my new website www.ThinkBetterLife.com   and be sure to take in all of the information on the I HATE CPAP website. www.IHateCPAP.com

Gurnee    www.DelanyDentalCare.com

Highland Park   www.ThinkBetterLife.com

Chicago: Dental Sleep Medicine,Oral Appliances,OA, Oral Appliance Therapy, OAT, Mandibular Advancement Therapy, MAD,

Reprinted with permission from:  Sleep and Health Journal

Chicago Treatment of Sleep Apnea with Oral Appliance: Oral Appliance Therapy is the new comfortable and effective treatment patients prefer.

Learn More About Oral Appliance Therapy at: www.IHateCPAP.com

In Highland Park and on the Metra Line www.ThinkBetterlife.com

North Shore Suburbs of Chicago http://www.northshoresleepdentist.com/

In Gurnee for Northern Lake County and Southern Wisconsin www.DelanyDentalCare.com

SLEEP APNEA TREATMENT WITH ORAL APPLIANCES, PATIENT TESTIMONIAL VIDEOS:

http://www.northshoresleepdentist.com/ https://www.youtube.com/watch?v=0BxuX9Yso1I

https://www.youtube.com/watch?v=iGjYCuYARuA

https://www.youtube.com/watch?v=f9w9L1miIN4

https://www.youtube.com/watch?v=d4R4xYs_tAE

https://www.youtube.com/watch?v=5TtPmb4uyx4

https://www.youtube.com/watch?v=TcFZ2sRiBAQ

https://www.youtube.com/watch?v=6VNsb6n8mXw

The world of sleep medicine has changed in many ways over the last 40 years. In the beginning most of the sleep apnea patients were old fat men and the treatment was often a tracheotomy. Surgery to remove the uvula, soft palate and reconstrcyt the throat became the rage next in spite of extremely poor results, high morbidity and pain. The CPAP machine was invented by Australian Colin Sullivan and it provided a new world of sleep apnea treatment.

CPAP, or Continuos Positive Air Pressure is basically a Mask, A Hose and a Compressor that takes room air and forces it through the hose and mask and into the nose, mouth or both and into the lungs. It actually works to stent the airway open.

The first CPAP machines were crude, loud, bulky with uncomfortable masks and heavy hoses that delivered dry air. Most patients id not like or use CPAP due to discomfort but it was effective. In fact,only 25 % of patients actually used their CPAP machines all night on a regular basis.

The newest machines are quiet, humidified small, sleep and much more comfortable with hundreds if not thousands of possible combinations of masks, hoses (now heated) humidifiers , monitoring, and comfort feature like ramping, APAP, BiPAP and more.

Has CPAP usage expanded? Unfortunately only about 25% of patients use their machine as directed and most do not even meet the medicare guidlines of four hours/ night four nights a week. That combination leaves 70% of sleep Apnea untreated in those patient.

The big secret not told to most patients struggling with CPAP is that at least 60% of patients fail CPAP and give it up entirely. The scandalous part of this is that the majority of patients now receive no treatment and many are not informed about oral appliance therapy, the comfortable alternative to CPAP.

Oral Appliance therapy was a Chicago invention or at least was born into Chicago thanks to the mother of Oral Appliance Therapy Dr Rosalind Cartwright of Rush medical school who published the first peer reviewed articles on oral appliance therapy with the TRD or Tongue Retaining Device and importantly also was the first sleep expert to publish on position sleep apnea.

Positional Sleep Apnea treatment combined with oral appliance therapy actually makes oral appliance therapy a first line treatment for the majority of patients with Obstructive Sleep Apnea.

It should interest everyone who has had a problem with CPAP that Colin Sullivan, the man who invented CPAP utilizes an oral appliance to treat his sleep apnea. Dr John Remmers a Canadian physician who
invented the term Sleep Apnea is an enthusiastic supporter of oral appliance therapy as the first line treatment of Obstructive Sleep Apnea.

The number one reason patients don't use CPAP is "I Hate CPAP!!" The website I created www.IHateCPAP.comwas not named because I hate CPAP but was named because it was the number one reason patients gave when they came looking for an oral appliance treatment of Sleep Apnea. The I Hate CPAP website created a stir in the field of Dental Sleep Medicine and was on Radio, TV, Newspapers, Magazines and Social Media. It brought floods of patients who hat abandoned CPAP back to the field of sleep medicine. It was partially responsible for a boom in sleep treatment as patients were willing to have sleep tests if there were chices other than CPAP and ineffective painful surgery with low efficay and high levels of morbidity.

Politics blew in a powerful storm primarily due to the power and money of companies who made CPAP. I Hate CPAP was banned from Academy of Sleep Medicine and Academy of Dental Sleep Medicne meetings and I was actually told by an oral surgeon and past president of the AADSM that it was better to let people die then market I Hate CPAP! This in spite of the fact that 60% of patients abandoned CPAP. I hate CPAP was found by hundreds of thousands of patients who returned to treatment and far more who learned about oral appliance therapy for sleep apnea.

When I Hate CPAP first marketed we could get hudreds of phone calls a week from Illinos, across the country and around the world. These were patients but also the loved ones or patients who wre concerned about their health and watched them struggling to survive every night while the CPAP machine they hated sat in a closet.

Chicago: Diplomate American Board Of Dental Sleep Medicinoffers Comfortable Alternatives to CPAP

Originally Posted at www.ThinkBetterLife.com

Is There a Specialty in Dental Sleep Medicine?

Dentists who treat Sleep Apnea have taken a major step out of the mechanical world of dentistry and into the fields of physiology and medicine. A very select group of dentists go further and achieve Diplomate Status in the Academy of Dental Sleep Medicine.

I am proud to be the only dentist in the State of Illinois who not only achieved Diplomate Status but was actually one of the original twenty founding members of the SLEEP DISORDER DENTAL SOCIETY  now the American Academy of Dental Sleep Medicine (AADSM). I have taught courses to hundreds of dentists  and taught intensive courses to small groups of doctors and their teams many who have successfully limited their practice to Dental Sleep Medicine or better still Dental Sleep Medicine and treatment of TMJ disorders.

In 2001 the NHLBI of the NIH published a report “The Cardiovascular and Sleep Related Consequences of Temporomandibular Disorders” This was a natural continuation of the research I had done as a n Assistant Professor at Rush Medical Schools Sleep Disorder Service working under Dr Rosalind Cartwright, the Mother of Dental Sleep Medicine.

I wrote a Guest Editorial in The Journal of CranioMandibular Practice (CRANIO)

“The National Heart, Lung and Blood Institute considers the Cardiac and Sleep Consequences of Temporomandibular Disorders ”

The American Academy of Sleep Medicine Recommended in their parameters of care that dentists treating sleep apnea with oral appliances be knowledgable in the field of Temporomandibular Disorders and Management of the TMJoint. As the current Chair of the Alliance of TMD Organizations I believe this knowledge is essential for all dentist treating sleep apnea.

I currently lecture on the common Developmental Aspects of Sleep Apnea, TMJ Disorders, Headaches, Migraines, Chronic Daily Headaches, ADD, ADHD and other behavioral disorders.

There is long history to the AADSM. I was one of 20 dentists in 1991 who was a Founding and Charter member of the Sleep Disorder Dental Society. This was an elite group who not only treated patients but were interested in creating the field of Dental Sleep Medicine. These early members studied and researched this infant field. The pride is similar to the pride I feel as a parent and as a grandparent. I had been a Visiting Assistant Professor at Rush Medical School doing research on jaw position in Sleep Apnea Patients since 1985 and had been treating sleep apnea and snoring since 1982.

I was one of fewer than 100 dentists who were credentialed by the Sleep Disorder Dental Society prior to it becoming the American Academy of Dental Sleep Medicine. There were only 25 of us at the inaugural meeting in 1992. I was the only one with an appointment medical school appointment to faculty level position.

The American Dental Association approved SDDS educational programs for continuing education credit in 1996.

Springer published the first volume of Sleep and Breathing in 1997 which is the official peer-reviewed, scientific journal of the AADSM.

SDDS founds the Certification Program which credentialed approximately  100 dentists between 1998 and 2004. I was credentialed by the SDDS under this program. In 1998 Dr Rosalind Cartwright recruited me to return to Rush Medical School Sleep Service as an Assistant Professor to treat patients at Rush, be involved in educational programs and make Dental Sleep Medicine an integral part of sleep medicine at Rush Medical School.

Rush Medical Sleep Disorder Service, under Dr Rosalind Cartwright was responsible for much of the earliest research into oral appliance therapy to treat sleep apnea and snoring.  The first articles came out of Rush on the Tongue Retaining Device form Dr Charles Samuelson who I worked closely with at the Medical School.  Dr Cartwright also published the first research on positional treatment of sleep apnea.

The SDDS officially became the Academy of Dental Sleep Medicine in 2000 and became part of the American Academy of Sleep Medicine in 2002. In that year membership had grown from 20 doctors in 1991 to over 300 dentists. The following year the AADSM and AASM began to run their annual meetings together.

The American Board of Dental Sleep Medicine (ABDSM) replaces the ADSM’s Certification Program for the administration of board-certification in dental sleep medicine. I was among the first  group of official Diplomates, of The American Board of Dental Sleep Medicine under this program.

In 2006 the world of Dental Sleep Medicine changes drastically after the AASM publishes “Practice Parameters for the Treatment of Snoring and Obstructive Sleep Apnea with Oral Appliances” in the journal SLEEP.

In 2006, the era of pioneers in Dental Sleep Medicine morphed into the era of active growth of the field of Dental Sleep Medicine. The Academy of Dental Sleep Medicine officially became the American Academy of Dental Sleep Medicine in 2006. In 2013 the membership of the AADSM surpassed 3000 active members.

In 2013 Cranio Journal officially changed it’s name form the “Journal of Craniomandibular Practice” to the “Journal of CranioMandibular and Sleep Practice” and I was asked due to my history in the fields of Sleep and TMJ by Riley Lunn the editor to write a Guest Editorial celebrating this change.    The editorial “TMJ Alas, The Great Imposter, has a Co-Conspirator: Poor Sleep”

Cranio. 2007 Apr;25(2):77-8.

Specialist in Dental Sleep Medicine: Oral Appliance Therapy. Chicago Sleep Apnea and Snoring Treatment

This was originally printed at www.ThinkBetterLife.com

THERE IS NO SPECIALTY IN DENTAL SLEEP MEDICINE OR IN SUPPLYING ORAL APPLIANCE THERAPY FOR TREATING SLEEP APNEA.  THERE ARE DENTISTS WHO OFFER COMFORTABLE ALTERNATIVES TO CPAP AND SOME OF THOSE DENTISTS HAVE ADVANCED TRAINING.

Dentists who treat Sleep Apnea have taken a major step out of the mechanical world of dentistry and into the fields of physiology and medicine. A very select group of dentists go further and achieve Diplomate Status in the Academy of Dental Sleep Medicine.  Attaining Diplomat status is not the same as achieving specialty a specialty licencse.  There are no specialties in Dental Sleep Medicine.

I am proud to be the only dentist in the State of Illinois who not only achieved Diplomate Status but was actually one of the original twenty founding members of the SLEEP DISORDER DENTAL SOCIETY  now the American Academy of Dental Sleep Medicine (AADSM). I have taught courses to hundreds of dentists  and taught intensive courses to small groups of doctors and their teams many who have successfully limited their practice to Dental Sleep Medicine or better still Dental Sleep Medicine and treatment of TMJ disorders.

In 2001 the NHLBI of the NIH published a report “The Cardiovascular and Sleep Related Consequences of Temporomandibular Disorders” This was a natural continuation of the research I had done as a n Assistant Professor at Rush Medical Schools Sleep Disorder Service working under Dr Rosalind Cartwright, the Mother of Dental Sleep Medicine.

I wrote a Guest Editorial in The Journal of CranioMandibular Practice (CRANIO)

“The National Heart, Lung and Blood Institute considers the Cardiac and Sleep Consequences of Temporomandibular Disorders ”

The American Academy of Sleep Medicine Recommended in their parameters of care that dentists treating sleep apnea with oral appliances be knowledgable in the field of Temporomandibular Disorders and Management of the TMJoint. As the current Chair of the Alliance of TMD Organizations I believe this knowledge is essential for all dentist treating sleep apnea.

I currently lecture on the common Developmental Aspects of Sleep Apnea, TMJ Disorders, Headaches, Migraines, Chronic Daily Headaches, ADD, ADHD and other behavioral disorders.

There is long history to the AADSM. I was one of 20 dentists in 1991 who was a Founding and Charter member of the Sleep Disorder Dental Society. This was an elite group who not only treated patients but were interested in creating the field of Dental Sleep Medicine. These early members studied and researched this infant field. The pride is similar to the pride I feel as a parent and as a grandparent. I had been a Visiting Assistant Professor at Rush Medical School doing research on jaw position in Sleep Apnea Patients since 1985 and had been treating sleep apnea and snoring since 1982.

I was one of fewer than 100 dentists who were credentialed by the Sleep Disorder Dental Society prior to it becoming the American Academy of Dental Sleep Medicine. There were only 25 of us at the inaugural meeting in 1992. I was the only one with an appointment medical school appointment to faculty level position.

The American Dental Association approved SDDS educational programs for continuing education credit in 1996.

Springer published the first volume of Sleep and Breathing in 1997 which is the official peer-reviewed, scientific journal of the AADSM.

SDDS founds the Certification Program which credentialed approximately  100 dentists between 1998 and 2004. I was credentialed by the SDDS under this program. In 1998 Dr Rosalind Cartwright recruited me to return to Rush Medical School Sleep Service as an Assistant Professor to treat patients at Rush, be involved in educational programs and make Dental Sleep Medicine an integral part of sleep medicine at Rush Medical School.

Rush Medical Sleep Disorder Service, under Dr Rosalind Cartwright was responsible for much of the earliest research into oral appliance therapy to treat sleep apnea and snoring.  The first articles came out of Rush on the Tongue Retaining Device form Dr Charles Samuelson who I worked closely with at the Medical School.  Dr Cartwright also published the first research on positional treatment of sleep apnea.

The SDDS officially became the Academy of Dental Sleep Medicine in 2000 and became part of the American Academy of Sleep Medicine in 2002. In that year membership had grown from 20 doctors in 1991 to over 300 dentists. The following year the AADSM and AASM began to run their annual meetings together.

The American Board of Dental Sleep Medicine (ABDSM) replaces the ADSM’s Certification Program for the administration of board-certification in dental sleep medicine. I was among the first  group of official Diplomates, of The American Board of Dental Sleep Medicine under this program.

In 2006 the world of Dental Sleep Medicine changes drastically after the AASM publishes “Practice Parameters for the Treatment of Snoring and Obstructive Sleep Apnea with Oral Appliances” in the journal SLEEP.

In 2006, the era of pioneers in Dental Sleep Medicine morphed into the era of active growth of the field of Dental Sleep Medicine. The Academy of Dental Sleep Medicine officially became the American Academy of Dental Sleep Medicine in 2006. In 2013 the membership of the AADSM surpassed 3000 active members.

In 2013 Cranio Journal officially changed it’s name form the “Journal of Craniomandibular Practice” to the “Journal of CranioMandibular and Sleep Practice” and I was asked due to my history in the fields of Sleep and TMJ by Riley Lunn the editor to write a Guest Editorial celebrating this change.    The editorial “TMJ Alas, The Great Imposter, has a Co-Conspirator: Poor Sleep”

Cranio. 2007 Apr;25(2):77-8.

NorthBrook Sleep Apnea: Comfortable Alternatives to CPAP

CPAP is the Gold Standard for Treating Sleep Apnea.  It is a wonderful invention of  Professor Colin Sullivan  PhD, BSc (Med), MB, FRACP in Australia and it has saved thousand of lives and improved the quality of life for millions.

When CPAP treatment is successful it is amazing treatment but unfortunately it fails 60% of the patients who are prescribed CPAP.

The good news is that oral appliances are an excellent alternative to CPAP that are preferred by 95% of patients offered a choice.  It is so successful that even Professor Colin Sullivan who invented CPAP personally utilizes an oral appliance both for comfort and efficacy!

Information on Chicago Providers of Oral Appliance treatment for CPAP is available at the end of this post.  I have opened a Chicago North Shore office dedicated to treating Sleep Apnea, Snoring and TMJ disorders that is conveniently located on the Metra a very short walk from the Fort Sheridan Metra Station.
North Shore Sleep Dentistry
3500 Western Ave #100, Highland Park, IL 60035
847-533-8313

Almost every complaint patients have with CPAP can be improved or eliminated with a professionally fitted well designed appliance that is patient specific.

Failure of CPAP is almost 100% a patient compliance issue.  Patient complaints about CPAP include:

I HATE CPAP!  I Hate the Mask!, I hate the hose!

Claustrophobic feelings from the CPAP  mask and hose.

Dermatologic problems includung facial sores, ulcers and CPAP related acne.

CPAP noise is a complaint from both CPAP users and their bedmates.

Infections in the sinus regions from CPAP use.  (partially Cleaning issue)

Asthma issues from CPAP  (partially Cleaning issue)

Bronchitis from CPAP  (partially Cleaning issue)

Pneumonia from CPAP   (partially Cleaning issue)

Problems with travel related to CPAO

CPAP Mask Discomfort

CPAP Mask leaks

Headache, neckache and backache issues from CPAP related to sleep position,

Dry Mouth

Dry Eyes from CPAP mask leakage

CPAP inconvenience

Don't like cleaning mask and hose

Pain to travel with CPAP

REGARDLESS OF THE ISSUES WITH CPAP AND CPAP MASKS IT IS ESSENTIAL THAT SLEEP APNEA BE TAKEN SERIOUSLY AND TREATED.

UNTREATED SLEEP APNEA CAN BE DEADLY RESULTING IN HEART ATTACKS AND STROKES.  WHEN SUPREME COURT JUSTICE ANTHONY SCALIA DIED IT IS SUSPECTED IT WAS A DIRECT RESULT OF NOT USING HIS CPAP FOR ONE NIGHT!

One study has shown that patients with moderate sleep apnea patients who are not treated have a 36% decrease in 8 year survival compared to those who were treated.

Patients with untreated apnea aresix times more likely to have motor vehicle accidents and often have trouble at work, school and home.  Marital strife is common due to excessive daytime sleepiness and poor cognition in patients with untreated sleep apnea.

I have been treating sleep apnea for over 34 years.  When I first became an Assistant Professor at Rush Medical School back in 1985 the average patient was an older male usually weighing 250-600 pounds and Severely ill.

Over the last 34 years I did research at Rush Medical School in the 1980's until 1991.  I returned in the 1990's and treated patients at Rush Sleep Service until early this century.  I have taught Dental Sleep Medicine to hundreds of dentists in the US and Internationally.  My most recent course was at Advocate Good Samaritan Hospital on February 29, 2016.  Other recent courses were at the International College of CranioMandibular Orthopedics in both the US and Argentina.

Currently, most of the lectures I give are on the common developmental aspects of TMJ, Sleep Apnea, ADD, ADHD, Dyslexia and working to catch children as early as possible prior to permanent changes in physiological development and brain development/ maturation.

It is now possible to decrease and  prevent many of these problems by early epigenetic orthodontic / orthopedic treatment.  It is also sometimes possible to offer permanent cures of sleep apnea in adults by utilizing Epigenetic Orthodontic treatment with the DNA Appliance and the mRNA version of the DNA Appliance.

Today we know that sleep apnea affects old and young, male and female obese and non-obese patients and that it frequently affects children and infants and then carries with them through life.

Short Term memory loss is associated with untreated sleep apnea and when there is a family history of Alzheimers or Dementia it is recognized in can cause more rapid onset of symptoms at a younger age with more profound disease.

Fro Sleep Apnea Treatment in the Chicago Metropolitan area:

I practice in Gurnee, Il at Delany Dental Care.  847-623-5530
310 S Greenleaf, Gurnee 60031    www.DelanyDentalCare.com

In Highland Park   at 3500 Western Ave   847-533-8313

www.NorthShoreSleepDentist.com

www.ThinkBetterLife.com

Lake Forest: , Comfortable and Effective Alternatives to CPAP for Sleep Apnea and Snoring Treatment

CPAP is the Gold Standard for Treating Sleep Apnea.  It is a wonderful invention of  Professor Colin Sullivan  PhD, BSc (Med), MB, FRACP in Australia and it has saved thousand of lives and improved the quality of life for millions.

When CPAP treatment is successful it is amazing treatment but unfortunately it fails 60% of the patients who are prescribed CPAP.

The good news is that oral appliances are an excellent alternative to CPAP that are preferred by 95% of patients offered a choice.  It is so successful that even Professor Colin Sullivan who invented CPAP personally utilizes an oral appliance both for comfort and efficacy!

Information on Chicago Providers of Oral Appliance treatment for CPAP is available at the end of this post.  I have opened a Chicago North Shore office dedicated to treating Sleep Apnea, Snoring and TMJ disorders that is conveniently located on the Metra a very short walk from the Fort Sheridan Metra Station.
North Shore Sleep Dentistry
3500 Western Ave #100, Highland Park, IL 60035
847-533-8313

Almost every complaint patients have with CPAP can be improved or eliminated with a professionally fitted well designed appliance that is patient specific.

Failure of CPAP is almost 100% a patient compliance issue.  Patient complaints about CPAP include:

I HATE CPAP!  I Hate the Mask!, I hate the hose!

Claustrophobic feelings from the CPAP  mask and hose.

Dermatologic problems includung facial sores, ulcers and CPAP related acne.

CPAP noise is a complaint from both CPAP users and their bedmates.

Infections in the sinus regions from CPAP use.  (partially Cleaning issue)

Asthma issues from CPAP  (partially Cleaning issue)

Bronchitis from CPAP  (partially Cleaning issue)

Pneumonia from CPAP   (partially Cleaning issue)

Problems with travel related to CPAO

CPAP Mask Discomfort

CPAP Mask leaks

Headache, neckache and backache issues from CPAP related to sleep position,

Dry Mouth

Dry Eyes from CPAP mask leakage

CPAP inconvenience

Don't like cleaning mask and hose

Pain to travel with CPAP

REGARDLESS OF THE ISSUES WITH CPAP AND CPAP MASKS IT IS ESSENTIAL THAT SLEEP APNEA BE TAKEN SERIOUSLY AND TREATED.

UNTREATED SLEEP APNEA CAN BE DEADLY RESULTING IN HEART ATTACKS AND STROKES.  WHEN SUPREME COURT JUSTICE ANTHONY SCALIA DIED IT IS SUSPECTED IT WAS A DIRECT RESULT OF NOT USING HIS CPAP FOR ONE NIGHT!

One study has shown that patients with moderate sleep apnea patients who are not treated have a 36% decrease in 8 year survival compared to those who were treated.

Patients with untreated apnea aresix times more likely to have motor vehicle accidents and often have trouble at work, school and home.  Marital strife is common due to excessive daytime sleepiness and poor cognition in patients with untreated sleep apnea.

I have been treating sleep apnea for over 34 years.  When I first became an Assistant Professor at Rush Medical School back in 1985 the average patient was an older male usually weighing 250-600 pounds and Severely ill.

Over the last 34 years I did research at Rush Medical School in the 1980's until 1991.  I returned in the 1990's and treated patients at Rush Sleep Service until early this century.  I have taught Dental Sleep Medicine to hundreds of dentists in the US and Internationally.  My most recent course was at Advocate Good Samaritan Hospital on February 29, 2016.  Other recent courses were at the International College of CranioMandibular Orthopedics in both the US and Argentina.

Currently, most of the lectures I give are on the common developmental aspects of TMJ, Sleep Apnea, ADD, ADHD, Dyslexia and working to catch children as early as possible prior to permanent changes in physiological development and brain development/ maturation.

It is now possible to decrease and  prevent many of these problems by early epigenetic orthodontic / orthopedic treatment.  It is also sometimes possible to offer permanent cures of sleep apnea in adults by utilizing Epigenetic Orthodontic treatment with the DNA Appliance and the mRNA version of the DNA Appliance.

Today we know that sleep apnea affects old and young, male and female obese and non-obese patients and that it frequently affects children and infants and then carries with them through life.

Short Term memory loss is associated with untreated sleep apnea and when there is a family history of Alzheimers or Dementia it is recognized in can cause more rapid onset of symptoms at a younger age with more profound disease.

Fro Sleep Apnea Treatment in the Chicago Metropolitan area:

I practice in Gurnee, Il at Delany Dental Care.  847-623-5530
310 S Greenleaf, Gurnee 60031    www.DelanyDentalCare.com

In Highland Park   at 3500 Western Ave   847-533-8313

www.NorthShoreSleepDentist.com

www.ThinkBetterLife.com

Libertyville: Comfortable Alternative to CPAP for Sleep Apnea and Snoring

CPAP is the Gold Standard for Treating Sleep Apnea.  It is a wonderful invention of  Professor Colin Sullivan  PhD, BSc (Med), MB, FRACP in Australia and it has saved thousand of lives and improved the quality of life for millions.

When CPAP treatment is successful it is amazing treatment but unfortunately it fails 60% of the patients who are prescribed CPAP.

The good news is that oral appliances are an excellent alternative to CPAP that are preferred by 95% of patients offered a choice.  It is so successful that even Professor Colin Sullivan who invented CPAP personally utilizes an oral appliance both for comfort and efficacy!

Information on Chicago Providers of Oral Appliance treatment for CPAP is available at the end of this post.  I have opened a Chicago North Shore office dedicated to treating Sleep Apnea, Snoring and TMJ disorders that is conveniently located on the Metra a very short walk from the Fort Sheridan Metra Station.
North Shore Sleep Dentistry
3500 Western Ave #100, Highland Park, IL 60035
847-533-8313

Almost every complaint patients have with CPAP can be improved or eliminated with a professionally fitted well designed appliance that is patient specific.

Failure of CPAP is almost 100% a patient compliance issue.  Patient complaints about CPAP include:

I HATE CPAP!  I Hate the Mask!, I hate the hose!

Claustrophobic feelings from the CPAP  mask and hose.

Dermatologic problems includung facial sores, ulcers and CPAP related acne.

CPAP noise is a complaint from both CPAP users and their bedmates.

Infections in the sinus regions from CPAP use.  (partially Cleaning issue)

Asthma issues from CPAP  (partially Cleaning issue)

Bronchitis from CPAP  (partially Cleaning issue)

Pneumonia from CPAP   (partially Cleaning issue)

Problems with travel related to CPAO

CPAP Mask Discomfort

CPAP Mask leaks

Headache, neckache and backache issues from CPAP related to sleep position,

Dry Mouth

Dry Eyes from CPAP mask leakage

CPAP inconvenience

Don't like cleaning mask and hose

Pain to travel with CPAP

REGARDLESS OF THE ISSUES WITH CPAP AND CPAP MASKS IT IS ESSENTIAL THAT SLEEP APNEA BE TAKEN SERIOUSLY AND TREATED.

UNTREATED SLEEP APNEA CAN BE DEADLY RESULTING IN HEART ATTACKS AND STROKES.  WHEN SUPREME COURT JUSTICE ANTHONY SCALIA DIED IT IS SUSPECTED IT WAS A DIRECT RESULT OF NOT USING HIS CPAP FOR ONE NIGHT!

One study has shown that patients with moderate sleep apnea patients who are not treated have a 36% decrease in 8 year survival compared to those who were treated.

Patients with untreated apnea aresix times more likely to have motor vehicle accidents and often have trouble at work, school and home.  Marital strife is common due to excessive daytime sleepiness and poor cognition in patients with untreated sleep apnea.

I have been treating sleep apnea for over 34 years.  When I first became an Assistant Professor at Rush Medical School back in 1985 the average patient was an older male usually weighing 250-600 pounds and Severely ill.

Over the last 34 years I did research at Rush Medical School in the 1980's until 1991.  I returned in the 1990's and treated patients at Rush Sleep Service until early this century.  I have taught Dental Sleep Medicine to hundreds of dentists in the US and Internationally.  My most recent course was at Advocate Good Samaritan Hospital on February 29, 2016.  Other recent courses were at the International College of CranioMandibular Orthopedics in both the US and Argentina.

Currently, most of the lectures I give are on the common developmental aspects of TMJ, Sleep Apnea, ADD, ADHD, Dyslexia and working to catch children as early as possible prior to permanent changes in physiological development and brain development/ maturation.

It is now possible to decrease and  prevent many of these problems by early epigenetic orthodontic / orthopedic treatment.  It is also sometimes possible to offer permanent cures of sleep apnea in adults by utilizing Epigenetic Orthodontic treatment with the DNA Appliance and the mRNA version of the DNA Appliance.

Today we know that sleep apnea affects old and young, male and female obese and non-obese patients and that it frequently affects children and infants and then carries with them through life.

Short Term memory loss is associated with untreated sleep apnea and when there is a family history of Alzheimers or Dementia it is recognized in can cause more rapid onset of symptoms at a younger age with more profound disease.

Fro Sleep Apnea Treatment in the Chicago Metropolitan area:

I practice in Gurnee, Il at Delany Dental Care.  847-623-5530
310 S Greenleaf, Gurnee 60031    www.DelanyDentalCare.com

In Highland Park   at 3500 Western Ave   847-533-8313

www.NorthShoreSleepDentist.com

www.ThinkBetterLife.com

Chicago: Comfortable Alternative to CPAP for Treating Sleep Apnea and Snoring

CPAP is the Gold Standard for Treating Sleep Apnea.  It is a wonderful invention of  Professor Colin Sullivan  PhD, BSc (Med), MB, FRACP in Australia and it has saved thousand of lives and improved the quality of life for millions.

When CPAP treatment is successful it is amazing treatment but unfortunately it fails 60% of the patients who are prescribed CPAP.

The good news is that oral appliances are an excellent alternative to CPAP that are preferred by 95% of patients offered a choice.  It is so successful that even Professor Colin Sullivan who invented CPAP personally utilizes an oral appliance both for comfort and efficacy!

Information on Chicago Providers of Oral Appliance treatment for CPAP is available at the end of this post.  I have opened a Chicago North Shore office dedicated to treating Sleep Apnea, Snoring and TMJ disorders that is conveniently located on the Metra a very short walk from the Fort Sheridan Metra Station.
North Shore Sleep Dentistry
3500 Western Ave #100, Highland Park, IL 60035
847-533-8313

Almost every complaint patients have with CPAP can be improved or eliminated with a professionally fitted well designed appliance that is patient specific.

Failure of CPAP is almost 100% a patient compliance issue.  Patient complaints about CPAP include:

I HATE CPAP!  I Hate the Mask!, I hate the hose!

Claustrophobic feelings from the CPAP  mask and hose.

Dermatologic problems includung facial sores, ulcers and CPAP related acne.

CPAP noise is a complaint from both CPAP users and their bedmates.

Infections in the sinus regions from CPAP use.  (partially Cleaning issue)

Asthma issues from CPAP  (partially Cleaning issue)

Bronchitis from CPAP  (partially Cleaning issue)

Pneumonia from CPAP   (partially Cleaning issue)

Problems with travel related to CPAO

CPAP Mask Discomfort

CPAP Mask leaks

Headache, neckache and backache issues from CPAP related to sleep position,

Dry Mouth

Dry Eyes from CPAP mask leakage

CPAP inconvenience

Don't like cleaning mask and hose

Pain to travel with CPAP

REGARDLESS OF THE ISSUES WITH CPAP AND CPAP MASKS IT IS ESSENTIAL THAT SLEEP APNEA BE TAKEN SERIOUSLY AND TREATED.

UNTREATED SLEEP APNEA CAN BE DEADLY RESULTING IN HEART ATTACKS AND STROKES.  WHEN SUPREME COURT JUSTICE ANTHONY SCALIA DIED IT IS SUSPECTED IT WAS A DIRECT RESULT OF NOT USING HIS CPAP FOR ONE NIGHT!

One study has shown that patients with moderate sleep apnea patients who are not treated have a 36% decrease in 8 year survival compared to those who were treated.

Patients with untreated apnea aresix times more likely to have motor vehicle accidents and often have trouble at work, school and home.  Marital strife is common due to excessive daytime sleepiness and poor cognition in patients with untreated sleep apnea.

I have been treating sleep apnea for over 34 years.  When I first became an Assistant Professor at Rush Medical School back in 1985 the average patient was an older male usually weighing 250-600 pounds and Severely ill.

Over the last 34 years I did research at Rush Medical School in the 1980's until 1991.  I returned in the 1990's and treated patients at Rush Sleep Service until early this century.  I have taught Dental Sleep Medicine to hundreds of dentists in the US and Internationally.  My most recent course was at Advocate Good Samaritan Hospital on February 29, 2016.  Other recent courses were at the International College of CranioMandibular Orthopedics in both the US and Argentina.

Currently, most of the lectures I give are on the common developmental aspects of TMJ, Sleep Apnea, ADD, ADHD, Dyslexia and working to catch children as early as possible prior to permanent changes in physiological development and brain development/ maturation.

It is now possible to decrease and  prevent many of these problems by early epigenetic orthodontic / orthopedic treatment.  It is also sometimes possible to offer permanent cures of sleep apnea in adults by utilizing Epigenetic Orthodontic treatment with the DNA Appliance and the mRNA version of the DNA Appliance.

Today we know that sleep apnea affects old and young, male and female obese and non-obese patients and that it frequently affects children and infants and then carries with them through life.

Short Term memory loss is associated with untreated sleep apnea and when there is a family history of Alzheimers or Dementia it is recognized in can cause more rapid onset of symptoms at a younger age with more profound disease.

Fro Sleep Apnea Treatment in the Chicago Metropolitan area:

I practice in Gurnee, Il at Delany Dental Care.  847-623-5530
310 S Greenleaf, Gurnee 60031    www.DelanyDentalCare.com

In Highland Park   at 3500 Western Ave   847-533-8313

www.NorthShoreSleepDentist.com

www.ThinkBetterLife.com