Troubled by Sleep Apnea? We can help!
OBSTRUCTIVE SLEEP APNEADr Bernard E Frantz DMD has been successfully treating Obstructive Sleep Apnea (OSA) with Mandibular Advancement Devices since 1995. A member of the AADSM (American Academy of Dental Sleep Medicine) Dr. Frantz is a graduate of University of Scranton and Temple University School of Dentistry 1993. Dr Frantz has lectured at the Geisinger Henry Hood Sleep Symposiums at Geisinger Danville, Geisinger South and Geisinger Baltimore Drive on the Parameters of Sleep Medicine. He has instructed other dentists on the proper choices of the over 60 different FDA approved OSA devices.
What sets us apart from other offices is our commitment and our follow up to patient care. This has allowed us to see great success in treating and curing sleep apnea. Most of our referrals come from physicians and patients we have treated for OSA.
CAUSESObstructive Sleep Apnea is caused by the collapse of the airway during sleep. The muscles, including those that control the tongue and throat, and soft tissues fall against the back of the throat and constrict the airway. The Mandibular Advancement Device repositions the lower jaw forward to prevent the tongue and soft tissues from blocking the airway allowing the patient to breathe on their own.
TREATMENT GOALSThe treatment goals include a reduction in high blood pressure, prevention of stroke and heart disease. Increase in oxygen concentration in the blood. Less work related injuries and automobile accidents, fatigue, daytime sleepiness and lack of concentration.
RESEARCH15+ Independent studies demonstrate the Mandibular Advancement Device’s significant benefits. 91% of patients who wear the device report improvement in sleep quality. Studies demonstrate a reduction in blood pressure, improvement in sleep quality, less fatigue and improvement quality if life. Patients who use the device describe their experience as “life changing”.
PROCESSA comprehensive and thorough exam allows us to determine the best device to begin your treatment. Fitting the device, to properly start advancing the lower jaw comes next. We follow up with patients over the year adjusting their device to what is best for their level of apnea. This commitment of time and knowledge allows us to achieve our goal of helping each individual patient get more oxygen and a better night sleep. Curing each patient is our goal.
SLEEP APNEA APPLIANCES
Sleep apnea is a serious, sometimes fatal medical disorder that affects around 10% of American men over the age of 40, and 6% of American women of the same age. Sleep apnea sufferers completely stop breathing during sleep, sometimes hundreds of times in a single night. Normal breathing ceases because the airway becomes obstructed, causing a serious reduction of airflow to the lungs.
There are a number of dental devices that can be used to alleviate this condition. The goal of most of these devices is to separate the jaws and push them forward slightly. This slight repositioning opens up the airway, and allows oxygen to flow freely again. Wearers of sleep apnea dental devices report that they stop loud snoring, feel more rested in the daytime, and are much more comfortable going to sleep. They offer a viable alternative to Continuous Positive Airway Pressure (CPAP).
Sleep apnea appliances fall into two categories: fixed and adjustable. Here are brief descriptions of some commonly used sleep apnea dental appliances:
SomnoDent Flex is made with unique SMH BFlex material, Flex has a soft inner liner which maintains retention and offers premium patient comfort. Drop in fit – even for patients with short teeth, little undercut or crown / bridge work. SMH BFlex is a proprietary soft polymer that is molecularly bonded to the acrylic device. The material will not delaminate or attract odors.
TAP® 3 (Thornton Adjustable Positioner)
The TAP® 3 is the smallest, most comfortable member of the TAP family. It is a two-part custom-created sleep apnea appliance that fits over the teeth in much the same way as a sports mouthguard. The TAP® 3 projects the jaw forward to prevent the tongue and soft tissues from impeding the airway. The lower jaw positioner is adjustable, which means that it can be altered to suit the comfort level of the wearer. The TAP® 3 appliance can accommodate the three main types of malocclusion, and allows the lips to fully close.
The OASYS appliance is designed to move the base of the tongue toward the front of the mouth by gently repositioning the jawbone (mandible). This shift opens the oropharynx and strengthens the upper airway. An extension of the upper shield projects toward the nose, creating a larger nasal opening and less resistance to normal airflow. This adjustable appliance is comfortable to wear and extremely patient friendly.
The KlearwayTM Appliance is generally used to alleviate obstructive sleep disorder and eliminate snoring. The patient or dentist can project the jaw forwards in increments of .25mm at a time. This ensures maximum comfort for the sleeper. The KlearwayTM appliance is made from VariflexTM heat softening acrylic, which makes it easier to insert. Running warm water over the appliance makes it pliable, but once placed in the desired position, the acrylic hardens again.
Herbst Telescopic Appliance
The Herbst appliance is held in the mouth by clasps and friction grips. It is made of acrylic, and contains adjustable metal wiring. The advantage of this appliance is that the wearer is able to move vertically and laterally without dislodging the appliance. The Herbst appliance is usually used in mild and moderate cases of sleep apnea, and can also alleviate loud snoring effectively.
If you or someone you love is suffering from mild to severe sleep apnea you deserve the best treatment. Call Frantz Dental today to schedule your consultation at our Kingston dental office today!
Additional ResourcesClick here to take the online Somnomed Epworth Sleep Test.
Please download and fill out the Somnomed dental sleep questionnaire. Bring the filled out questionnaire to your dental appointment.