How is Sleep Disordered Breathing Treated?<\/h2>\n
Adjunctive therapies aside, there are only three recommended treatments or management techniques for Sleep Disordered Breathing. They are:<\/p>\n
<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n Airway collapsibility is reduced or eliminated by the incremental advancement of the mandible. The pharynx is dilated which slows airflow and increases pressure. The lateral walls of the pharynx are more resilient and the proximity of the tongue to the soft palate and posterior wall of the pharynx is reduced. The tone of the genio-glossus muscle (the tongue) is increased which reduces the collapse of the tongue base during the most relaxed stages of sleep.<\/p>\n There are many designs for custom and non-custom appliances.<\/p>\n They vary in materials used, method of mandibular advancement, fixed position or mobility for the protruded mandible. We invite you to contact Dr. Moore via email or telephone to discuss the options that exist.<\/p>\n Airway collapsibility is reduced by the application of increased air pressure which \u201csplints\u201d the airway open. Dr. Moore has innovated techniques for the management of the very high PAP cases by blending mandibular re-positioning with PAP. Dr. Moore invites questions or comments regarding the management of the full spectrum of OSA severity.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n [\/et_pb_text][\/et_pb_column][et_pb_column type=”2_5″ _builder_version=”3.17.6″ parallax=”off” parallax_method=”on”][et_pb_image src=”https:\/\/comfortacrylics.com\/wp-content\/uploads\/2018\/11\/TAPIII-by-Comfort-Acrylics.jpg” _builder_version=”3.17.6″][\/et_pb_image][et_pb_image src=”https:\/\/comfortacrylics.com\/wp-content\/uploads\/2018\/11\/pneumatic.jpg” _builder_version=”3.17.6″][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”3.17.6″][et_pb_column type=”4_4″ _builder_version=”3.17.6″ parallax=”off” parallax_method=”on”][et_pb_text _builder_version=”3.17.6″ text_font=”||||||||” text_font_size=”15px” text_line_height=”2em” ul_font=”|700|||||||” ul_line_height=”2em” ol_font=”||||||||” header_font=”||||||||” header_2_font=”Ubuntu|700|||||||” header_2_font_size=”40px” header_2_font_size_phone=”24px” header_2_font_size_last_edited=”on|phone” header_2_line_height=”1.4em” header_3_font=”||||||||” header_4_font=”||||||||” header_5_font=”||||||||” header_6_font=”||||||||”]<\/p>\n Surgery can be used to remove or reposition redundant tissue to reduce the noise of snoring and the potential for obstructions. Resulting airway volume increases may increase air pressure. Radio-frequency ablation (\u201cSomnoplasty\u201d) of the soft palate may reduce the volume of tissue while preserving its anatomy.<\/p>\n Nasal surgery can be a very effective adjunct therapy to either of the other methods.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n [\/et_pb_text][et_pb_text _builder_version=”3.17.6″ text_font=”||||||||” text_font_size=”15px” text_line_height=”2em” ul_font=”|700|||||||” ul_line_height=”2em” ol_font=”||||||||” header_font=”||||||||” header_2_font=”Ubuntu|700|||||||” header_2_font_size=”35px” header_2_font_size_phone=”24px” header_2_font_size_last_edited=”on|phone” header_2_line_height=”1.4em” header_3_font=”||||||||” header_4_font=”||||||||” header_5_font=”||||||||” header_6_font=”||||||||”]<\/p>\n Although not covered by guidelines of the AASM, Dr. Moore has documented significant improvements in OSA management using combined therapy (the addition of PAP to the Oral Appliance Therapy).<\/p>\n Compliance is often enabled or improved significantly, presumably due to a reduction in pressure requirement if the pharynx is already mechanically dilated. The synergism is undoubtable and will soon be appearing in conventional sleep medicine practices as the obvious benefits of pressure reduction (20-70%) and its concomitant leak and leak arousal reduction becomes well known. Claustrophobia can be effectively managed by the elimination of mask straps by attaching the interface directly to the oral appliance. This facilitates side sleep posture again reducing PAP pressure requirements.<\/p>\n Nasal airway management, weight loss and fitness training, position therapy, sleep environment management and of course PAP if needed.<\/p>\n It is important to be referred to a specialist in sleep medicine who can properly diagnose the severity of the disorder and to prescribe the appropriate therapy.<\/p>\n Dr. Richard W. Moore is retained by Comfort Acrylics, Inc as a consultant to assist visitors to our site or callers to our company. He will be able to help you find board certified sleep centers and physicians in your area to assist you. He can also help find dentists credentialed by the Academy of Dental Sleep Medicine who can assist you with oral appliance therapy and can answer or find answers to your questions in any aspect of sleep medicine.<\/p>\n [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":" Snoring and Obstructive Sleep Apnea These terms describe parts of the continuum of sleep-disordered breathing. This spectrum ranges from slight vibration of tissues at its mildest to death from asphyxiation at its severe extreme. Between lies pathologic snoring and periods of complete closure of the airway called \u201capnea\u201d. The long-term effects of such disturbed breathing […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"yoast_head":"\nMECHANICAL:<\/strong><\/h4>\n
PNEUMATIC:<\/strong><\/h4>\n
SURGICAL:<\/strong><\/h4>\n
Combined Therapy<\/strong><\/h4>\n
Adjunctive Therapies<\/strong><\/h4>\n
How is the best treatment for individual patients determined?<\/h2>\n