Extent of the Problem:

  • 70% of adults in the united states have sleep disorders
  • 50% of adults over 40 snore
  • Snoring: the tongue partially blocks the airway
  • 20% of adults who snore have sleep apnea
  • Sleep Apnea: tongue completely blocks the airway for 10s or more leading to decreased oxygen saturation.
  • To break the apneic episode, your body wakes up, disrupting your sleep
  • Bruxism (clenching and grinding) is highly corelated with sleep apnea
  • Most patients with an 18” neck or more snore

Associated Health Risks:

  • Untreated severe sleep apnea takes 10-15 years off your life expectancy
  • Sleep Apnea puts you at higher risk for heart attack, stroke, cancer, high blood pressure, diabetes, headaches, erectile dysfunction, and depression
  • Sleep apnea increases your risk of heart attack by 23x (more than smoking, being overweight or high blood pressure)
  • Sleep apnea causes more accidents per year than drunk drivers

Treatment: Oral Appliances, CPAP, and Surgery

  • The American Academy of Sleep Medicine recommends oral appliances as the first line of treatment for patients with mild to moderate sleep apnea (5-30 events/hour)
  • CPAP is the gold standard for treating severe sleep apnea, and if you have a CPAP, and you’re happy with it, stay with it; but a lot of patients don’t like their CPAP
  • Concerns with the CPAP could be: claustrophobia, noise of the machine, headaches caused by the strap, irritation or red marks on the face from the mask, and dryness in the nose, throat, or mouth
  • CPAP can also be cumbersome for those who travel frequently
  • Surgery is the third treatment option for sleep apnea. Patients with large tonsils and adenoids (which Dr Dulac screens for) are good candidates for surgery.
  • Dental Appliances work by bringing the lower jaw forward, opening up the airway
  • Dental Appliances can be combined with CPAP or Surgery to optimize results

Please contact us if you’re interested in an oral appliance for snoring or sleep apnea.