Dr. Joseph M. Homoky provides new treatments for patients with snoring, sleep apnea, and CPAP intolerance problems.
He offers FDA-approved Oral Appliance Therapy (OAT) for the many people with sleep breathing conditions.
MEDICARE approved with little to NO out of pocket costs, Dr. Joseph M. Homoky can solve your snoring and sleep apnea without CPAP or surgery!
Oral Appliance Therapy is completely non-invasive and painless. It is a mouthpiece, for patients with primary snoring or mild to moderate Sleep Apnea. They are small devices that you wear while you sleep. They are similar in size to an Orthodontic Retainer or Sports Mouthguard. They are very comfortable, easy to wear, and easy to travel with. These appliances can be used alone or in conjunction with other treatments. Oral Appliances work by attempting to prevent the collapse of the tongue and soft tissues in the back of your throat, keeping your airway open to allow adequate air intake. They work to reposition the lower jaw, tongue, soft palate, and uvula. Oral Appliance Therapy involves selecting an appropriate design, and then custom fitting it to your teeth.
As of 2006, new guidelines have been established by the American Academy of Sleep Medicine for treating Obstructive Sleep Apnea. These guidelines now recommend Oral Appliance Therapy as the first treatment option for patients with mild to moderate Obstructive Sleep Apnea, and the best option for patients who are unable to successfully use CPAP.
CPAP (Continuous Positive Airway Pressure) is pressurized air from a bedside machine. The air is delivered through a tube that connects to a mask, covering the nose. The pressure of the air forces and maintains the airway open while you sleep. This is a very successful treatment option, however it is only a great treatment if it is used! Many people find the masks very uncomfortable and cumbersome to wear. The noise created by the machines can also cause difficulty sleeping for the patient and partner. Additionally, the machines are difficult to travel with for many people.
Most people are great candidates for an oral appliance. The only way to tell for sure would be to come in for a complimentary consultation at our office. When you come in we will test your airway using our Eccovision Acoustic Diagnostic Imaging system and we may also send you home with a portable sleep apnea monitor. Once everything is reviewed the doctor will discuss treatment options with you.
NOT ALL ORAL APPLIANCES ARE THE SAME
At our practice we work with the Respire line of oral appliances. These devices are manufactured to strict standards and are FDA cleared specifically to manage Sleep Apnea. Additionally, we use state-of-the-art acoustic imaging technology to ensure your jaw is held in precisely the correct position with the appliance. “at home appliance kits” and other bulky non-custom devices may claim to help with snoring but are not nearly as comfortable or successful as the appliances we use.
Under diagnosed and frequently dismissed simply as harmless yet annoying snoring, “obstructive sleep apnea” (OSA) is a very dangerous condition. If you or a loved one snore loudly at night, please have a sleep study done to rule out this potentially fatal condition.
Excessive Daytime Sleepiness – Do you simply run out of energy after lunch.
Poor, unrefreshing sleep – How often do you wake up as tired as when you went to bed?
Memory problems or Personality changes – Disturbed sleep can cause these.
Nocturia-Getting up more than twice a night to go to the bathroom.
History of Heart Disease, Heart Attack, Stroke, and High Blood Pressure
Diabetes-Over 50% of people with diabetes have Sleep Apnea.
Waking up gasping for air, or Stopping Breathing, while sleeping
Headaches in the Morning – Lack of oxygen can cause this.
TMJ and Teeth-Grinding Problems – These are conclusively linked to Sleep Apnea.
Depression and Emotional Conditions – Often go hand-in-hand with Apnea.
Chronic Fatigue and Fibromyalgia
Snoring – Not to be ignored, this is a major sign of a partially blocked airway ready to close completely.
There are three types of apnea. In all three, people with untreated sleep apnea stop breathing repeatedly during their sleep, sometimes hundreds of times during the night and often for a minute or longer.
With each apnea event, the brain briefly arouses people with sleep apnea in order for them to resume breathing, but consequently sleep is extremely fragmented and of poor quality.
Sleep Apnea is a life threatening disorder and should not go un-treated because you can’t wear your CPAP! We can make a custom-fit plastic mouthpiece for treating sleep apnea. The mouthpiece will adjust your lower jaw and your tongue to help keep your airways open while you sleep.
Risk factors include being male, overweight, and over the age of forty, but sleep apnea can strike anyone at any age, even children. Yet still because of the lack of awareness by the public and healthcare professionals, the vast majority remain undiagnosed and therefore untreated, despite the fact that this serious disorder can have significant consequences.
Untreated, sleep apnea can cause:
- Drug resistant high blood pressure
- Cardiovascular disease
- Memory problems
Moreover, untreated sleep apnea may be responsible for job impairment and motor vehicle crashes. For those who are struggling with Sleep Apnea or Snoring, are frustrated with using a CPAP, or have a family member, friend, neighbor, or co-worker who has these problems, contact us to schedule a free consultation with us to learn more.