Obstructive Sleep Apnea

SLEEP DISORDER TREATMENT IN DANVILLE, CALIFORNIA

Sleep Disorders


Top Reasons to Visit AODTC for Sleep Disorders

Many people who experience sleep disorders don’t realize that they are related to underlying dental issues and vice-versa; some dental issues may be aggravated by behaviors that take place when patients are sleeping.

We specialize in treating dental-related sleep disorder symptoms.

We take the time needed to really get to know each and every one of their patients.

We believe in helping patients in the Danville, CA area improve the quality of their lives through advanced dental care and good oral health practices.

What You Should Know About Sleep Disorders

Sleep disorders are extremely common in people of all ages. Sometimes it’s obvious to the patient that they suffer from a sleep disorder, but other times it may not be. If you experience any of the following, you may have a sleep disorder:

You snore loudly – so loudly that your spouse may have to sleep in another room.

You fall asleep easily at inappropriate times like movies or concerts.

You can easily feel sleepy when driving.

You wake up with sore teeth or a sore jaw (often caused by bruxism or teeth grinding).

While sleep disorders can affect people of all ages, it’s particularly common in older patients. If you suffer from a sleep disorder, it can greatly impact the quality of your life. Dr. Alvarez specializes in treating sleep disorders and believes that resolving these issues can improve a patient’s overall health and well-being.

OBSTRUCTIVE SLEEP APNEA TREATMENT IN DANVILLE, CALIFORNIA

What Is Sleep Apnea?


One of the most serious of all sleep disorders is called sleep apnea. This condition can not only impact your sleep quality but can also be life-threatening. It occurs when a patient quits breathing for 10 seconds or longer while sleeping. Some symptoms of sleep apnea include:

Snoring.

Dry mouth in the morning (caused by leaving the mouth open to breathe while sleeping).

Lethargy, or being tired during the day (caused by lack of sleep at night).

Morning headaches.

Trouble focusing during the day.

If you believe that you or someone in your family suffers from sleep apnea, we can help. We have been successfully treating this serious condition in our patients for years. We would be happy to discuss the symptoms and possible treatments with you to alleviate the problem.

Sleep Apnea Treatment.

Frequently Asked Questions About Sleep Apnea


What are the symptoms of Obstructive Sleep Apnea (OSA)?

Insomnia, daytime sleepiness, fatigue.

Irritability, anxiety, and/or depression.

Snoring, choking, and/or gasping during sleep.

Headaches.

Teeth grinding/clenching.

Poor concentration, difficulty performing work duties.

Memory problems/forgetfulness.

Acid reflux/GERD.

Frequent need to urinate at night.

What are some of the risk factors and causes of OSA?

A small mouth and/or large tongue.

Narrow arches of the mouth and/or small jaw bone.

Large neck (women >16” and men >17”).

Missing or extracted teeth (making less room for the tongue).

Obesity.

Medications.

Large tonsils, adenoids, and/or poor nasal airways.

Pregnancy.

Family History.

Irrability.

Middle age (over age 40).

Male gender.

What can OSA lead to?

High blood pressure.

Stroke.

Heart attack.

Depression.

Reduced sex drive.

Type 2 Diabetes.

Metabolic syndrome.

Liver problems.

ADHD.

Work and driving related accidents.

Sleep deprived partner.

I’m fairly certain I have sleep apnea, how do I find out?

A sleep study is the next step. There are two types of diagnostic sleep tests, a PSG (Polysomnography) and HST (Home Sleep Test). Depending on your medical insurance, you may or may not need a referral from your primary care doctor for a sleep test. Also, depending on your medical insurance coverage, you may be eligible for an HST rather than a PSG.

A PSG is more comprehensive than an HST in that it is a comprehensive recording of the biophysiological changes that occur during sleep. It is usually done at a sleep center. It monitors many functions, including the brain, eye movements, muscle activity, and heart rhythms.

If the idea of sleeping overnight in a lab is keeping you from seeking a diagnosis, the HST may be a better option. An HST, also called an unattended sleep test, can be done in the comfort of your own bed, usually done over 1-3 nights. This test monitors oral and nasal airflow, oxygen levels in your blood, and respiratory effort. Even if your insurance does not cover an HST, there are currently companies that will provide you with an HST unit for under $300.00.

In addition, if you just don’t want that diagnosis of “OSA” on your permanent medical record, paying out of pocket for an HST may be the answer.

I have sleep apnea, now what?

There are several different treatment methods for OSA. The treatment methods differ depending on the type of OSA you have and the severity of it. It is important that you know and understand all your treatment options, their pros and cons, and the risks vs. benefits of each option. It is also essential to know what you can do to try to decrease the severity of your OSA or possibly correct it.

Weight loss (if overweight).

Avoiding alcohol and / or sleeping pills.

Stopping smoking.

Changing sleeping positions to improve breathing and avoid sleeping on your back.

Improving airways (removing large tonsils/adenoids, repair deviated septum, treat allergies, orthodontic arch development).

CPAP (Continuous positive airway pressure).

BPAP (bi-level positive airway pressure).

Implanted upper airway stimulator devices.

Surgery. From soft tissue to jaw advancement, there are many options. The long-term effectiveness of several of them is unknown.

Dental Devices, aka, Oral Appliance Therapy – WE DO THIS!

A Diagram of how Oral Appliances help with Obstructive Sleep Apnea.

ORAL APPLIANCE THERAPY FOR SLEEP APNEA IN DANVILLE, CALIFORNIA

Dental Devices to Treat Sleep Apnea


How does a dental device treat sleep apnea?

OSA occurs when there are repeated occurrences of the upper airway being blocked during sleep. “Apnea” is defined as the cessation of breath. An oral appliance treats mild, moderate, and severe OSA by moving the lower jaw slightly forward. This movement tightens the soft tissue and the upper airway muscles, preventing obstructions while you sleep. The oral appliance also prevents the upper airway tissues from vibrating as air passes over them, thus frequently reducing snoring.

Though oral appliances for treating sleep apnea are recommended primarily for patients with mild to moderate OSA, several patients are being effectively treated with severe OSA. We can know for sure by having a sleep test with the appliance in to confirm its efficacy. Then you can make a choice. There doesn’t have to be one answer. Some patients chose the oral appliance instead of the CPAP. Some patients alternate using the oral appliance for travel, camping, or when they need a break from the CPAP. In cases where the oral appliance reduced the apneas but not to 5 or less per hour, some patients chose a combination therapy where they used the oral appliance together with the CPAP, but the CPAP was set at a lesser, more tolerable pressure. Then there are those patients who can only tolerate the CPAP for a few hours before unconsciously removing it. Those patients can keep the oral appliance next to their bed and put it in upon removing their CPAP. In summary, you have choices and options. Take control of your treatment and do what is best for you.

Is Oral Appliance Therapy for OSA covered by medical or dental insurance?

Oral appliance therapy is a medical service, not dental. Most medical insurances do cover this treatment method, including Kaiser and Medicare. Though we are out of network with many of the medical insurance companies, we can verify your benefits. We are in network with Kaiser Permanente.

Outside of the insurance companies, we do offer no interest payment plans, Care Credit, and accept all major credit cards. Our services are also eligible for Flex and HSA plans.

Our goal is to minimize your stress by providing you with optimal service.

Blue Oral Appliance for Sleep Apnea Treatment.
Pink Oral Appliance for Sleep Apnea Treatment.

SLEEP DISORDER DIAGNOSIS IN DANVILLE, CALIFORNIA

Contact Our Office Today for More Information About Sleep Disorders


If you’d like more information about sleep disorders and to find out whether you or a member of your family might be experiencing these problems, contact our Danville, CA office (925) 837-8048 or our Fremont, CA office at (510) 713-6790 or request an appointment online. We conform to all state and local laws within the state of California.


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Dear Valued Patients, Doctors and Dental Professionals,

After an incredible 60 years of devoted service to our community, Dr. Robert Brown has retired. Dr. Brown has been an integral part of our healthcare family, and his impact on the lives of our patients is immeasurable.

As Dr. Brown embarks on this new chapter of his life, we recognize that it is time for him to prioritize his own health and happiness. While we will miss his presence in our clinic dearly, you can rest assured that your healthcare needs will continue to be met with the same level of excellence and compassion by Dr. R. Michael Alvarez.


In honor of Dr. Brown's retirement, we would like you to join us in celebrating his remarkable career. We are compiling a special album filled with sentiments and photos from his patients and fellow dental professionals as a token of appreciation for his years of service. If you would like to participate, we encourage you to send us a sentiment card along with a photo of yourself to be included in the album. Please send your sentiments, cards and photos via email to info@aodtc.com , via text to 925-267-6435 or, by mail to the office address. 


As we bid farewell to Dr. Brown and transition to Dr. Alvarez, we want to express our deepest gratitude to the whole community for your trust, loyalty, and support over the years. Thank you for your understanding and participation in celebrating Dr. Brown's legacy.