Doueck Dental & Sleep Medicine
Cosmetic Dentistry & Dental Sleep Medicine located in Brooklyn, NY
Once thought to be completely different sleep disorders, it now seems that obstructive sleep apnea and insomnia overlap in up to 39-58% of patients. Many people aren’t even aware that they’re chronically snoring and struggling for breath at night, which prevents them from sleeping soundly. If you have chronic insomnia and live in or near the Brooklyn area of New York City, consult with Doueck Dental & Sleep Medicine. Call the office to make an appointment or use the convenient online booking agent.
When Oral Appliance Therapy Isn’t Enough
At Doueck Dental & Sleep Medicine, some of our patients suffer from obstructive sleep apnea and aren’t seeing the symptom relief from their oral appliance therapy (OAT) that they were hoping to see. While you know your body better than anyone, we’ll verify that OAT isn’t working by using Pulse Oximetry. This painless, non-invasive test helps us determine the oxygen levels in your blood. Also, we’ll complete a sleep study to monitor your condition.
After these significant steps, Dr. Doueck will have a better understanding of your issue and can customize a treatment plan that will allow you to get the sleep that you deserve. If the current treatment isn’t managing your sleep apnea symptoms correctly, he may decide that combination therapy is the necessary next step.
Combination therapy may include one or more of the following:
- Positional Therapy: To help avoid sleeping on the back
- Weight Loss: Every 10 pounds of weight loss will have a significant benefit
- Nasal Breathing: Nose cones, nasal irrigation, and in some cases, surgery
- Custom CPAP Mask: Eliminates the straps, headgear, and leakage of a traditional mask
Combination Therapy: Fitting the Pieces Together
For some patients, we’ll require combination therapy for optimal results. Below are some of the different types.
One example of a therapy that you can add to treatment that will foster better symptom relief is positional therapy. This form can be combined with a CPAP mask or OAT and keeps you from sleeping on your back. Dr. Doueck may encourage the use of a back bumper while you sleep. Merely place the pillow-like device behind you, and it will ensure that you don’t roll on to your back—which is one of the most accessible places for a sleep apnea episode to occur.
The most common reason adults develop obstructive sleep apnea is that they’re overweight or obese. Carrying excess weight could alter the soft tissue in your throat and mouth, creating the risk that your airway will collapse.
Dr. Doueck might recommend losing some weight and eating healthier. For every ten pounds that you lose, you’ll see your symptoms improve.
Custom CPAP Masks
The stock CPAP masks have a rejection rate of almost 50%, even by the people that need it most. The main reasons for rejection of the stock CPAP mask are leakage of the mask, pressure on the face, and straps around the head.
On the other hand, a custom mask has no straps, no headgear, and absolutely no leakage at any pressure. These combination devices are very comfortable because the mask is secured to the dental device. This avoids the need for the straps and headgear as well as getting the benefit of bringing the jaw forward which opens the airway and dramatically reduces the air pressure needed.
Just as important—because we take a mold of the face—the fit of the mask is perfect. It’s like the difference between wearing drugstore insoles and custom orthotics inside your shoes—there’s no comparison. The CPAP machine connects directly to the oral appliance. Only a dentist trained in how to take the facial mold and the dental device (TAP-PAP CM) is licensed to provide this care.
When we show the custom mask—combination (TAP-PAP CM) to medical sleep specialists and sleep technicians, their reaction is always positive.
Custom Nasal Pillows
Since CPAP PRO No-Mask nasal interface has no bulky headgear or annoying Velcro straps that have to be tightened repeatedly during the night to prevent leaks; you can comfortably lay in a variety of sleeping positions that are nearly impossible with traditional CPAP masks. Twist and turn throughout the night, even press your head against the pillow, and CPAP PRO No-Mask nasal interface stays perfectly in place.
Solving Your Sleep Apnea Symptoms
No matter how severe your sleep apnea symptoms are, Dr. Doueck will find a solution that will ensure you get the sleep that you deserve. If you’re interested in sleep apnea, the treatments we offer, or anything else dentistry related, we advise you to schedule a consultation with Dr. Doueck. He’ll make sure you get the diagnosis and treatment that will maximize the amount and quality of your sleep.