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Sleep Apnea and Intolerance to the CPAP

Thursday, September 28, 2017

Many people who have been diagnosed with Obstructive Sleep Apnea, CPAP (continuing positive air pressure)  or BiPAP (bi-level positive air pressure) machines have helped people enjoy more restful, safe sleep. Then, there are others who have Obstructive Sleep Apnea that goes unmanaged because they are intolerant of the traditional CPAP ro BiPAP devices.  Non-treatment of sleep apnea results in potential health risks and loud snoring, therefor treatment is very important.  For CPAP intolerant patients, Dr. Courey and Dr. Zagami provides and alternative--an oral appliance that minimizes or eliminates sleep apnea in most people.

CPAP machines are made of three primary components:  the main unit that creates air pressure, an air hose and a facemask.  The main unit compresses air, then channels it through the air hose and facemask with steady pressure.  This system of continual air delivery keeps soft oral and throat tissues from blocking airflow as a patient sleeps, thus eliminating apneic episodes.  Thirty to fifty percent of CPAP patients are non-compliance, due to a variety of reasons.  Some of the most common complaints include:  

  • My mask leaks air
  • My mask does not fit well
  • The device has uncomforatable straps and headgear
  • I cannot sleep due to sounds from the device
  • CPAP disturbs my bedmate's rest
  • It restricts my movements
  • It is simply not effective
  • Pressure on my upper lip has caused dental problems
  • I suffer with claustrophobia
  • During the night, I am unaware of removing my CPAP mask
  • I am a "side-sleeper"

According to online articles and forums, there are many additional problems that CPAP patients may experience. Including:

  • GERD, Acid Reflux, Nausea and Vomiting
  • Gas and blaating from air in the stomach
  • Sinus or nasal issues, including mucous and congestion as a result of silicone components and having a dry nose
  • Dry mouth, xerostomia, which can increase the risk for tooth decay and gum disease
  • Dry eyes or puffy eyes, usually due to mask not fitting well or exhalation ports directing air at the eyes
  • Lung or chest pain, often due to increased workload of lungs, because exhaling requires combating a constant influx of air
  • Reduced libido, due to the psychological impact of a CPAP not being "sexy" or unattractive.

Because there is high instance of non-compliance with the CPAP, this is not always the best treatment option for Obstructive Sleep Apnea.  Often times,  sleep physicians and general physicians recommend an alternative, such as a convenient Obstructive Sleep Apnea Appliance available at Specialized Dentistry of New Jersey made by Dr. James Courey and Dr. Joseph Zagami. 

Sleep Apnea Appliance in Manalapan

An oral appliance for sleep apnea is small, compact, and easy to transport when traveling. CPAP intolerant patients have many complaints about discomfort, with from felling confined, claustrophobic, or wearing the mask. 

If have been diagnosed with sleep apnea through a sleep study and are CPAP intolerant, your medical insurance may cover a portion of the Obstructive Sleep Apnea oral appliance. 

If you suffer from sleep apnea and CPAP intolerance, a custom made sleep appliance may be a good option for you. Call today for a complimentary consultation with one of our Prosthodontists, Dr. Courey or Dr. Zagami 732-410-7101.

Or Request An Appointment By Clicking Here.

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