A mandibular advancement appliance often called an “Oral Appliance,” is a conservative and often successful alternative for patients who snore, who have mild to moderate apnea, who have apena but cannot tolerate CPAP, or who have found either CPAP or surgery to be unsuccessful. Oral Appliances can be an effective supplement or the total answer to snoring or sleep apnea.
Sleep Apnea in California
Dental Sleep Medicine
HOW THE MANDIBULAR ADVANCEMENT DEVICE OR MAD WORKS
Appliances are light and easy to wear compared to cPAP.. Its purpose is to move the lower jaw forward and downward, causing a positive change in jaw and/or tongue position, which opens the airway. An appliance worn during sleep helps keep the airway from collapsing, ensuring an open airway.
Because the lower jaw moves in multiple directions (vertically, anteriorly, posteriorly, laterally, and with rotation), it is important to establish the best position of the jaw to increase the size of the airway. Once this is determined, we make full mouth impressions so that a laboratory can fabricate the custom-made, FDA-approved airway dilator appliance that is right for you. There are over 70 different designs to choose from. Choosing the correct design can make a difference in comfort and success.
Warning: Sleep apnea can be a life threatening condition.
By purchasing and using a device from the internet or television you may be trusting your life to a device that is not FDA approved for sleep apnea without the expertise and advice of a dentist experienced and certified as a sleep dentist.
QUESTIONS TO CONSIDER ASKING BEFORE CHOOSING A DENTIST FOR SLEEP MEDICINE:
Is the dentist a member of the American Academy of Dental Sleep Medicine?
(This can indicate more than a fleeting interest in dental sleep medicine. We have been a member since 2004.)
How many hours of continuing education does the dentist have in dental sleep medicine?
(Dr Van der Werff has completed over 80 hours.)
Is the dentist board certified by the American Board of Dental Sleep Medicine?
This requires, amoung other things passing a written 4 hour exam and delivery and follow up of at least 20 appliances. (Dr. Van der Werff has been certified since June 2008.)
How many appliances has the dentist delivered?
( Dr. Van der Werff has provided over 430 appliances.)
Does the dentist office know how to bill medical insurance?
(We bill medical insurance all the time.)
If you are covered under Medicare is the dentist a Medicare provider?
If an appliance is made by a non Medicare provider dentist the patient will probably have to pay for the appliance and any visits. Furthermore, a non participating provider cannot charge a Medicare patient for a sleep appliance since it is a covered service. If the dentist is a provider, the appliance is usually covered in full. (Dr. Van der Werff has been a Medicare provider for since around 1998.)
For more information on Dental Sleep Medicine, please Visit:
The American Academy of Dental Sleep Medicine at: http://www.aadsm.org