Sleep apnea therapy

Unlike snoring, sleep apnea is a potentially life threatening disorder in which you either slow or completely stop breathing while you sleep.  These episodes can last from a few seconds to a few minutes and may occur many times throughout the night.  The risks of undiagnosed sleep apnea include heart attack, stroke, high blood pressure (hypertension), decreased libido and daytime drowziness.  A sleep apnea diagnosis of mild, moderate, or severe depends on exactly how many times per hour an episode occurs.  Common signs of sleep apnea are snoring, and gasping or choking sounds during sleep.

 

Am I at risk for sleep apnea?

Sleep Apnea Treatment Monroe Twp. NJAnyone can develop sleep apnea.  An estimated 18 million Americans suffer from this condition.  That means that 1 out of every 15 people have sleep apnea.  Sleep apnea is more commonly found in men and individuals who snore, are overwieght, have high blood pressure, and are over the age of 50.  Some studies suggest hereditary may also be a factor.  Take this quiz to find out if you may be at risk!

 

What are the causes of sleep apnea?

There are a number of potential causes of sleep apnea.  Obstructive sleep apnea is usually caused by structural problems that close off your airway and interrupt or stop your breathing while you sleep.  This could be due to the relaxation and collapsing of the muscles of your throat as you age or sleep in certain positions.  It can also be due to the narrowing of your airway due to your genetic makeup or excessive fat storage due weight gain.  In the case of central sleep apnea, it is a signaling issue from the brain that is the cause.

 

Symptoms of Sleep Apnea

Some signs and symptoms of sleep apnea include:

  • Excessive daytime fatigue
  • Snoring
  • Episodes of slowed or stopped breathing during sleep
  • Abrupt awakening with gasping or choking
  • Restless sleep
  • Morning headache
  • Difficulty concentrating during the day
  • Depression
  • Weight gain
  • High blood pressure
  • Decreased libido
  • Frequent trips to the bathroom at night

 

Three Types of Sleep Apnea

- Obstructive Apnea

Caused by a blockage of the airway.  This blockage is due to your tongue or the muscles in your throat relaxing and closing off your airway.  In overweight or obese individuals, the airway can be narrowed leading to an increased risk of obstructive sleep apnea.  This is the most common form of sleep apnea and can be treated in a number of ways dependent upon the severity.  Severe cases may require surgery while most other cases can be treated with CPAP or an oral re-positioning device.

- Central Apnea

Caused by a signaling problem in the brain that prevents proper breathing.  This is a less common form of sleep apnea and may be a caused as a co-morbidity of other conditions such as heart failure, stroke, or complications from opoids.   Central apeneas require treatment of the underlying conditions and airway therapy with CPAP or other device.  A dental sleep device is not recommended in this situation because it is not caused by an obstruction.

- Complex/Mixed Apnea

Caused by a combination of both obstructive and central sleep apnea.  This requires treatment with CPAP or other positive airway pressure device.

 

How is Sleep Apnea Diagnosed?

Sleep apnea is diagnosed with the help of a sleep study.  This study can either be done at a sleep center, or utilizing a home sleep test.  Both produce valid results that will record the number of episodes of stopped or slowed breathing, movements, and the oxygen levels in your body during these events.  These results will provide an AHI score, which is the number of times per hour that your breathing is stopped or slowed.  Your severity of apnea will depend on this score:

Mild: 5-14 events per hour

Moderate: 15-29 events per hour

Severe: 30+ events per hour

Is Treating Sleep Apnea Important?

Treating sleep apnea is incredibly important to your health.  When your breathing is altered, so is the amount of oxygen that is coming into your body.  The disruption of oxygen leads to restless sleep due to your body subconsciously trying to find a position where it oxygenation is not altered.  When left untreated, sleep apnea can often cause excessive daytime fatigue, headaches, and can increase your risk of falling asleep while driving and experiencing workplace accidents. The lack of oxygen from untreated apnea also puts additional stress on your body which can lead to a multitude of systemic health issues such as:

  • High blood pressure (hypertension)
  • Heart attack
  • Stroke
  • Diabetes
  • Chronic acid reflux
  • Death

How is Sleep Apnea Treated?Sleep Apnea Appliance

There are four main ways to treat sleep apnea that are dependent upon the severity of your disease.  Speak with your doctor to determine which style of treatment is best for you.  A combination of some of the following may be the best course of action.

Behavioral modification

Non-medical changes to your lifestyle is one of the first lines of defense against sleep apnea.  It may also be beneficial as a combination with another form of sleep apnea therapy.  Some of the most common behavioral modifications are:

  • Weight loss
  • Avoiding drugs and alcohol
  • Avoiding drinking caffeine late at night
  • Alteration of sleeping posture

Oral Appliance Therapy

This type of treatment is best for those diagnosed with mild or moderate sleep apnea or those who are CPAP intolerant.  The oral appliance is custom made for your mouth by Dr. Fiorentini and helps to hold your lower jaw slightly forward, and slightly open.  This keeps your tongue forward and limits the collapsing of your airway during sleep.  Although a dental sleep apnea device is not as effective as CPAP therapy, it is more likely to be tolerated during an entire night's sleep and therefore can be the best choice for many patients suffering from obstructive sleep apnea.

The most aggressive is with surgery.  The gold standard for severe sleep apnea, and the one you have probably heard the most about is CPAP (continuous positive pressure airway) therapy.  CPAP therapy involves wearing a face mask connected to a machine that continuously forces air and keeps your airway open.  And the third is with an oral appliance that we can fabricate with a visit in our dental office.  This oral appliance helps to position your jaw in a certain way to prevent collapse of the airway.

 

What Can You Do Today?

To get started, give us a call or see your primary care physician.  Once you have taken the sleep study and have a diagnosis of apnea, we can begin the process of fabricating an oral appliance for you.  With the proper diagnosis, this appliance may be covered by your medical insurance.

Even if you are not diagnosed with apnea, but are a heavy snorer and would like to stop, or more likely your significant other would like you to stop, we can still fabricate the same appliance and you should see immediate results.

 

Call us today to schedule a consult with Dr. Fiorentini about sleep apnea therapy

 

(732) 545-1023

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Call us at (609) 655-1023 or Fill out the form below and we will respond shortly!

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Fabulous atmosphere, friendly, caring staff and wonderful dentists ! Have been going here for many years and have always been treated like family and not just a patient ! Thanks Fiorentini Family dentistry ! 😁
Michele Aurelio
Michele Aurelio
2019-07-04T04:56:14+0000
My family has been going to Fiorentini dental since 1995 Always a great experience ! Thank you to all who are involved in our care..Dr Fiorentini-(all 3 now) Michelle, Karen Peggy , Jackie and the entire staff We moved four years ago and continue our dental care in NJ Thank you for all you do for our family 💗😃
Karen Evans
Karen Evans
2019-07-03T01:40:55+0000
extremely friendly environment
Michael Pent
Michael Pent
2019-07-03T00:07:06+0000
A top-notch dental practice where your treatment is done using the latest equipment and techniques and you are treated almost like a member of "the family." It is a true pleasure--yes pleasure--to have my dental needs looked after by such professionals.
Gale Tenen Spak
Gale Tenen Spak
2019-07-02T23:02:45+0000
Fiorentini family dentistry always fits me in when I need to be seen for something urgent and is always very responsive to my concerns.
Leora Messer Mitzner
Leora Messer Mitzner
2019-07-02T22:45:47+0000
Fantastic family run business. They take their time and care about their patients. Have been a patient for over 25 years, can’t say enough nice things about them. Office is immaculate and has all up to date equipment too.
Robin Kimball Alfonso
Robin Kimball Alfonso
2019-07-02T21:54:26+0000
Very friendly and supportive dentist. Honest up front and uses a lot of new technology. A great family run office.
Michael Skip Casciola
Michael Skip Casciola
2019-07-01T22:46:07+0000
I recommend going to Fiorentini Family Dentistry they have been extremely wonderful and make going to the dentist more enjoyable!!
Lindsay Denenberg
Lindsay Denenberg
2019-05-23T19:57:03+0000
Love the Fiorentini family there the best been going there for 25 yrs
Arlene Kelley Gammel
Arlene Kelley Gammel
2019-05-22T16:10:24+0000
of course I would recommend them they are great and they make it a lot easier so yes
Alice McCall
Alice McCall
2019-05-06T20:20:40+0000
the whole staff are amazing.....
Mindy Kushner
Mindy Kushner
2019-04-15T21:15:56+0000
Just got my 6 month checkup. It always amazes me how the entire staff makes me feel like family!
Steve Owen
Steve Owen
2019-03-13T15:24:37+0000
Fantastic dentists the whole family professional and caring. Diagnose your dental issue and provide timely intervention. minimal pain if at all. The hygienist staff are caring and professional as well. I have been a patient of theirs for over 30 years.
Deborah Furman
Deborah Furman
2019-02-15T16:49:45+0000
Yes I would recommend Fiorentini Family Dentistry. They are a caring group. The staff puts you right ease, you don't have to fear getting a needle to for a cavity or root canal because you don't even feel it.
Bernice Fiorentini
Bernice Fiorentini
2018-10-09T17:22:47+0000
Incredible dental practice! Extremely clean offices, friendly staff, and amazing dentists!
Jenna Marie
Jenna Marie
2018-08-31T15:41:13+0000
Caring and compassionate care is what you receive as a patient at Fiorentini family dentistry . Very knowledgeable Drs with the highest Technology. Beautiful modern office with an amazing salt water fish tank to make you feel calm with the ultimate relaxed atmosphere ..
Lori Koval
Lori Koval
2018-07-03T22:40:19+0000
I have been going to Dr. Fiorintini for over 30 years. He rebuilt my front teeth after a bike accident so close to my original teeth that I was able to continue pursuing my musical career. Both of my children have special needs, and the ENTIRE staff of Fiorintini Family Dentistry are welcoming, caring, patient, and most of all understanding. They go the extra mile to make my sons comfortable - even if it means taking more time to get their procedure completed. Simply the best, you will not find better.
Erin-Leigh Van Orden
Erin-Leigh Van Orden
2018-04-29T02:18:58+0000
I have been coming here my whole life and I can truly say all the staff and Doctors are amazing. This is the only place I will go for cleanings and dental work. Highly recommend.
Nicole Alexandra
Nicole Alexandra
2018-04-13T13:08:16+0000
The Doctor's Fiorentini are the most professional, patient, and caring dentist's I have ever been to. They treat their patients with kindness and are very knowledgeable, and are the best at what they do. They have two state of the art offices and I will never go to another dentist. I would highly recommend them to anyone in need of a dentist!!
Cheryl Shaw
Cheryl Shaw
2017-01-31T00:20:33+0000
Dr Mario was wonderfully patient with my extremely apprehensive daughter, providing excellent care, and compassion for her fear. He took the time to ensure she had a positive and pain free experience. Highly recommend.
Robin Kimball Alfonso
Robin Kimball Alfonso
2017-01-24T19:21:35+0000
Love them! Great for the "less than enthusiastic " patients like me.
Krista Ledford Gigliotti
Krista Ledford Gigliotti
2016-11-21T23:54:00+0000
DR MARIO IS MY SAVIOR. I MET HIM AT A HEALTH FAIR AND FROM THE START I KNEW I COULD BELIEVE AND TRUST IN HIM. I AM SO GLAD TO HAVE MET AND HAVE HIM AS MY DENTIST. I HAVE NEW TEETH AND DR MARIO AND HIS DAD AND THE ENTIRE STAFF WERE SO GOOD AND HELPFUL. I ENJOYED VISITNG IMAGINE LIKING TO GO TO THE DENTIST. THANK YOU FOR THE GREAT JOB I HAD DONE AND COMPLETED SO PROFESSIONALY. YOU ARE THE BEST.
Joann Marino
Joann Marino
2016-10-13T09:58:19+0000
Dr Fiorentini is so caring and an excellent dentist. He has been there for me every time I have had a problem and I so appreciate that. The personnel are also friendly and professional and keep a well run office.
Alice O'Connor Donahoe
Alice O'Connor Donahoe
2016-04-25T18:43:33+0000
Best dentists ever! Always helpful! Very accommodating! I always leave with a smile!
Regina Smoler
Regina Smoler
2016-03-06T12:23:14+0000
Excellent Doctors, fabulous staff...always ready to listen to and address every concern.
Diane Petroski
Diane Petroski
2016-01-07T22:50:46+0000
Love our family dentist! Been going here over 20 years! Go to Highland Park and today had pleasure of visiting their new Monroe office! Great office, great personnel and as always.... Great service!
Toni Careccia Lorenc
Toni Careccia Lorenc
2015-12-30T20:21:42+0000
2015 review: I've been seeing Dr. Fiorentini for almost 20 years! Now his son, Dr. Mario, is on board too. Awesome family with a wonderful, friendly crew. I'm so happy they now have an office in Monroe 😀 2018 Update: I've been a patient of Dr. Fiorentini's for 23+ years and today I had the pleasure of sitting in the chair with the most recent addition to the family practice, Dr. Chris. He was wonderful! He was already informed of my 'tough to get numb' problem and patiently worked through and took the extra time to make sure I was pain free. He checked in with me often to ensure my comfort and finished my work beautifully. I visit the Monroe office most often and will continue to come back for my dental hygiene and repair work. Karen and Jackie make sure your visits are a pleasure from the moment you walk in the door with their warm greeting. There's always a quick personal chat that calms my nerves and makes me at ease. Thanks Doctors and Staff for being a fantastic dentistry team!
Toni Kerschner McGovern
Toni Kerschner McGovern
2015-10-08T18:11:09+0000