Michael Simmons, DMD - Family and Cosmetic Dentistry in Tarzana, CA

How do I know if I have Sleep Apnea?
There are many questionnaires such as the Epworth Sleepiness scale and the David White test that are used to evaluate a patient’s restfulness. Though they are not true tests, these questionnaires suggest if you need to be evaluated by a doctor. Once you seen by a doctor, he/she will be able to arrange a Sleep Study for you or at home with a portable WatchPAT device or at a Sleep Lab.

What is a sleep study?
A Sleep study is an Overnight Polysomnography (PSG). It is an all night comprehensive study done in a laboratory to confirm the diagnosis of Obstructive Sleep Apnea. This method has been proven to be effective because a sleep technician attends this technically complex study.

How are obesity, hypertension (High Blood Pressure), diabetes, heart attacks, strokes and depression related to Seep Apnea?
Studies have found a relationship between the quantity and quality of one's sleep and many health problems. For example, insufficient sleep affects growth hormone secretion that is linked to obesity; as the amount of hormone secretion decreases, the chance for weight gain increases. Blood pressure usually falls during the sleep cycle, however, interrupted sleep can adversely affect this normal decline, leading to hypertension and cardiovascular problems. Research has also shown that insufficient sleep impairs the body's ability to use insulin, which can lead to the onset of diabetes. More and more scientific studies are showing correlations between poor and insufficient sleep and disease.

What is a CPAP?
A CPAP is a continuous positive air pressure machine that blows air through a thin tube that is attached to a mask worn over the nose by the patient while sleeping. Air blows through the patient’s airway in order to keep the airway open and unobstructed.

How do I start Oral Appliance Therapy?
If you are interested in an oral appliance, simply schedule an appointment for a consultation with our office. At that time we will discuss the treatment options for you and, if you do not have a recent sleep study, arrange one for you. We also have a unique Home sleep study called a WatchPAT, this will give us an indication of how severe each patient’s apnea is and how effective an oral appliance will be for you before you commit to moving forward with appliance therapy treatment.

Can I wear an oral appliance if I have bridges or dentures or other dental work?
Bridges and other dental restorations will be examined by Dr. Simmons to make sure they are sufficient to withhold an oral appliance. Denture wearers present a real challenge. There are specific appliances that are designed for edentulous patients, and special designs can be made to accommodate patients. This is purely on a patient specific basis and should be evaluated directly by Dr. Simmons.