Sleep Apnea Treatment

Snoring and Obstructive Sleep Apnea Oral Appliances We work as a team with physicians who specialize in Sleep Medicine and the treatment of Sleep Apnea.  If you have been told that you snore or stop breathing in periodic episodes while you are asleep, let us help determine the best treatment approach for you so you can sleep with ease all night long. If you have obstructive sleep apnea (OSA) and are unable to use a CPAP machine, oral appliance therapy may be of great benefit to you and your health!

DENTAL SLEEP MEDICINE. These procedures are covered under your Medical Insurance... we handle the paperwork.


Many times we hear of accidents having occurred while driving cars, trucks, cabs, planes, and trains.  Workplace and transportation accidents are reviewed by authorities and some of the first areas they evaluate are:

  • alcohol
  • drugs
  • behavior disorders
    • When these test results come back negative, they start looking at Sleep Apnea Testing.  It is a fact that sleep deprived drivers, pilots, train conductors are a risk to the public. 


      People trained in Sleep Apnea know that it is one of the most under diagnosed diseases.  It has been postulated that as many as 90% of those with Obstructive Sleep Apnea have NOT been diagnosed.  Statistics reveal that the true incidence of OSA may be more than diabetes or asthma!  We all know someone with these conditions.

      The increased number of accidents and public awareness of Sleep Apnea is resulting in a push for more thorough diagnosis and treatment.

      Mandatory Sleep Testing may be on the horizon for professional drivers and pilots.  It only makes sense!  The FAA, recently, has started steps to institute a program to test pilots.  You can imagine how important this would be for the cross-country truck drivers as well.

      It is important that we all look at the signs and symptoms associated with Obstructive Sleep Apnea and refer our friends, our family, and ourselves for the testing.  This can help save lives!


      Changing Lives: Local Dentist Treats Obstructive Sleep Apnea Patients

      Newport Beach, California – Susan A. Bollinger, DDS, a member of the American Academy of Dental Sleep Medicine (AADSM) and the National Sleep Foundation, is committed to offering an alternative treatment for people suffering from Obstructive Sleep Apnea (OSA). OSA affects approximately 18 million Americans, causing them to stop breathing for 10 to 30 seconds, sometimes for one minute or longer, hundreds of times a night.

      For over 11 years, Dr. Bollinger has practiced dental sleep medicine (DSM), which is the management of sleep-related breathing disorders, such as snoring and OSA, with oral appliance therapy (OAT) and upper airway surgery.

      “Scientific studies have shown that approximately 25 percent to 50 percent of patients with OSA are unable to comply with Continuous Positive Airway Pressure (CPAP), the standard treatment therapy, or do not tolerate it, leaving a large number of OSA patients that dentists can help with OAT,” Dr. Bollinger said.  

      OAT involves the customized selection, fabrication, fitting, adjustments, and long-term follow-up care of specially designed oral devices, worn during sleep, which reposition the lower jaw and tongue forward to maintain a more open upper airway. Oral appliances (OAs) look similar to mouth guards, but should be selected and fitted by a dentist trained in DSM to maintain unobstructed breathing during sleep.

      The American Academy of Sleep Medicine has published practice parameters, stating that oral appliance

      therapy is indicated for treatment of patients with mild to moderate apnea if they prefer it to CPAP, cannot tolerate CPAP, or are unable to use positional therapy or weight loss to control their apnea. Oral Appliances are also recommended for severe OSA patients if they are unable to tolerate CPAP.

      Warning signs of OSA include excessive daytime sleepiness, snoring, morning headaches, poor memory and mood changes. If a patient undergoes a polysomnography and is diagnosed with OSA by a sleep physician at an accredited sleep center, he or she may be sent to a dentist for treatment. 

      “Unfortunately, OSA is a growing problem, with overweight and obese people making up one of the highest risk groups for this disease,” Dr. Bollinger said. “But OAT is a safe and effective treatment option that will help decrease the prevalence of untreated OSA and improve patients’ overall health.”

      Facts about Obstructive Sleep Apnea:

    • OSA can contribute to excessive daytime sleepiness as well as an increased risk for high blood pressure, heart attack, stroke, diabetes, obesity and driving accidents.
    • Experts estimate that 80 percent to 90 percent of adults with OSA remain undiagnosed and untreated.
    • OSA with resulting daytime sleepiness occurs in at least four percent of men and two percent of women.
      • About The American Academy of Dental Sleep Medicine

        American Academy of Dental Sleep Medicine
        The American Academy of Dental Sleep Medicine (AADSM) is a professional organization of more than 1,900 dentists worldwide. Established in 1991, the AADSM promotes the research and clinical use of oral appliance therapy and upper airway surgery for the treatment of sleep-related breathing disorders, such as Obstructive Sleep Apnea, and provides training and resources for dentists and other professionals who work directly with patients.

        Adverse Effects of OSA

      • High Blood Pressure
      • Increased Risk of Heart Attack and Strokes
      • Loss of Memory and Concentration
      • Rapid Heart Beat
      • Congestive Heart Failure
      • Daytime Sleepiness
      • Increased Work and Driving Accidents
        • Signs and Symptoms of OSA

        • Loud Snoring
        • Gasping/ choking spells during sleep
        • Daytime sleepiness
        • Morning headaches
        • Un-refreshed feeling in the morning
        • Chronic fatigue
        • Mood changes/ Depression
        • Dozing off while driving
        • Decreased libido