our office policy

As a dental practitioner trained in the treatment of sleep disordered breathing, I am available to treat patients from other dental offices.

It will be necessary for me to contact you for every patient you refer to gather the necessary information about the oral condition, including the health of the teeth and surrounding periodontium, the health and history of the temporomandibular joint, and any planned restorations.  I would also be interested in any concerns you might have about a mandibular and maxillary appliance, worn during sleep. 

During my evaluation preliminary to appliance fabrication, if I see any need for dental treatment, I will send the patient back to you for treatment.

The dental treatment for obstructive sleep apnea is maxillary and mandibular appliances which reposition the mandible forward and hold it there during sleep to keep the pharynx open.  It is imperative that the teeth, restorations, and periodontium be healthy before appliances are made and worn.

Your patient will be fully informed about the potential side effects of appliance therapy including sore teeth and muscles of the temporomandibular joints, movement of teeth, loosening of restorations, and periodontal concerns.  These problems are usually short term and are treatable. I would appreciate your help in closely monitoring  these potential side effects with referral back to me should it be necessary. I plan annual reviews of treatment to address any potential problems.

Please don't hesitate to call me about any concerns for your patients or questions about oral appliance therapy for snoring and obstructive sleep apnea.