For Physicians & Dentists – Denton, TX

Why are oral appliances preferred?

Oral appliance therapy (OAT) offers proven, effective results that help eliminate some of the same symptoms as CPAP devices for patients who have obstructive sleep apnea (OSA). They’re often the preferred treatment option because they’re more comfortable, portable, and easy to use, all while helping to minimize fatalities caused by cardiovascular problems as a result of sleep apnea.

What is a mandibular advancement appliance (MAD)?

Mandibular advancement appliances help patients who snore by gently shifting their jaw forward and keeping their airway open while they sleep. They often contain hinges or bands that create a comfortable, customized, and minimally invasive feel.

Will the type of MAD appliance make a difference?

The best way to make sure a MAD appliance is effective is to ensure it’s properly fitted to the patient’s unique anatomical structure. Our team offers a wide range of options to choose from, allowing us to provide more personalized treatment that lends to the best possible results.

Who is a candidate for oral appliance therapy (OAT)?

Patients who are considered good candidates for OAT typically:

• Have a lower AHI (apnea-hypopnia index, or the average number of apneas experienced each hour)
• Are younger in age
• Have a lower BMI
• Are CPAP-intolerant
• Have a lower jaw that’s set further back than their upper jaw (retrognathia)

How much can my patients expect to pay?

The cost of treatment can vary based on several different factors, like whether they choose OAT or CPAP therapy. Our team works with patients to make sure they pay as little out of their pocket as possible by maximizing their benefits. We’re proud to be in-network with Medicare, TriCare, and most PPO insurance plans as well.

What does the Star Sleep & Wellness in Denton protocol and process include?

The first step we take is to conduct a thorough evaluation to determine whether moving forward with a sleep study is necessary. Then, we’ll refer them to our in-house laboratory. This will provide us with all of the necessary information we need to make a formal diagnosis. Based on our findings, we can then move forward with a treatment plan, determining if they would benefit more from OAT or CPAP therapy if they have obstructive sleep apnea. After providing them with their medical appliance, we’ll schedule a follow-up appointment to make sure it’s working as it should be and that they’re finding relief from their symptoms.

What kind of communication will there be between Star Sleep & Wellness in Denton and me regarding my patient?

At Star Sleep & Wellness in Denton, we understand the importance of collaboration and communication when it comes to providing comprehensive treatment, which is why you can expect to receive regular correspondence from us. Apart from the initial communication we share, you’ll also hear from us after your patient’s consultation and sleep study. We’re also happy to accommodate your communication preferences.

Can my patients expect to undergo additional screenings or treatment when seeing you for an oral appliance?

We will ensure that all treatment protocols as well as follow-up visits are followed as we normally do to ensure your patient is receiving comprehensive care. If necessary, we may recommend a sleep study in addition to more than one consultation with any of our other qualified professionals (like our licensed psychologist or family nurse practitioner) to determine if other treatment methods are needed. If you have any specific wishes or concerns, please let us know.

Are boil-and-bite appliances no longer worthy investments?

While boil-and-bite appliances were once used to help treat certain disorders, it’s widely acknowledged that these are no longer able to deliver the quality of treatment and effectiveness as professional, customized appliances are. Our qualified sleep doctors in Denton use the latest technology, like our digital impression system, to craft customized, comfortable orthotic devices that, with regular maintenance and professional observation, can help improve their quality of life and health greatly.

Are there any contraindications for oral appliances?

Before we consider a patient for OAT, we’ll make note of how many teeth they have in their lower arch since this will determine whether the device can remain stable and supported as they sleep. If they don’t have enough teeth to adequately hold the appliance in place, they may need to undergo tooth replacement services before they can be a good candidate for this treatment. Some other considerations we’ll make include:

• Whether they suffer from serious TMJ disorder
• If they have a strong gag reflex
• If they require TMJ therapy to help the mouth open wide enough to ensure effective use of their oral appliance

Will a patient experience a change in their bite while wearing an oral appliance?

When wearing an oral appliance, it’s possible that someone can experience a change in their bite. However, we offer devices that are unlikely to cause this. Before choosing an appliance for a patient, we’re sure to examine their mouth by capturing images of their jaw and oral structure so we understand the original baseline that we’re working with. We’ll use these images as a reference throughout treatment and provide patients with additional exercises and guidance to keep their bite in its traditional position.

What should a patient do if they grind their teeth?

Our oral appliances have a three-year warranty, and with the help of medical insurance, it’s possible to receive a new one every three years in case teeth grinding causes it to wear down faster over time.