Monday, November 29, 2010

Different Types of Oral Appliances for Sleep Apnea

Once you have met with Dr. Blumenstock, an oral appliance will be chosen to best fit your situation. There are many types of oral appliances to meet many different needs.

One option is called the SomnoMed MAS. It is a custom-made device, consisting of upper and lower dental plates with a unique feature that allows normal mouth opening and closing. The jaw is only moved as far as needed to alleviate snoring and sleep apnea. Elastic Mandibular Advancement appliance or EMA, was created for noninvasive treatment of snoring and sleep apnea. Interchangeable elastic pieces on the appliance offer varying degrees of adjustment and overall TMJ comfort. Another device, the TAP, or the Thornton Adjustable Positioner, is an appliance that holds the lower jaw forward. This prevents the tongue and soft tissue of the throat from collapsing into the airway. It is easily adjusted and the adjustment handle acts as snoring volume control. As snoring is reduced, the airway is opened.

There are many other oral appliances offered by Dr. Blumenstock. The most important thing to understand is that many years of experience grant him an exceptional ability to successfully match you to the correct oral appliance.

Read more on Dr. Blumenstock.

Monday, November 22, 2010

Oral Appliances 101

There are many ways to treat sleep apnea. Besides using a CPAP machine or lifestyle change, oral appliances are an excellent option. Oral Appliance therapy is the selection, design, fitting and use of a specially designed oral appliance. When worn during sleep, it maintains an opened, unobstructed airway in the throat. Oral appliances that treat snoring and obstructive sleep apnea are devices worn in the mouth, and are similar to orthodontic retainers or mouth-guards. They have several advantages over other forms of therapy. Oral appliances are comfortable, easy to wear and care for. They are small and convenient, making them easy to carry with you when you travel. Treatment with oral appliances is a smart non-invasive solution.

After referral from a physician, you can make an appointment to receive a thorough oral examination by Dr. Blumenstock. He will then discuss all options, advantages, limitations, and consequences of an oral appliance. After you are fitted with the oral appliance that should work best for you, we’ll take any needed time to adjust the appliance to a comfortable and effective position. If you suffer from sleep apnea, make an appointment with us today!

Friday, November 19, 2010

Interview with Dr. Blumenstock, Sleep Apnea Dentist

Dr. Blumenstock has been working with sleep apnea patients for over 20 years. Earlier in his experience, he realized many of his dental patients had headaches. Many of these patients did not respond to TMJ treatments. Dr Blumenstock discovered that they all had one thing in common, sleep issues.

Before the 1980's, tracheostomy was the most common cure for people with sleep apnea. This is a surgical procedure that involves cutting a hole in the lower neck to penetrate the trachea. Later, in Australia, the first CPAP machine was invented by putting a vacuum cleaner in reverse and attaching it to the face. As time progressed, another surgical treatment for sleep apnea appeared. Surgery on the soft palate was an option for people suffering from sleeplessness. This type of surgery was not successful for every case. The surgery was successful for those patients choking in a specific location. It wasn't until oral appliances arrived that many more patients where treated successfully. Most oral appliances push the jaw and tongue forward to reduce the conditions of sleep apnea.

Today, there are many different appliances for different situations. It takes the experience of professionals like Dr. Blumenstock to know which appliance will work the best for each situation.

Read more on Sleep Apnea Dentist

Wednesday, November 10, 2010

New Jersey Sleep Society, Inc - Annual Educational Symposium - Nov. 12 & 13, 2010










National Conference Center at the Holiday Inn East Windsor, NJ
399 Monmouth Street
East Windsor, NJ 08520
(609) 443-8000


Course Program

Friday • November 12, 2010
2:00 — 3:00pm
REGISTRATION • VISIT EXHIBITS • REFRESHMENTS

3:00 — 3:10pm
Welcome
Lee J. Brooks, MD, President, NJSS

3:10 — 4:10pm
How Do Circadia Rhythms and Sleep-Wake Regulatory
Systems Affect Sleep Patterns?

Mary A. Carskadon, PhD
Learning Objectives: review circadian rhythms terminology and basics of circadian biology; examine sleep-wake homeostasis and how it affects sleep; describe how the circadian timing system and sleep-wakehomeostatic processes interact to enhance or interfere with sleep

4:10 — 4:45pm
REFRESHMENT BREAK • VISIT EXHIBITS

4:45 — 5:45pm
How Do Circadian and Sleep-Wake Regulation change During Adolescent Development?
Mary A. Carskadon, PhD
Learning Objectives: review developmental stages in adolescence and secular trends in puberty; describe how circadian phase is changed during adolescence; review changes in sleep-wake homeostasis that accompany adolescence; examine consequences of these developmental changes

5:45 — 6:45pm
Adult vs. Pediatric Respiratory Rules in Adolescents
Ignacio E. Tapia, MD
Learning Objectives: discuss the AASM respiratory scoring criteria; clarify which scoring criteria should be used in adolescents

6:45 — 7:30pm
PRE-DINNER RECEPTION • VISIT EXHIBITS

7:30 — 9:30pm
DINNER and Sleep in Astronauts
Erin E. Flynn-Evans, PhD, RPSGT
Learning Objectives: educate on the challenges of sleeping in extreme environments; educate on wake and sleep promoting countermeasures and their effectiveness during spaceflight

Saturday • November 13, 2010

7:00 — 8:00am
REGISTRATION • VISIT EXHIBITS • BREAKFAST

8:00 — 9:00am
Fatigue Management for All
Kingman P. Strohl, MD

Learning Objectives: discuss the warning signs of sleepiness and fatigue as a manifestation of brain function; list the factors that promote and countermeasures that reduce fatigue and sleepiness in medicine, nursing, and sleep technology

9:00 — 10:00am
Oral Appliance Therapy for Sleep Breathing Disorders
Steven D. Bender, DDS

Learning Objectives: discuss how to determine which patients may benefit from oral appliance therapy; explain how to appropriately titrate an oral device; discuss the benefit of combined therapy utilizing CPAP and oral appliances in patients with severe obstructive sleep breathing disorders

10:00 — 10:45am
REFRESHMENT BREAK • VISIT EXHIBITS

10:45 — 11:45am
Women and Sleep

Joyce A. Walsleben, RN, PhD
Learning Objectives: discuss the unique issues with women and sleep; discuss effective treatments for women with sleep issues

11:45 — 12:45pm
Sleep and Fatigue in Transportation Safety
Christopher A. Hart
Learning Objectives: highlight the major fatigue and sleep issues in transportation; catalyze thinking about how to address those issues

12:45 — 2:15pm
LUNCH • VISIT EXHIBITS

Membership Meeting and Elections


2:15 — 3:15pm
The Appropriate Treatment of Mild Sleep Apnea
David Schulman, MD, MPH

Learning Objectives: discuss using data gleaned from patient history and polysomnography to determine which patients with mild sleep apnea require therapy; recommend different therapeutic options to mild sleep apnea patients based upon anatomic factors and disease severity

3:15 — 4:15pm
Federal and New Jersey Regulatory Update
Martin L. Monaco, Jr., Esq.

Learning Objectives: update on New Jersey and Federal regulatory provisions; discuss suitable joint ventures permitted in New Jersey under the changes to the Codey law