Over 14 years of experience

Patricia Berube, D.M.D., M.S.
3313 Unicorn Lake Blvd. Suite 151
Denton, TX 76210
Map of Unicorn Lake

Phone: 940-384-7374
FAX: 940-384-7370

Hours:
Monday - Thursday with hours ranging from 8-5 or Friday by appointment

Treatment of Obstructive Sleep Apnea (OSA)

Why did you begin offering these types of services in your office?
As the years have gone by, we have noted how destructive bruxism (ie-grinding) and clenching can be to periodontal disease and the onset and progression of recession. Our goal in any treatment is to discover why you are being diagnosed with a particular disorder and finding ways to treat the “why”. We may recommend a bite guard. Most people can wear a simple flat bite guard, however, we found that more and more patients are presenting with symptoms of sleep apnea. This prompted more study into this area.

What are the consequences of sleep apnea?
They estimate that one in every five Americans has this condition. Problems that arise include:

  • hypertension
  • coronary artery disease
  • cardiac arrhythmias
  • congestive heart failure
  • heart disease
  • sudden death
  • mood disturbances including depression, anxiety, loss of motivation, shortened attention span, moodiness and bad temper and poorer judgment.
  • daytime sleepiness with a 6-fold increased risk of car accidents, impaired concentration and memory loss, reduced work-efficiency, reduced alertness and lower reaction time
  • loud snoring with morning headaches caused by oxygen deprivation and relationship discord (that’s a big one!)
  • Diabetes Type II with an estimated 58% of diabetics having obstructive sleep apnea
  • obesity with an estimated 90% of obese males and 50% of obese females having obstructive sleep apnea
  • gastroesophageal reflux disease
  • sexual dysfunction
  • Frequent urination at night

How do I know if I have sleep apnea? Most patients may not be aware of their poor sleep quality.
There is a simple questionnaire that will assess basic risk factors. It is called the STOP-BANG questionnaire. Answer YES or NO to these questions.

  • STOP: Do you often feel SLEEPY during the daytime?
  • Has anyone OBSERVED you stop breathing during your sleep?
  • Do you SNORE loudly (louder than talking or loud enough to be heard through closed doors?)
  • Do you have or are you being treated for high blood PRESSURE?
  • BANG: BMI more than 35 kg/m2?
  • AGE over 50 years old?
  • NECK circumference more than 16 inches (40 cm)
  • GENDER: Male?

If you answered yes to 0-2 of these, your risk for obstructive sleep apnea is low. If you answered yes to 3-4, you have a moderate risk. If you answered yes to 5-8, then you have a high risk for obstructive sleep apnea.

What do I do if I think I may have sleep apnea?
We are happy to refer you to a reputable sleep lab where you can have either an office sleep test or a home test. If you obtain a diagnosis of obstructive sleep apnea, you will have options. These will include a CPAP or APAP (this may be more tolerable than a CPAP) or a dental appliance.

I cannot tolerate my CPAP or APAP. Am I eligible for treatment using a dental appliance?
If you are diagnosed with mild or moderate sleep apnea, a dental appliance is indeed an option for you. Appliances are not an indicated treatment for severe sleep apnea sufferers. We fabricate an appliance that is minimally bulky and we work with your MD or sleep lab to make sure the appliance is working correctly for you. It is important to have this collaboration with our physician colleagues.

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