Johannesburg, South Africa

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Does this sound familiar to you?

Do you snore? Snoring may be life threatening. Take it seriously!

Do you suffer from daytime sleepiness?

Do you wake yourself up from sleep with grasping for breath or choking?

Do you have headaches upon waking up?

Do you have a history of high blood sugar, blood pressure or thyroid disease?

Do you have trouble with gastro-esophogeal reflux or heartburn?

Do you have difficulty with falling and staying asleep?

Do you grind your teeth?

Treat a chronic medical condition with a dental solution.

Dental
Sleep Medicine

Dental sleep medicine is a specific area of dental practice that uses an oral appliance therapy to treat a variety of sleep-related disorders.

What Does a
Sleep Dentist Do?

We collaborate with your sleep physician to  treat sleep apnoea by providing a small, custom-made oral appliance, worn only while sleeping, that moves your jaw and tongue slightly forward, preventing your throat from closing when your muscles relax.

This device can significantly improve sleep, reduce the symptoms of obstructive sleep apnea, and can be especially effective for people who are intolerant of CPAP.

Treatment Protocol

Initial
Consultation

A “normal” Epworth Sleepiness Scale score is considered between 0 and 10. ‌ Those with scores of 11 to 24, however, are considered to have excessive daytime sleepiness.

A STOP-Bang score of 2 or less is considered low risk, and a score of 5 or more is high risk for having either moderate or severe OSA. For people who score 3 or 4

With a score above the accepted normal, further assessment  is needed to determine the presence of apnoea 

Overnight
Sleep Test

The most common sleep test is a home test by wearing a special device to monitor breathing during the night. 

The information that is gathered is then passed on to the sleep clinician for assessment and diagnosis.

Patient
Discussion

The prescribed treatment options are discussed  on the basis of the sleep physician’s diagnosis and recommendations and a decision is taken. modality

Start
Treatment

The treatment options are either CPAP or an intra-oral mandibular appliance .

CPAP treatment is provided by the sleep physician.

The mandibular intra-oral appliance is constructed by the dentist.

Symptoms of Sleep Apnoea

Headache

Headache

Sleep apnoea headache is characterised by a pressing, not pulsing, pain that is usually felt across both sides of the head.
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Loud Snoring

Loud Snoring

As snoring gets louder, chances of having sleep apnea are greater and greater.
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Teeth Grinding

Teeth Grinding

People who clench or grind their teeth (brux) during sleep are more likely to have other sleep disorders, such as snoring and pauses in breathing (sleep apnoea).
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Heart Disease

Heart Disease

Individuals with severe sleep apnoea are at increased risk for coronary artery disease, congestive heart failure, and stroke.
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Chronic Allergies

Chronic Allergies

Symptoms may show as daytime sleepiness, headache, feeling cranky throughout the day, reduced attention and snoring throughout the night.
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ADHD

ADHD

Sleep problems — like sleep apnoea, restless leg syndrome, or delayed sleep phase syndrome may exacerbate ADHD symptoms.
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Diabetes

Diabetes

Sleep apnoea has been shown to be shown to be associated with the development of type 2 diabetes.
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Asthma

Asthma

People with asthma are at increased risk of developing sleep apnoea.
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Take an
Assessment

Dr Gerald Kaplan – 083 391 2281

Assessments

1

Epworth Sleepiness Scale

Please complete the questionnaire first before continuing with the Stop Bang assessment.

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2

Stop Bang

Please complete the stop Bang assessment after you have submitted the ESS questionnaire.