Understanding the Types of Sleep Apnea

Sleep apnea is characterized by repeated interruptions in breathing during sleep. While the symptoms can overlap, it's crucial to understand the different types to determine the most effective treatment.

Obstructive Sleep Apnea (OSA): 

This is the type of sleep apnea that most patients deal with, and it takes place when the throat muscles relax too much, causing the soft tissues to collapse and therefore block your airway. This blockage leads to gasping, choking, or pauses in breathing, followed by brief awakenings (often unnoticed) as your body struggles to restart breathing. Snoring is a hallmark symptom of OSA.

Central Sleep Apnea (CSA): 

As opposed to OSA, CSA happens when the brain does not send the proper signals to the muscles which control breathing. There is no physical obstruction of the airway; instead, the brain temporarily "forgets" to breathe. This type is less common and often associated with underlying medical conditions or certain medications.

Complex Sleep Apnea (Mixed Apnea): 

As the name suggests, complex sleep apnea is a hybrid of both CSA and OSA. Patients diagnosed with OSA initially may then develop central sleep apnea during treatment, or they may present with characteristics of both from the outset.

Experience the Comfort of Oral Appliance Therapy

For many patients with mild to moderate obstructive sleep apnea, and even some severe cases who cannot tolerate CPAP, oral appliance therapy offers a comfortable and effective alternative. 

At Schroeder & Schroeder Dentistry, we specialize in oral appliance therapy—a proven, non-invasive solution for mild to moderate obstructive sleep apnea.

How Oral Appliance Therapy Works Anatomically: 

An oral appliance for sleep apnea is a custom-made device, similar to a sports mouthguard or orthodontic retainer, worn only while you sleep. Its primary function is to gently reposition your lower jaw (mandible) and/or tongue forward to restore dental and respiratory harmony. 

By advancing the mandible, the appliance helps to keep your airway open and unobstructed during sleep, preventing the collapse of soft tissues that leads to apneas and snoring. This subtle anatomical adjustment allows for continuous, unobstructed breathing, improving oxygen flow and sleep quality.

Advantages Compared to CPAP: 

While CPAP (Continuous Positive Airway Pressure) therapy is a highly effective treatment, many patients find it cumbersome and difficult to adhere to. Oral appliance therapy offers distinct advantages:

• Comfort: Oral appliances are small, custom-fitted, and much less intrusive than a CPAP mask and hose. Patients often report greater comfort and ease of adaptation.
• Portability: Their compact size makes them incredibly easy to travel with, eliminating the need to pack bulky equipment.
• Ease of Use: There are no machines, hoses, or masks to connect. Simply insert the appliance before sleep.
• Quiet Operation: Unlike CPAP machines, oral appliances are silent, benefiting both the patient and their sleeping partner.

Diagnosis Made Easy: At-Home Sleep Studies

We offer a streamlined diagnostic process with the comfort of at-home sleep testing—no need for a lab stay.

Step-by-Step Process:

1. Schedule a consultation with our team
   
2. Receive a compact at-home sleep testing device
   
3. Use it overnight in your own bed
   
4. Return the device for analysis
   
5. Receive your diagnosis and customized treatment plan
   

Benefits of At-Home Testing

• Convenient and comfortable
  
• Less expensive than lab studies
  
• Reliable for identifying obstructive sleep apnea

Insurance Coverage & Medicare Clarification

We understand that navigating insurance can be complex. At Schroeder & Schroeder Dentistry, we strive to make the financial aspect of your sleep apnea treatment as clear and straightforward as possible.

Medicare and medical insurance accepted!

It's important to note that oral appliance therapy for sleep apnea is generally covered by your medical insurance, not your dental insurance, as it treats a medical condition.

What's Covered:

• Diagnosis: The initial consultation and the at-home sleep study are typically covered if deemed medically necessary.
• Oral Appliances: Custom-fabricated oral appliances (classified as Durable Medical Equipment, or DME) are often covered for the treatment of obstructive sleep apnea. Coverage often depends on the severity of your sleep apnea as determined by your sleep study and whether the appliance is FDA-approved.
• Follow-ups: Post-treatment follow-up appointments, including adjustments to your oral appliance, are generally covered. Initial adjustments within the first 90 days are usually bundled with the appliance cost, with subsequent adjustments covered as medical office visits.

We handle all claim filings for you! Our experienced team will assist you with verifying your benefits, pre-authorization processes, and submitting all necessary documentation to your medical insurance provider and Medicare, ensuring you maximize your coverage and minimize out-of-pocket expenses.

Lifestyle Changes to Support Treatment

While oral appliance therapy is highly effective, small lifestyle modifications can make a big difference:

• Maintain a healthy weight
  
• Sleep on your side instead of your back
  
• Limit alcohol, especially before bed
  
• Practice nasal breathing techniques for better airflow

Frequently Asked Questions

Does sleep apnea increase the risk of heart attacks?

Yes. Untreated sleep apnea can raise the risk of heart attacks, high blood pressure, stroke, and other cardiovascular problems due to frequent drops in oxygen levels.

Is oral appliance therapy better than CPAP?

For patients with mild to moderate OSA, oral appliances are often more comfortable and easier to use—leading to better long-term adherence.

How does Medicare cover sleep apnea devices?

Medicare typically covers diagnostic testing, oral appliance therapy, and follow-up visits if the appliance is medically necessary. We’ll confirm your eligibility and file all claims for you.

What happens if sleep apnea remains untreated?

You may experience chronic fatigue, mood disorders, high blood pressure, heart issues, and increased risk of accidents. Treatment is essential to protect your health.

Oral Appliance vs. CPAP: A Quick Comparison

Why Dentists Play a Key Role in Sleep Apnea Care

Dentists like Schroeder & Schroeder are specially trained to identify oral and jaw conditions contributing to sleep apnea.

How Dentistry Connects to Sleep Health:

• Jaw alignment affects airway openness
  
• Narrow dental arches can restrict breathing
  
• TMJ disorders may influence apnea severity
  
• Routine dental exams may detect signs of sleep-related breathing issues early

Ready to Reclaim Restful Sleep?

If you’re ready to explore sleep apnea treatment in Indianapolis, IN, trust the experienced team at Schroeder & Schroeder Dentistry. We offer sleep apnea treatment as well as personalized, effective, and convenient dental services backed by advanced dental training and a passion for helping you feel your best.Call us today at (317) 846-7730 or contact us online. Visit our conveniently located office in Indianapolis - relief awaits!