Dental sleep medicine is a branch of general dentistry focused on treating adult patients with sleep-related breathing disorders, including obstructive sleep apnea (OSA), snoring, and sleep-related bruxism.

What You Should Expect From Your Dentist

Your Guide to Oral Appliance Therapy for Sleep Apnea
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Referral to Medical Provider for Diagnosis


Even if your only symptom is snoring, your dentist should refer you to a medical provider (MD, Do, PA, or NP) for diagnosis.

Only a medical provider can diagnose or rule out sleep apnea.

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In-Person Examination


An in-person exam is necessary, so the dentist can:

  • Examine your teeth, gums, jaw muscles, and joints.
  • Take any necessary X-rays, impressions of your teeth and a bite registration.

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Appliance Calibration and Monitoring


You should be asked to schedule an appointment within 30 days to fine-tune your appliance. Once the appliance is fine-tuned, you should be referred to your medical provider to verify effectiveness.

Expect visits with the dentist every 6 months in year one, then yearly.

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Ongoing Support & Sleep Hygiene


Your dentist should aim for you to wear your appliance at least 80% of each night, 5+ nights per week, for 7+ hours of sleep.

They may recommend tracking your sleep and will discuss healthy sleep habits.

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Comprehensive Treatment Plan


Your dentist should explain your sleep study results, how sleep apnea affects your health, and risks/benefits of all treatment options.

Your dentist should offer you the opportunity to ask questions before starting treatment.

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Custom Appliance Selection


Your dentist should have several appliances to choose from and will select the most appropriate one for you.

When you receive your appliance, you should receive clear instructions on how to adjust and care for your appliance.

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Side Effect Management


Your dentist should discuss possible side effects prior to treatment and monitor for issues like jaw soreness or bite changes.

They may provide solutions like morning exercises or appliance adjustments if needed.

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Coordinated, Collaborative Care


Your dentist should communicate regularly with your doctors about your treatment.

This collaboration helps you achieve the best treatment outcomes.

FAQ’s

What is Obstructive Sleep Apnea (OSA) and Sleep Disordered Breathing?

Obstructive sleep apnea (OSA) is a common condition in which the upper airway repeatedly narrows or collapses during sleep. This blockage reduces or stops airflow, lowers blood oxygen levels, and briefly wakes the brain to reopen the airway, causing disrupted sleep and loud gasping.

What is Oral Appliance Therapy (OAT)?

The cornerstone of the field. A qualified dentist determines the design and fits a custom mouthguard-like device called a Mandibular Advancement Device (MAD). Spear Education-Trained dentists can use a process called the Seattle Protocol, developed by Dr. Jeff Rouse, to differentiate which appliance will best treat an individual patient.

How does OAT Work?

The appliance gently holds the lower jaw and tongue slightly forward during sleep, which opens the airway, prevents throat collapse, and reduces snoring.

What is Nasal Breathing Therapy?

Nasal breathing therapy is a specialized training and rehabilitation process designed to help individuals transition from mouth breathing to natural, efficient nasal respiration. It utilizes external breathing aids and targeted exercises to strengthen orofacial muscles, clear nasal blockages, and regulate the nervous system to improve oxygen intake and overall wellness. DeSanti & Linden Dentistry is proud to be a Professional Partner of Intake Breathing, helping our patients to improve their health.

What if I have been told that I clench or grind in my sleep?

Beyond Obstructive Sleep Apnea, dental sleep professionals may also treat sleep-related bruxism (teeth grinding) and orofacial pain, also know as Temporo-Mandibular Disorder.

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Meet our Doctors

Dr. Michael DeSanti

Dr. Michael DeSanti, Jr.

Dr. Michael DeSanti, Jr. was raised in the Capital District. He attended the University of Buffalo School of Dental Medicine where he graduated Magna Cum Laude in 2000. He then moved to Boston where he completed his post-doctoral program at Harvard University. Since 2001, Dr. DeSanti has been in private practice at his current location.

Dr. Amy Linden

Dr. Amy Linden

Dr. Amy Linden was raised in Rome, NY. She received her dental degree from the University at Buffalo School of Dental Medicine where she graduated Cum Laude. She completed her post-doctoral Advance Education certificate at the Western New York Veterans Hospital. Dr. Linden has been practicing at DeSanti & Linden Dentistry since 2014.

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We serve patients of all ages. Request an appointment for every member of your family today!