Positive Airway Pressure Devices

Positive Airway Pressure (PAP) machines the most widely used treatment and most effective treatment for obstructive sleep apnea (OSA), particularly for moderate and severe apnea. The machine connects to a mask, worn snugly over the nose, or sometimes nose and mouth, during sleep.   Pressurized air flows continuously into the sleeper's airway to prevent it from collapsing. OSA patients who consistently use their machines feel better and reduce their risk of high blood pressure, diabetes, and other related diseases. An Auto-CPAP machine may be recommended that automatically adjusts the air pressure based on how many apneas you experience.  Or your physician may order a sleep study in a lab to determine the best pressure setting to treat your apnea. PAP devices are covered by most medical insurance plans, and your physician can order from a DME provider in your area.  If you prefer to pay out of pocket and want a cost effective provider, you can order direct from Sleep Impressions

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Oral Appliances

Sleep apnea and snoring can also be treated with a dental appliance that open the airway by bringing the lower jaw slightly forward.  The appliance is worn in the mouth during sleep and resembles a mouth guard that an athlete might wear. Oral appliances are effective in eliminating sleep apnea in many patients, and the American Academy of Sleep Medicine has endorsed oral appliance therapy for patients with mild or moderate sleep apnea. PAP devices are covered by most medical insurance plans.  Sleep Impressions offers Oral Appliance Therapy through a network of dentists specializing in sleep medicine and in most cases is able to bill your medical insurance in-network.

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Airway Surgery

Depending on the location of the obstruction in the airway, a surgical procedure can be effective in treating obstructive sleep apnea, and it is often effective in treating snoring. There are several sites where airway obstruction may exist, so there are many types of surgical procedures currently used to treat sleep apnea, including tonsilectomy, tongue base reduction, and uvulopalatopharyngoplasty (UPPP), to name a few.  The most common is UPPP, which has a success rate of about 50 percent.  The challenge that confronts the surgeon is determining what part of the upper airway is causing the obstruction to airflow. If the surgeon does not treat that site in the airway, or if there are multiple sites of obstruction, the sleep apnea may not diminish to a degree that eliminates the need for other treatment.

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Airway Stimulation

Inspire therapy works inside your body while you sleep. It’s a small device placed during an outpatient surgical procedure. At bedtime, a click of the remote turns Inspire on. While you sleep, Inspire opens your airway by slightly stimulating the muscles in your airway, allowing you to breathe normally and sleep peacefully.

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Phrenic Nerve Stimulation

Phrenic nerve simulation treats Central Sleep Apnea (CSA) by working inside your body to deliver stimulation to a nerve in the chest (phrenic nerve) that sends signals to the large muscle that controls breathing (diaphragm).  The remede’ device by Respicardia monitors respiratory signals while you sleep and helps restore normal breathing patterns.  The device activates automatically during the night.

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Positional Therapy

Some people snore or have sleep apnea only when sleeping on their back. Such people can eliminate or reduce airway blockage simply by learning to sleep on their side.  Positional therapy generally works only in mild cases of OSA or to stop snoring. While positional devices are not covered by insurance, Millennium Sleep Lab offers a low cost product designed to discourage supine sleeping. Contact us and ask about the “Slumber Bump”.

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Weight Management Plan

About 70 percent of people with obstructive sleep apnea are overweight or obese.  Sleep apnea worsens with increasing weight due to the reduced upper airway and fatty deposits on the muscles controlling the airway.  Inversely, losing weight can reduce the severity of obstructive sleep apnea.  A weight loss is plan is frequently recommended in conjunction with other treatment, and on a positive note, treating sleep apnea can assist with weight loss through increased energy levels and improved metabolism.

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If you need assistance with setting up your device check out our Instructions. Go to Instructions

Our patient educators are on call to answer questions and help you order direct at (877) 933-8470

Don’t let another day go by without treating your sleep apnea!