Question 1

When will CNY Dental Sleep accept Medicare part B insurance?

Accepted Answer

WE TAKE MEDICARE!

Question 2

What is dental sleep medicine, and how can it help me?

Accepted Answer

Dental sleep medicine focuses on treating sleep-related breathing disorders, such as obstructive sleep apnea (OSA) and chronic snoring, using oral appliance therapy. These custom-fitted devices help keep your airway open during sleep, improving your breathing and overall sleep quality. If you struggle with snoring, daytime fatigue, or have been diagnosed with sleep apnea, dental sleep medicine could be a life-changing solution

Question 3

What are the signs that I might have sleep apnea?

Accepted Answer

Common signs of sleep apnea include loud snoring, gasping or choking during sleep, frequent awakenings, morning headaches, daytime fatigue, and difficulty concentrating. If you or your partner notice these symptoms, it’s important to seek evaluation, as untreated sleep apnea can lead to serious health issues like heart disease and high blood pressure.

Question 4

How does an oral appliance for sleep apnea work?

Accepted Answer

An oral appliance is a custom-fitted device worn during sleep that gently repositions your jaw and tongue to keep your airway open. This prevents the collapse of soft tissues that cause snoring and sleep apnea. It’s a comfortable, non-invasive alternative to CPAP machines for many patients.

Question 5

Is an oral appliance as effective as a CPAP machine?

Accepted Answer

For patients with mild to moderate obstructive sleep apnea, oral appliances are often just as effective as CPAP therapy. They are also a preferred option for those who find CPAP machines uncomfortable or difficult to use. However, the best treatment depends on your specific condition, and we’ll work with you to determine the most effective solution.

Question 6

Do I need a referral to visit CNY Dental Sleep?

Accepted Answer

No, you do not need a referral to schedule an appointment with us. However, if you’ve already been diagnosed with sleep apnea or have had a sleep study, bringing your results can help us tailor your treatment more effectively.

Question 7

What should I expect during my first appointment?

Accepted Answer

During your first visit, we’ll conduct a thorough evaluation of your symptoms, medical history, and any previous sleep study results. We may also perform an oral examination to assess your jaw structure and discuss whether an oral appliance is right for you. If so, we’ll take impressions of your teeth to create a custom-fitted device.

Question 8

What is a mandibular advancement device (MAD) and how can it help manage sleep apnea?

Accepted Answer

A mandibular advancement device (MAD) is a custom oral appliance crafted by dentists to treat mild to moderate sleep apnea. It works by advancing the lower jaw slightly forward, which helps keep the airway open during sleep, reducing snoring and improving breathing. MADs are comfortable, easy to wear, and can be an effective alternative to CPAP machines for some patients.

Question 9

How long does it take to get a custom oral appliance?

Accepted Answer

Once we take impressions of your teeth, it typically takes 2-3 weeks to fabricate your custom oral appliance. After it’s ready, we’ll schedule a fitting appointment to ensure it’s comfortable and effective.

Question 10

How do I care for my oral appliance?

Accepted Answer

To keep your oral appliance clean and in good condition, rinse it with water after each use and brush it gently with a soft toothbrush. Avoid hot water, as it can warp the device. Store it in its protective case when not in use.

Question 11

What should I do if my oral appliance feels uncomfortable or stops working effectively?

Accepted Answer

If your oral appliance feels uncomfortable or isn’t working as well as it should, contact us right away. We can make adjustments to improve fit and effectiveness. Regular follow-ups are also important to ensure your device continues to work properly.

Question 12

How often should I have my oral appliance checked or replaced?

Accepted Answer

We recommend having your oral appliance checked at least once a year to ensure it’s functioning properly. Most devices last 3-5 years with proper care, but wear and tear or changes in your dental structure may require earlier replacement.

Question 13

What conditions or factors might make a mandibular advancement device unsuitable for me?

Accepted Answer

While mandibular advancement devices (MADs) are an effective treatment for many patients with sleep apnea or snoring, they may not be suitable for everyone. Contraindications include:

1. Severe Temporomandibular Joint (TMJ) Disorders: If you have significant TMJ pain or dysfunction, a MAD could exacerbate your symptoms. 
2. Limited Jaw Mobility: Patients with restricted jaw movement or conditions like lockjaw may not be able to comfortably use a MAD. 
3. Poor Dental Health: Significant tooth loss, gum disease, or untreated cavities may make it difficult to properly fit or retain a MAD. 
4. Severe Sleep Apnea: In cases of severe obstructive sleep apnea, a CPAP machine may be more effective than a MAD. 
5. Central Sleep Apnea: MADs are designed to treat obstructive sleep apnea, not central sleep apnea, which is caused by neurological issues rather than airway blockage. 
6. Allergies to Device Materials: If you have allergies to the materials used in MADs (e.g., acrylic or silicone), alternative treatments may be necessary.

During your consultation, we’ll evaluate your medical history, dental health, and sleep study results to determine if a MAD is the right solution for you. If not, we’ll work with you to explore other treatment options.

Question 14

What are the side effects of treatment with a mandibular advancement device (MAD)?

Accepted Answer

While mandibular advancement devices (MADs) are highly effective for treating sleep apnea and snoring, some patients may experience mild side effects, especially during the initial adjustment period. These side effects are typically temporary and can often be managed with minor adjustments to the device. Common side effects include:

1. Jaw Discomfort or Soreness: 
   - As your jaw adjusts to the new position, you may experience mild soreness or stiffness, particularly in the morning. This usually subsides within a few days to weeks.

2. Tooth Discomfort: 
   - Some patients report temporary tooth sensitivity or pressure as the device gently shifts the jaw. This typically resolves as your mouth adapts.

3. Dry Mouth or Excessive Salivation: 
   - Wearing a MAD can sometimes cause dry mouth or, conversely, increased saliva production. Staying hydrated and using a humidifier in your bedroom can help.

4. Temporomandibular Joint (TMJ) Discomfort:
   - In rare cases, patients with pre-existing TMJ issues may experience mild discomfort. If this occurs, we can adjust the device or recommend additional therapies to alleviate the issue.

5. Minor Bite Changes: 
   - Some patients notice slight, temporary changes in their bite after prolonged use. These changes are usually reversible and can be managed with regular follow-ups and adjustments.

6. Gum or Soft Tissue Irritation: 
   - If the device doesn’t fit perfectly, it may cause minor irritation to your gums or soft tissues. We can easily adjust the fit to resolve this.

What can I do to minimize side effects?
- Follow our care instructions for your MAD, including proper cleaning and maintenance. 
- Attend all follow-up appointments so we can monitor your progress and make adjustments as needed. 
- Communicate any discomfort or concerns to us immediately—we’re here to help!

Most patients find that any initial side effects are outweighed by the significant improvements in their sleep quality and overall health. If you have concerns about side effects, we’re happy to discuss them during your consultation.

Question 15

What are your office hours?

Accepted Answer

Our office hours are as follows: 
Monday-Saturday By appointment Only

We strive to accommodate our patients’ schedules and offer flexible appointment times to meet your needs.

Question 16

Where are you located?

Accepted Answer

We are conveniently located in the Madison Irving Medical Building at: 
475 Irving Ave, Suite 110 
Syracuse, NY 13210

We share the same office as CNY Dental Arts, making it easy for patients to access both dental and dental sleep medicine services in one place. If you have any trouble finding us, feel free to give us a call, and we’ll be happy to guide you!

Question 17

Do I need a sleep study to qualify for treatment?

Accepted Answer

Yes. A sleep study is required to diagnose sleep apnea and determine if oral appliance therapy is right for you. If you already have a copy of your sleep study, please upload it during the registration process. If not, I can guide you on how to obtain one.

Question 18

What should I bring or upload for my first appointment?

Accepted Answer

1) A copy of your sleep study (if available.)

2) Clear images of the front and back of your MEDICAL insurance card

3) By completing the registration form, you give implied consent for me to run a medical insurance benefits check on your behalf.

Question 19

What insurances do you work with?

Accepted Answer

MedicareExcellusThe Empire Plan

Question 20

What are recommended Patient Jaw Exercises?

🧠 Empower Yourself. Sleep Better. Heal Naturally.

💢 TMJ Relief for Oral Appliance Users

👄 MyoTape: Train Your Body to Breathe Better

👃 Breathe Better, Sleep Deeper, Live Healthier

👅 Myofunctional Therapy for Better Sleep & Appliance Success

Frequently asked questions