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Oral Sleep Appliances


Couple sleeping peacefully after using Oral Sleep Appliances recommended by Dr. Coussens at Mark A. Coussens, DMD Family & Cosmetic Dentistry

Sleep Apnea Solutions


There are many ways to go about treating sleep apnea, some methods are more reputable than others. The first step in treatment is the diagnosis. If you haven’t been medically tested for apnea, but are chronically tired and think you might be suffering from sleep-disordered breathing, then call us today at (503) 567-4121 to set up an appointment. If you have been diagnosed with apnea, Dr. Coussens will work with you to identify the best form of treatment that is the most compatible with your lifestyle.

Types of Sleep Apnea and Their Treatment


Over the last twenty years, there have been many amazing advancements in sleep technology. You may be surprised at how many wonderful solutions we will be able to recommend. So, what are some of these options? It depends on the type of apnea you have.

There are two main forms of sleep apnea, obstructive sleep apnea (OSA) and central sleep apnea (CSA). OSA is exponentially more common than CSA.

Obstructive sleep apnea occurs when your airway is blocked by the soft tissue at the back of your throat. This blockage will cause you to temporarily stop breathing. The depleted oxygen levels in your blood signal you to wake up. The awakening is so brief that you will most likely not even realize you have woken up. Because of this, an individual who is suffering from OSA, might not even know that they have it.

Central sleep apnea is in many ways much more complex because it is a direct result of the respiratory control center malfunctioning. The respiratory control center is located in the brain, and CSA occurs when it fails to signal the muscles in the throat to initiate and facilitate normal breathing.

CSA often arises as the body’s response to an underlying issue such as a brain infection, stroke, obesity or a reaction to painkillers.

Oral Appliances


The most common form of treatment for mild to severe OSA and in some cases, CSA is an oral appliance. Sometimes, this treatment is referred to as Oral Appliance Therapy (OAT). OAT’s fall into two categories: approved by the FDA and not approved by the FDA. Appliances that are not approved are often referred to as Boil-and-Bite devices. These devices can be obtained without a prescription. However, without a doctor or professional to customize the fit for you, they can make apnea worse. Some cause malocclusion and loosening of the teeth.

Although there are many different FDA approved appliances, they fall into the following four types:
•  CPAP: Continuous Positive Airway Pressure
•  BiPAP: Bilevel Positive Airway Pressure
•  VPAP: Variable Positive Airway Pressure
•  APAP: Automatic Positive Airway Pressure

Call Us Today


If you have been diagnosed, or think you might have apnea. If left untreated, apnea can cause hypertension, weight gain, impotence, and headaches. Patients with sleep-disordered breathing are more likely to be involved in vehicular accidents, and experience difficulties with work. Your sleep is extremely important. We believe that no one should go without rest. Call us today at (503) 567-4121, to get started on a deeper, more relaxing night’s sleep.

Mark A. Coussens DMD
FAMILY & COSMETIC DENTISTRY



433 SE Baseline Street Hillsboro, OR 97123-4103

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