At Moonlight Sleep REMedies, we are the ultimate line of defense for most patients suffering from obstructive sleep apnea (OSA). If you are feeling defeated by OSA because you cannot tolerate the CPAP mask, don’t lose hope. Other equally effective treatments can free you from sleep apnea’s “obstruction.” Dr. Mika Miyamoto, DMD, offers several different approaches to help you reclaim the healthy, restorative sleep you deserve.

Why CPAP Doesn’t Work For Many Patients

The CPAP (Continuous Positive Airway Pressure) has been proven effective for some people, and it’s definitely worth a try. With that said, the problem is that many patients find it difficult to get air into the nose while using CPAP.

If you have ever used CPAP, you may have experienced it leaking. It comes with an attachment to the face that uses a pressure mask to drive the air into the throat via the nasal passages.

To help you breathe better, it is supposed to put more pressure into your airway, but it also puts more pressure on your face; otherwise, the air pressure leaks out at the seal.

This increased pressure alone bothers most people:

  • It can feel like you are getting smothered
  • It can irritate your face (over the bridge of the nose)
  • It can cause pressure sores
  • It can dry out the nose and eyes
  • It can result in nosebleeds

Not to mention, the noise from the machine can make it challenging for you or your bed partner to fall asleep. This is why even though treatment with the CPAP equipment is extremely successful, most patients cannot, or choose not to, wear the facemask with the attached air compressor. Dental appliances provided by a dentist trained in sleep disorders can be an incredible treatment option for these people.

Oral Appliance Therapy: A Reliable Alternative

A small, mouthguard-looking appliance can give you a quality of life that you gave up on through the use of CPAP therapy. Dr. Miyamoto at Moonlight Sleep REMedies is a well-known dental sleep medicine practitioner in Portland, Oregon, with over 25 years of experience. A custom-made oral appliance is a science-backed treatment of snoring and sleep apnea endorsed by the American Academy of Sleep Medicine (AASM).

Also known as mandibular advancement devices (MAD), these appliances “advance” or bring forward the mandible (lower jawbone). This gives air more room to flow through the windpipe and increases the distance the tongue has to fall back into the throat to cause an obstruction, thus making for fewer apneas.

Whether you have mild, moderate, or severe sleep apnea, consult Dr. Miyamoto to learn how oral appliance therapy can improve your overall health and personal life.

NightLase® (Laser Therapy)

One of the powerful treatment options we offer for snoring and OSA patients is NightLase®. It is a non-invasive therapy that uses gentle yet powerful laser energy to tighten the tissue at the back of the throat and the tongue. This tightening effect helps to keep the airway open during sleep, reducing the vibration of the tissue that causes the snoring sound.

An entire course of NightLase® consists of three sessions for every 3-4 weeks, but the number of sessions can vary depending on your condition. Each session lasts about 20-30 minutes – with no burning, cutting, sutures, anesthesia, or downtime for recovery. You can walk in, complete the procedure, and complete your day.

Myofunctional Therapy

Oral appliance therapy – where we provide you with a device to be worn during sleep to adjust the position of the jaw  – works well for many patients in keeping the airway open. With that said, for some patients, these devices might not address enough the underlying muscular issues contributing to their condition.

There are a few ways that Dr. Miyamoto tackles this issue with patients who may need myofunctional therapy. The easiest and most economical way is to acquire a REMplenish™ Myo-Nozzle & Straw and use it daily when drinking fluid throughout the day. If that is not enough, then Dr. Miyamoto collaborates with myofunctional therapists to ensure patients receive a variety of exercises.

Myofunctional therapy focuses on the proper function of the mouth, face, and throat muscles via exercises that strengthen these muscles. As a result, they improve your breathing, swallowing, and tongue posture.

Consult with Our Sleep Medicine Dentist in Portland, OR

If you or someone in your family has been diagnosed with sleep apnea but hasn’t been able to tolerate CPAP for any reason, it is time to book an appointment with us. Dr. Miyamoto has the solutions to provide sustainable relief from snoring and sleep apnea. Even if you have not been diagnosed with sleep apnea yet but suspect that you may have one, Dr. Miyamoto can help you find out. At Moonlight Sleep REMedies, we can help you find the most effective and comfortable alternative to a CPAP machine.