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At your first appointment, you will be seen by Beverly Lang, a Certified Registered Nurse Practitioner (CRNP) who will review your medical history, answer any questions you might have, perform a comprehensive physical examination, and discuss an individualized treatment plan with you. You will also have an opportunity to meet Dr. Martin Lang. This initial appointment may take up to one hour. If you have had a sleep study within the past several years, and have already been diagnosed with mild or moderate sleep apnea or snoring, or have previously tried CPAP unsuccessfully, we will discuss your treatment options and may suggest a dental sleep appliance that might help you get a better sleep. If you have not had a sleep study and the results of the physical exam and other data indicate you should have a sleep study performed, you will be referred to a sleep center for either a home sleep study or an overnight sleep study at the sleep center where you would spend the night and be monitored.
Consultations and Physical Exam
Sleep Studies and Individual Treatment
After the sleep study, and dependent on the results of the sleep study, we will discuss with you your treatment options. Many patients with snoring and/or mild to moderate obstructive sleep apnea (OSA) benefit greatly from wearing a removable oral sleep appliance at night which opens the airway and allows the patient to get more oxygen. You may enjoy less daytime sleepiness, less aggravating snoring, a more restful sleep, a better quality of life and better all-around health.
Your second appointment will be with Dr. Lang, who will take a scan of your mouth. The scan takes about 10 minutes and is used in the place of a mold of the mouth to ensure that the custom fabricated oral appliance will fit perfectly. Another critical factor in the success of an oral appliance is the process of finding the best mandibular position that provides maximum opening of the airway. In addition to a clinical evaluation radiographs and pharyngometry may be utilized. A pharyngometer is a computerized instrument that measures the size of the upper airway space. After these procedures are completed it typically takes several weeks to have the appliance fabricated. On your third office visit, Dr. Lang will insert the appliance and it will be custom fitted and adjusted. At that time, you will be provided with instructions for the use and care of your appliance. You will need additional appointments to ensure that the appliance fits well and that you are benefiting optimally from the oral appliance.
Follow Up and X-ray's
A second sleep study will be ordered after about 3 to 6 months of continual nightly use to monitor whether the appliance is helping with your sleep. If at any time you need additional information or have questions, both Beverly Lang and Dr. Lang will be here to provide you with the answers you need or to offer advice. Follow up appointments will be made yearly or more often depending on your individual needs. These services and the dental appliance are covered by most insurances, including Medicare.