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You Can Trust The 1st AND Only Accredited Facility in Missouri by the aadsm
WITH SIMPLE SLEEP APNEA SOLUTIONS
Simple Sleep Apnea Solutions
Oral Appliance Therapy Is The Simplest CPAP Alternative
There are various methods of treating sleep apnea. One of the following options may be the right solution for you. Contact our office to see if you're a candidate!
Oral Appliances
These devices incredibly popular. They're custom made for each patient and fit in the mouth, similar to a retainer or mouth guard, though they last longer and are more comfortable. They open your airway by moving your lower jaw and tongue forward while you sleep, similar to "head tilt, chin lift" taught in CPR. They are small and effective for many patients.
CPAP Device
With Continuous Positive Airway Pressure (CPAP), patients wear a specialized mask over the nose and face during sleep. The CPAP device delivers a steady supply of air, keeping the airway open. CPAP treatment can be very effective, however many patients are not willing to use it correctly and consistently, which is why we have oral appliance therapy.
Upper Airway Surgery
There are several surgical options. Nasal surgery can correct a deviated septum or remove bones in your nose to improve air flow. Surgery may also be performed to remove and/or reduce the size of the soft palate, uvula and back of the tongue. These surgeries are not typicalaly recommended as first line treatments for obstructive sleep apnea.
Download Your FREE Resource
5 Questions You MUST ASK
Oral appliance therapy can be a very effective treatment choice for people suffering with obstructive sleep apnea and snoring. However, not all oral appliances are the same, and FAR more important than the oral appliance itself is the experience and skill of the Dentist treating you with the oral appliance therapy.
Here are 5 Questions you need to have answered BEFORE you consider starting oral appliance therapy:
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Download Our Free Resource
"5 Questions You MUST Ask BEFORE Getting an Oral Appliance for Sleep Apnea"
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Reduce The Risk
Potential Health Issues From Untreated Sleep Apnea
Continuously interrupted sleep can result in serious health-related problems.
Potential health issues that may result from untreated sleep apnea include:
- Sudden death
- Heart attack
- Stroke
- High blood pressure
- Diabetes
- Obesity
- ADHD
- Dementia
- Depression
- Inability to concentrate
- Impaired memory
- TMJ Pain
Common Symptoms
Sleep Apnea
- Frequent, loud snoring
- Excessive daytime sleepiness
- Chronic exhaustion even after a full night’s sleep
- Gasping, choking or snorting during sleep
- Morning headaches
- Gastro Esophageal Reflux Disease (GERD)
- Insomnia
- High blood pressure
- Poor memory, moodiness or difficulty concentrating
- Waking up with a dry mouth or sore throat
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Links Between Sleep Apnea and TMJ
TMJ/Jaw Pain
Oral appliance therapy for sleep apnea opens the airway by holding the jaw in a forward position much like the "head tilt, chin lift" technique taught in CPR. This is important because some TMJ pain & muscle pain can be successfully treated with therapy for snoring, bruxism, UARS and OSA. Dr. Lillenberg has observed in his patients that some TMJ pain is related to poor sleep & stress, though not all. Some TMJ issues may require specific treatment in connection with the underlying sleep concerns. If you have TMJ pain, talk to Dr. Lillenberg today!
Snoring treatment
Sleep Apnea/Snoring
Snoring is a raspy or harsh sound that occurs when the throat tissues are relaxed and the air flows past them, causing the tissues to vibrate with each breath. The majority of people snore sometimes, but for some, it can be a chronic problem such as sleep apnea. It can affect you and your bed partner's quality of sleep causing you to become sleep deprived which can lead to other health issues. Book a consultation and speak to Dr. Lillenberg if you think it might be an indication of a significant medical problem, there are treatment options available to treat this disorder.
Sleep Apnea Consultation
We strongly encourage you to schedule & come in for a consultation as your first step toward better sleep. Unfortunately a small number of patients may not be candidates for oral appliance therapy, but for the vast majority, we can help you sleep better and feel better! Whether it’s loud snoring or other sleep apnea symptoms, we'll make sure you are not at risk for this very treatable, potentially life threatening condition. Learn more about sleep apnea and get all of your questions answered. We have a limited number of consultation times available, so schedule yours as soon as possible.
At-Home Sleep Test
A comfortable alternative
If during your consultation it is suspected that you may suffer from sleep apnea, we will assist you in ordering a convenient and accurate home sleep test designed to assist in the diagnosis of sleep-disordered breathing. In the comfort of your own bed, you’ll wear the testing device while sleeping. We will assist you in getting a diagnosis if necessary from your primary care doctor or sleep physician. If you do not have a doctor, we will refer you to one of our trusted providers. A Board Certified Sleep Physician will then interpret the data from your sleep study and we will contact you to discuss your results and develop treatment plan.
Understanding
Sleep Apnea
Do you have trouble sleeping? If so, you’re not alone. An estimated 22 million Americans suffer from a lack of sleep—and even exhaustion—caused by sleep apnea. Chronic snoring problems and interrupted sleep aren’t just an inconvenience. Untreated sleep apnea can lead to more serious health risks. Sleep apnea is a common but serious sleep disorder that causes interruptions in breathing during sleep. These pauses in breathing are called apneas and they can happen hundreds of times each night. Sleep apnea can have a negative impact on your health, leading to heart attack, stroke, and prevent you from getting the restful night’s sleep your body needs.
Benefits of Treatment
No Hose, No Mask, Just Sleep
A full night’s sleep for both you and your partner without the hassle. Wake up feeling refreshed and rejuvenated.
Daytime Alertness
Experience the increased concentration, memory, focus and energy that comes from restful sleep.
Improved Health
Avoid the health risks caused by untreated sleep apnea and live a longer, healthier, more enjoyable life. Reduce the risk of heart attack, stroke, and other complications linked to sleep apnea.
Easy Travel
Wether on a plane or in a tent, our oral appliances fit in a pocket and are hassle free. Nothing to remove from your bag for TSA and no need to bring a generator on your next outdoor adventure!
James Lillenberg DDS, D.ABSM
Diplomate American Board Dental Sleep Medicine
Dr. James Lillenberg
SLEEP APNEA-FOCUSED DENTIST IN ST. LOUIS
ALLEVIATING SLEEP DISORDERS WITH HIGH-QUALITY ORAL CARE & APPLIANCES
SLEEP WELL ST. LOUIS IS THE FIRST AND ONLY ACCREDITED MEDICINE FACILITY IN MISSOURI BY THE AADSM
James Lillenberg DDS has been in clinical practice for 35 years in south St. Louis County. A native St. Louisan he is a graduate of the University of Missouri-Columbia and the University of Missouri-Kansas City School of Dentistry. James has logged 100’s of hours with the Pankey Institute of Florida, Spear Institute of Scottsdale, Arizona and the Seattle Study Club of Seattle, WA. in professional continuing education.
He completed a continuum at The Pankey Institute in Dental Sleep Medicine in April 2016 and a mini-residency in Dental Sleep Medicine at Tufts in April 2017. James is certified by the American Board of Dental Sleep Medicine and is a Diplomate of the AADSM. He is also a board member of the Missouri Sleep Society.
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Reviews
For James Lillenberg DDS, D.ABSM
I have sleep apnea. I found Dr. Lillenberg while in search of an oral appliance. I am very glad I did...Dr. Lillenberg is very helpful and cares about his patients. He really takes time and makes sure the patient is satisfied. I am very pleased with my oral appliance as opposed to a CPAP machine. It is very portable and helps me sleep at night. Dr. Lillenberg has improved my quality of life!
Ben Hackett
I have been using the oral sleep apnea devise for a few months & could not be more pleased. I could not get the sleep doctors forced air machine to work to my satisfaction...I actually quit using the machine. The oral device is easy to use & I have noticed an improvement in my sleep (and a vast improvement in my wife’s sleep)...I not only recommend this type of product but I very highly recommend Dr. James Lillenberg. What a great person & his awesome staff! I give them at least a 5 star review!!
Jim Diedrich
What a difference. I was preparing myself for the worst and it exceeded my expectations. I was very pleased with the staff and results. Best decision I ever made!
Jeff
Common Questions
Regarding Sleep Apnea
If I snore, do I have sleep apnea?
Snoring frequently accompanies sleep apnea but it is not always an indicator of whether this sleep condition is present. However, snoring can indicate that bulky throat tissue could potentially obstruct airways – especially if patients have certain lifestyle factors that contribute to sleep apnea. Fortunately, the oral appliances we provide can treat both obstructive sleep apnea and snoring at the same time. These oral appliances are small and very comfortable to wear. They work by positioning the lower jaw slightly forward so that the airway is no longer obstructed.
Is it possible that I could have sleep apnea even if I don't snore?
Anyone of any age can have sleep apnea. We can arrange for a home sleep study (HST) for a diagnosis by a medical professional, a local sleep physician, or your primary care doctor. We are also able to diagnose and treat Temporomandibular Joint Disorder more commonly known as TMJD). This is a condition that causes severe facial pain. TMD most typically affects women of childbearing age, but it can also affect men and children, and the severity of each case varies from slight discomfort to significant chronic pain that interferes with eating, talking, and everyday life. Book an appointment for a consulltation.
What causes obstructive sleep apnea?
The exact cause of obstructive sleep apnea (OSA) is different for each person. Anyone can develop it, regardless of age or gender. The most common risk factors include:
- Being over age 40
- Having a large neck (over 17 inches in men, 16 inches for women)
- Being overweight – approximately half of OSA sufferers are overweight
- Being male – more men than women suffer from OSA
- Having a large tongue or small jaw
- Enlarged tonsils and adenoids (particularly in children)
- Using alcohol or sedatives which relax the muscles in the airway
- Nasal obstruction due to a deviated septum or sinus and allergy problems
What is the difference between a CPAP and an oral appliance?
While CPAP is very effective in treating sleep apnea, many people cannot tolerate the discomfort of the mask and the inconvenience and noise of the machine. Therefore a high percentage of users have difficulty or will not wear them.
An oral appliance is a popular alternative to the CPAP. This device is small, portable, fits more comfortably and can provide similar treatment benefits.
How do you confirm the effectiveness of the oral appliance?
You will have a follow-up sleep study while using your oral appliance to confirm the effectiveness of the device. A consultation with the sleep medicine physician will be necessary to interpret the results.
Does insurance cover obstructive sleep apnea treatment with oral appliances?
Because insurance plans vary widely, our experienced team will work with you to see if your insurance company will cover the oral appliance. If for any reason it isn’t covered, we will let you know and work with you to develop a financial plan if needed.
If coverage is available for oral appliances, it will come from your medical insurance carrier. Most dental insurance companies do not cover treatment of obstructive sleep apnea.
Our patients tell us it is well worth the investment of their time and money to treat their sleep apnea because of the improved quality of life they experience.
What if I don’t have insurance?
We offer a discounted cash price for all appliances and do accept credit cards.
How long will it take to adapt to the oral appliance? Will it hurt my teeth?
Most patients will adapt comfortably within two weeks with little difficulty. However, a few may require more frequent appoints during the initial adjustment period. Minor side effects for some are not uncommon during the first few days but usually subside. Teeth and bites can be sore initially for some but this can be managed by adjustments and accommodations.
How often will the appliance need to be replaced?
Oral appliances for snoring and OSA are precision durable medical equipment devices approved by the FDA. They may need to be replaced after 3 years of nightly wear for some patients to adequately treat your snoring or OSA.
Will the appliance change my bite?
A change in your bite is possible. Depending on the position of your teeth and the status of your bone, your teeth may shift. This can be minimized with the use of a morning re-positioning device.
Are there any side effects of the appliance?
The most common side effect is morning muscle soreness that usually goes away after a short time. Some patients may experience either dry mouth or excessive salivation. As mentioned above, minor tooth movement occurs in some patients.
How long will I have to use the oral appliance?
Obstructive sleep apnea in unlikely to decrease with age; therefore your oral appliance will probably be a lifelong therapy. However, certain wellness factors such as significant weight loss may improve your symptoms.
Can’t I just order a boil and bite device off the internet?
While there are over-the-counter appliances you can order, keep in mind these are not FDA approved for treating sleep apnea. Additionally, when not fitted properly they may cause unwanted side effects such as jaw problems or excessive tooth movement.
Common Questions
Regarding Sleep Apnea
Snoring frequently accompanies sleep apnea but it is not always an indicator of whether this sleep condition is present. However, snoring can indicate that bulky throat tissue could potentially obstruct airways – especially if patients have certain lifestyle factors that contribute to sleep apnea. Fortunately, the oral appliances we provide can treat both obstructive sleep apnea and snoring at the same time. These oral appliances are small and very comfortable to wear. They work by positioning the lower jaw slightly forward so that the airway is no longer obstructed.
Anyone of any age can have sleep apnea. We can arrange for a home sleep study (HST) for a diagnosis by a medical professional, a local sleep physician, or your primary care doctor. We are also able to diagnose and treat Temporomandibular Joint Disorder more commonly known as TMJD). This is a condition that causes severe facial pain. TMD most typically affects women of childbearing age, but it can also affect men and children, and the severity of each case varies from slight discomfort to significant chronic pain that interferes with eating, talking, and everyday life. Book an appointment for a consulltation.
The exact cause of obstructive sleep apnea (OSA) is different for each person. Anyone can develop it, regardless of age or gender. The most common risk factors include:
- Being over age 40
- Having a large neck (over 17 inches in men, 16 inches for women)
- Being overweight – approximately half of OSA sufferers are overweight
- Being male – more men than women suffer from OSA
- Having a large tongue or small jaw
- Enlarged tonsils and adenoids (particularly in children)
- Using alcohol or sedatives which relax the muscles in the airway
- Nasal obstruction due to a deviated septum or sinus and allergy problems
While CPAP is very effective in treating sleep apnea, many people cannot tolerate the discomfort of the mask and the inconvenience and noise of the machine. Therefore a high percentage of users have difficulty or will not wear them.
An oral appliance is a popular alternative to the CPAP. This device is small, portable, fits more comfortably and can provide similar treatment benefits.
You will have a follow-up sleep study while using your oral appliance to confirm the effectiveness of the device. A consultation with the sleep medicine physician will be necessary to interpret the results.
Because insurance plans vary widely, our experienced team will work with you to see if your insurance company will cover the oral appliance. If for any reason it isn’t covered, we will let you know and work with you to develop a financial plan if needed.
If coverage is available for oral appliances, it will come from your medical insurance carrier. Most dental insurance companies do not cover treatment of obstructive sleep apnea.
Our patients tell us it is well worth the investment of their time and money to treat their sleep apnea because of the improved quality of life they experience.
We offer a discounted cash price for all appliances and do accept credit cards.
Most patients will adapt comfortably within two weeks with little difficulty. However, a few may require more frequent appoints during the initial adjustment period. Minor side effects for some are not uncommon during the first few days but usually subside. Teeth and bites can be sore initially for some but this can be managed by adjustments and accommodations.
Oral appliances for snoring and OSA are precision durable medical equipment devices approved by the FDA. They may need to be replaced after 3 years of nightly wear for some patients to adequately treat your snoring or OSA.
A change in your bite is possible. Depending on the position of your teeth and the status of your bone, your teeth may shift. This can be minimized with the use of a morning re-positioning device.
The most common side effect is morning muscle soreness that usually goes away after a short time. Some patients may experience either dry mouth or excessive salivation. As mentioned above, minor tooth movement occurs in some patients.
Obstructive sleep apnea in unlikely to decrease with age; therefore your oral appliance will probably be a lifelong therapy. However, certain wellness factors such as significant weight loss may improve your symptoms.
While there are over-the-counter appliances you can order, keep in mind these are not FDA approved for treating sleep apnea. Additionally, when not fitted properly they may cause unwanted side effects such as jaw problems or excessive tooth movement.
Sleep Better Tonight!
Schedule Your Sleep Apnea Consultation
If you have sleep apnea & can't tolerate your CPAP, or suspect you have sleep apnea and believe an oral appliance is the right choice for you, please fill out the form below or CALL OUR OFFICE to schedule a consultation. We're Missouri's 1st and ONLY accredited facility for dental sleep medicine. You've found the right place!