Why Choose Sleep Effect?
Why Choose Sleep Effect?
Why Choose Sleep Effect?
Why Choose Sleep Effect?
What We Offer You
Our entire practice is dedicated to the treatment of sleep apnea. We have a small staff so we can provide personal and personalized care. Our center represents a departure from conventional dentistry. Dr. Goodwin founded the program to co-manage patients' care with a team that includes general care practitioners, sleep physicians, cardiologists, and other specialists. Improving Compliance Our program is designed to be more comfortable and less intrusive than traditional sleep apnea diagnosis and treatment. For patients whose conditions do not require an overnight stay in a sleep center, we offer home sleep testing equipment. For patients with more severe symptoms, we use an advanced diagnostic system that can predict their responses to an oral appliance. Our practice has experienced tremendous success treating sleep apnea with these small, custom devices. Traditional treatment with a continuous positive airway pressure (CPAP) machine has several drawbacks, resulting in a compliance rate of only 40 percent after one year. Research has shown that as many as 95 percent of patients who use our custom CPAP alternative regularly wear their oral appliance.
DianosisFor sufferers of sleep apnea, receiving an accurate diagnosis is the first step towards improved health and well-being. Advancements in testing equipment have made diagnosis simpler, more accurate, and more comfortable than traditional methods. Dr. J.C. Goodwin has undergone extensive training in the diagnosis, treatment, and management of sleep disorders. He is able to coordinate with a team of local specialists and primary care physicians to streamline our patients’ care. To learn more about what a diagnosis of sleep apnea could mean for you, contact our Prescott, AZ-area practice today and schedule a consultation.
To provide effective treatment for sleep apnea, Dr. Goodwin first needs to confirm you are suffering from the disorder. In the past, patients needed to travel to an overnight sleep center to undergo a diagnostic study. Many patients felt uncomfortable sleeping in an unfamiliar setting, which could affect the test results or even delay timely treatment.
Our Diagnostic Approach
From diagnosis to treatment, our approach to care is designed to be comfortable and non-intrusive. Rather than send every patient to a lab, Dr. Goodwin utilizes home sleep testing equipment. This allows our patients to remain in the comfort of their own homes. Working closely with your primary care physician, Dr. Goodwin may recommend at-home testing or in some cases, that you travel to a sleep center. Typically, at-home testing is used for younger patients in good general health. The severity of your symptoms can also determine whether at-home testing is appropriate.
Dr. Goodwin is proud to be one of less than 100 dentists who are MATRx trained and certified. This advanced method of pre-testing is used to determine whether a patient will respond well to an oral appliance. Oral appliances are used to gently bring the jaw forward during sleep, tightening loose tissue and opening the airway.
MATRx consists of a test carried out at a sleep center. During an overnight stay, the patient wears a temporary oral appliance under the supervision of an analyst. This technician will evaluate the patient’s response in real-time. This provides an extremely accurate way of testing their response. Once this information is compiled, Dr. Goodwin can determine whether an oral appliance will be sufficient to restore your quality of sleep.
Your Treatment Options
Oral appliances offer a comfortable and minimally invasive alternative to a continuous positive airway pressure (CPAP) machine. Although CPAPs are effective for some patients, non-compliance is widespread. MATRx not only evaluates how effective an oral splint will be for you, but it can also show precisely how far the lower jaw needs to be brought forward. The need for ongoing testing is minimized, as well as adjustments to the permanent, customized appliance.
Schedule an Evaluation
Often, the first steps towards a diagnosis is simply discussing your concerns. Dr. Goodwin views the initial consultation as an important part of your treatment plan. We will take all the time you need to answer questions and ensure you are fully informed. Contact us today to schedule an appointment and learn more.
A CPAP Alternative You Can Live With
Sleep Effect Center for Apnea Management provides a dental alternative to conventional apnea management techniques. Instead of Continuous Positive Airway Pressure (CPAP) or other pressure breathing machines, your apnea is controlled using oral dilator devices (oral appliances), which open the airway by gently moving your lower jaw forward while you sleep. The effectiveness is well proven and is suggested as first line therapy for mild to moderate obstructive sleep apnea, or for people who cannot tolerate breathing machines, by the American Academy of Sleep Medicine.
Sleep breathing disorders are serious, life threatening health issues and should not be ignored. Dental sleep medicine offers a comfortable, convenient, effective solution.
Managing obstructive sleep apneaCPAP
Historically, sleep apnea has been managed by the use of a pressurized breathing machine called Continuous Positive Airway Pressure (CPAP), bi-PAP, or other names. They typically involve the use of a compressor, a humidifier, a hose and a mask, which delivers air under pressure to help keep the airway from collapsing. It has been shown to be very effective at controlling obstructive sleep apnea and snoring, and absolutely if you have severe apnea and can tolerate it, you should use it. However, the list of reasons why many people don’t use the machine is quite long and includes inconvenience, discomfort, noise, claustrophobia, lifestyle and more.
Alternative apnea management may include the following:
Oral Appliance Therapy
A dentist with specialized training and Apnea education in dental sleep medicine can provide you with a custom oral airway dilator for use at night. Similar in appearance to orthodontic retainers or a sports mouth guard, they fit over your teeth and work by either moving your lower jaw forward slightly or by placing gentle pressure on the tongue to keep it from falling back.
Oral appliance therapy (OAT) involves the selection, customized design, fitting and follow-up adjustments of an oral appliance. Every OSA patient has specific needs. Sleep medicine dentists are the only dentists trained to properly manage sleep apnea as opposed to simply minimizing snoring. At Sleep Effect, a number of different oral appliances are available providing the patient the broadest range of oral appliance options. The healthcare providers at Sleep Effect may ask their patients to have a follow-up sleep study to ensure the apnea therapy management is working.
Oral appliances are a safe and effective alternative to CPAP and other pressure breathing machines. This is important to know as nearly 70% of people with apnea cannot tolerate breathing machines like CPAP.
For people that experience snoring and perhaps have mild OSA, weight loss can decrease the severity of snoring or apnea. Weight loss alone may help some, but not all. Avoiding alcohol, drugs, muscle relaxers and tobacco products can also help reduce or eliminate the presence of snoring.
Positional Therapy involves side-sleeping instead of sleeping on one’s back. This shift keeps weight of a person’s neck from collapsing on his or her airway. It may help some, but not all people with snoring.
Surgeons, including dentists who are oral and maxillofacial surgeons, can use a variety of methods to treat upper airway obstruction. These specialists can treat snoring and apnea causes using minimally invasive procedures as well as more complex surgery. Additionally, an Ear, Nose and Throat specialist may remove any excess tissue in the throat and nasal passages. It may be necessary to remove tonsils and adenoids, the uvula or even parts of the soft palate and the throat.
Advantages of oral appliancesoralappliance
Oral Appliance Therapy has several key advantages over other forms of therapy:
- Oral appliances are comfortable and easy to wear. Most people find that it only takes a couple of weeks to become acclimated to wearing the appliance.
- Oral appliances are small and convenient making them easy to carry when traveling.
- Treatment with oral appliances is reversible and non-invasive.
- Treatment with oral appliances is ideal for people who are claustrophobic.
Oral appliances as an alternative device are covered, at least in part, by most insurance companies. If you want help to determine what coverage is available through your insurance carrier, please call our office. Our Billing Administrator will be glad to help.
Currently, Sleep Effect is offering a complimentary consultation to determine if oral appliance therapy may be appropriate for you.To schedule your consultation, call 928-770-5700.
Dr. Goodwin is happy to announce the addition of MATRx technology to his practice which will now allow patients to be pretested, at a sleep center, and determine whether or not oral appliance therapy will be effective for them.
Now we know’ is a new catchphrase at our office and the success rate goal for oral appliance therapy is in excess of 95%!
It is necessary for a physician to provide a final diagnosis prior to treatment. This diagnostic testing is done by an overnight polysomnography, commonly known as a sleep study. These tests are performed at a sleep center. They study the average number of partial and complete breaks in breathing that occur per hour of sleep.
Although dentists cannot diagnose sleep apnea, they can consult and provide screening examinations including take-home sleep monitors. After an individual has been diagnosed with sleep apnea by a physician, a dentist specializing in dental sleep medicine can participate in apnea management therapy and can customize oral devices as an alternative for breathing machines (generally in mild to moderate cases of OSA or when patients are not in compliance with pressure breathing machines such as CPAP).
It is important for a dentist to be properly trained in the field of dental sleep medicine, which can included membership in academies such as the Academy of Clinical Sleep Disorders Disciplines and the American Academy of Dental Sleep Medicine.
You should know there is no cure for sleep apnea. However, there are a variety of options for effective sleep apnea management to control sleep apnea. Consult with your healthcare provider as to which options are best suited for you.
I suffered from sleep apnea for over ten years. I had to retire earlier than I wanted to because I just couldn’t function for the full 8 hours that I needed to. I asked the sleep specialist, are there any other medical interventions out there that weren’t designed around the CPAP strategy? The answer was YES and I was referred to Dr. J.C. Goodwin in Prescott Valley. Dr. Goodwin designed an oral appliance specifically for my problem and it has changed my life. I am now sleeping 6-7 solid hours and I feel like a new person. There aren’t any tubes, or anything else that would interfere with my restless style of sleep. I couldn’t be happier to write up this testimonial for Dr. Goodwin. One last comment, Dr. Goodwin is a Medicare provider which means I paid nothing out of pocket for the appliance.
- J. A. Marr
I first met Dr. Goodwin about 3 1/2 years ago when he explained the oral appliance to replace CPAP to the group of doctors I worked with. I knew immediately that this was the solution for me since I was waking up daily with my CPAP mask on the floor and more tired than ever. My appointment for the fitting of the appliance was easy and adjusting to wearing it for me was much easier than wearing the CPAP mask. My sleep study with the oral appliance showed a significant reduction in the number of apnea episodes and I have been getting a good night’s sleep ever since. If any problems arise, it is easy to get a follow-up appointment with Dr. Goodwin and he has been able to readjust my appliance for a better fit.
- R. Maynard
When diagnosed with sleep apnea, a CPAP machine was prescribed for me. It was cumbersome and I literally hated it. Since being fitted with an oral appliance from Dr. Goodwin, according to my wife, I do not snore and I don’t really know I have it in my mouth.” – M. Schirm
I required the use of a CPAP for two years. My sleep specialist thought I could be a candidate for an oral appliance and stated, ‘I refer my patients ONLY to Dr. Goodwin.’ I have been extremely pleased with Dr. Goodwin’s professionalism, thoroughness and kindness. My sleep apnea has been controlled beautifully now for 1 ½ years
- Dianne H.