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Have Sleep Apnea?

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Hate CPAP?

CPAP is no longer the only treatment option for this serious condition!

Oral appliances can reduce or eliminate snoring while managing sleep apnea with no masks or hoses!


You Are Not Alone and Not Out of Options

For those who are diagnosed and being treated for Obstructive Sleep Apnea, a condition affecting approximately 30 million people in the United States, you know that your treatment options are few and many tend to be on the invasive side.

Obstructive Sleep Apnea, OSA, is caused by the airway collapsing during sleep, causing the sufferer to stop breathing. The condition is characterized by gasping and choking during sleep and, most commonly, loud chronic snoring. Long-term, untreated sufferers are susceptible to co-morbidities like hypertension, heart disease and impotence from the oxygen deprivation and vascular damage associated with the condition.

The “gold standard” for treatment is Continuous Positive Airway Pressure, CPAP. CPAP is a machine that blows air into the throat, increasing the pressure internally so that the airway cannot collapse or become blocked. The causes of these blockages typically are the tongue and soft tissues falling into the throat or excess weight around the neck collapsing the airway.

A person using CPAP therapy wears a mask, much like an oxygen mask used in a hospital, which is attached to the machine with a hose. A prescribing physician sets the air pressure level based on the person’s OSA severity. The increased pressure keeps the airway open, allowing the OSA sufferer to breathe normally, without cessation throughout the night. Patients who go on CPAP therapy for their OSA report increased energy during the day, better concentration and decreases in many other health conditions that associated with OSA.

While CPAP therapy is the best means of treatment for OSA, many  patients have a hard time using themachine. In cases of severe OSA, the pressure setting can be quite high, making treatment difficult to tolerate. Compliance with CPAP therapy is around fifty percent. The most widely talked about problems patients have with CPAP is mask discomfort and throat irritation from the air pressure. Many times patients stop using CPAP therapy all together.

There are alternative treatments available for those who fail CPAP. The two most widely accepted in the medical community are surgery and Oral Appliances.

Surgery can be painful, invasive and ineffective. The most common surgical option is the Uvulopalatopharyngoplasty, or UPPP. The UPPP removes the uvula, the ball of skin that hangs in the back of the throat, some of the soft palate, and in extreme cases, part of the tongue. The procedure is very painful, recovery takes a long time and rarely does it completely solve the issue.

Oral Appliances for the treatment of OSA, while having been around for the past 30 plus years, are a growing treatment options for many who have stopping using CPAP or have mild or moderate OSA. Oral Appliances work by gently holding the mandible, or lower jaw, forward, pulling the tissues that block the airway away from the throat and tightening the muscles in the neck further preventing collapse. The appliances look like orthodontic retainers or athletic mouth guards and are very comfortable to wear when made and fitted by a dentist who has been educated in the field of dental sleep medicine.

If you are prescribed a CPAP and cannot tolerate it, talk to your primary care physician about alternatives. Obstructive Sleep Apnea is a serious condition and going without any type of therapy can be life threatening.

Dr. Tamara Osina has a general, cosmetic and restorative dental practice in Richmond, Texas. She is committed to providing the safest dental care to her patient so that they may enjoy the best oral and overall health. To learn more about CPAP alternatives and Oral Appliance Therapy, call the office at 281.342.5022 or visit Tamara Osina DDS is located at 1320 Thompson Road (FM 762) Richmond, TX 77469

What’s scarier than anything you’ll see on Halloween? Oral Cancer.

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Oral cancer kills one American every hour.

That’s a shocking statistic, especially when we consider what it means…

that of the 42,000 people in the US diagnosed with oral cancer five years ago, 18,000 are not alive today.  

What makes this cancer even more concerning is that 40% of it is found in patients who do not present any of the traditional risk factors.

Furthermore, this cancer is deadly when it is discovered late-stage: the mortality rate for oral cancer is higher than the rates for cervical, laryngeal, testicular, thyroid, or skin cancers.  Finally, in a world where three out of four people are infected with human papillomavirus (HPV) at some point in their lives, it is especially important to remember that certain strains of HPV increase your risk for oral cancer fifty-fold.

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Though these statistics are staggering, we want you to know that when found at an early stage of development, oral cancers have an 80-90% survival rate.  Oral cancer is usually found too late, not because it is not discoverable or diagnosable… but because most people are not aware of the opportunity to screen for the disease.

So how does this apply to you and what can Dr. Osina, Dr. Messina, and your dental team do to help? 

Our office uses proven OralID fluorescence technology by which we shine a blue light in the mouth to identify any abnormal lesions earlier than they can be seen by the naked eye.  This technology helps us detect changes in your mouth not visible during traditional white light examination, and we do this at every appointment, at no cost to you.  Every appointment, every time.

Come see us and ask about how we use OralID to save lives.  And remember: oral cancer doesn’t have to go unnoticed.

A 2 minute exam could save your life.  




Call for an appointment: 281-342-5022