Letter of Introduction

Dear Patient,

Your sleep physician has referred you to our office. Your referring physician feels you might benefit from an intra-oral appliance which is designed to improve your breathing during sleep by advancing your lower jaw or holding your tongue forward. This movement helps to open the airway space which can reduce snoring and sleep apnea in many cases. We cannot guarantee that this device will be successful for all patients because there are many factors involved in sleep apnea.

Patients who have been diagnosed as having sleep apnea should have routine visits to their physician or sleep disorders center. Moderate or severe obstructive sleep apnea is a potentially life threatening disease, and periodic monitoring of the disease is important. The intra-oral sleep apnea appliance does not cure snoring or sleep apnea, but it is designed to reduce snoring and apneic episodes while it is being worn. If your physician has suggested a change in sleeping position or weight loss, these actions are important and are to be accomplished in addition to using the intra-oral device. It is best to avoid alcohol, hypnotic or sedative drugs within 3-4 hours of going to bed.

Prior to the fabrication of any intra-oral device, you must have a consultation appointment to evaluate your oral condition as well as to discuss possible choices of treatment. If you require new fillings, crowns (caps), implant placement, or periodontal therapy, these procedures should be completed BEFORE the appliance is made. Any change in your dentition may require construction of a new device. If you do not have a general dentist, I can recommend someone in your local area for all the services you may require. The first step may require you to have cephalometric x-ray pictures taken to determine the size of various oral structures. These films and a clinical examination will help determine if you can expect to be helped by an intra-oral sleep apnea device. Normally, three to four appointments are required to fabricate the appliance, followed by appointments to adjust the fit of the device and evaluate its degree of effectiveness. The fit, wear and comfort of the appliance will be evaluated as the patient deems necessary.

Please obtain the following items and bring them, completed, to your first appointment:

  1. Recent x-ray pictures from your dentist’s office
    (for the previous 3 years, or most recent, originals please)
  2. You must provide a copy of your sleep study report and the doctor’s referral letter or prescription.
  3. Any authorization forms your medical insurer may require for coverage
  4. If you wear a mouth piece of any sort (orthodontic retainer, night guard, etc.), please bring it with you to your appointment.

Most insurance companies will pay for oral appliances to treat obstructive sleep apnea, but may be very strict in their definition of ‘sleep apnea.’ You may wish to check with your insurer prior to your appointment. The billing code for a custom fabricated oral device is E0486.

In addition to the above, you will need to bring various forms to the first visit. Please print out these forms in the section called “Pre-Appointment Forms”. Sign, fill them out and bring them with you to your appointment. Any questions you may have can be answered during your appointment.

We look forward to helping you feel more awake!
The Doctors and Staff at Sleep Apnea Dentists of New England

  • p  617.964.4028
    f   617.595.4591

    70 Wells Ave, Suite 103
    Newton, MA 02459

    Hours by Appt.
    Monday - Friday

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