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ARE YOU AT RISK?

  • Do you snore loudly (louder than a person talking or loud enough to be heard through closed doors)?

  • Do you often feel tired, fatigued, or sleepy during the day?

  • Has your spouse or bed partner ever observed you stop or pause breathing in your sleep?

  • Do you have or are you being treated for high blood pressure?

  • Are you overweight or obese?

  • Are you over 50 years old?

  • Is your neck circumference greater than 16 inches?

  • Are you male?

Oral Appliances Therapy Is A Good Option For:

  • People with primary snoring

  • People with mild to moderate apnea or people with severe apnea who are unable to tolerate or refuseto try CPAP

  • People who cannot tolerate the high pressure of CPAP

  • People with healthy, disease-free teeth

  • People who want to travel without having to bring a CPAP machine

ORAL APPLIANCE TREATMENT

Two Rivers Health & Wellness Center specializes in fitting patients with a custom fabricated oral appliance to manage sleep apnea. The appliance works by holding your mandible (lower jaw) in a precise open and forward position and by doing so all the soft tissues in your throat and neck are no longer able to collapse and cause the night time choking and suffocating episodes.

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At our practice, we work with the Respire line of oral appliances. These devices are manufactured to strict standards and are FDA cleared specifically to manage sleep apnea. Additionally, we use state-of-the-art Eccovision acoustic imaging technology to ensure your jaw is held in precisely the correct position with the appliance.

Advantages Of Oral Appliance Therapy:

  • Appliances are easy to wear and comfortable to use.

  • Appliances are small, noiseless, and barely noticeable.

  • Appliances are convenient to travel with.

  • Appliances don't bother bed partners.

  • Appliances reduce self-consciousness that may report feeling with CPAP use.

  • Appliances are not permanent; use can be discontinued anytime.

  • Appliances are typically covered by medical insurance and Medicare.

EccoVision Acoustic Diagnostic Imaging System

The Eccovision Acoustic Diagnostic Imaging System is an FDA-cleared, non-invasive, and portable diagnostic tool that uses acoustic reflection to map, measure, and analyze the size, structure, and collapsibility of the nasal and oral airways. It is heavily used in ENT, orthodontics, and sleep dentistry to evaluate airway health, assess obstruction, and guide treatment for sleep apnea and snoring.

 

Key Components and Functionality

 

  • Pharyngometer: Measures the oral airway, specifically from the oral pharyngeal junction to the glottis, allowing for evaluation of airway stability and size.

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  • Rhinometer: Measures the nasal airway, from the nasal valve through the turbinates to the nasopharynx.

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  • Function: The system sends sound waves into the airway and records the reflected waves to generate a graph showing cross-sectional area vs. distance.

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Clinical Applications

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  • Sleep Apnea & Snoring: It identifies the site and severity of airway collapse, helping to predict which patients will benefit from oral appliance therapy.

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  • Treatment Monitoring: It helps dentists determine the optimal "airway bite" position for fabricating oral appliances.

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  • Orthodontics: It assesses if a compromised nasal airway is causing mouth breathing, which is linked to facial growth problems.

 

The system provides objective data, making it valuable for assessing treatment efficacy over time.

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