Can Cumbria Sleep Medicine Help you?
We can help anyone who has a problem with snoring or sleep apnoea. Especially those who have tried and been unsuccessful with Continuous Positive Airway Pressure (CPAP).
Snoring & Sleep Apnoea solutions
You can buy many types of over the counter anti-snoring devices, some of which work better than others. However, they rarely fit well as they are not tailor made, they are typically not adjustable. If you have any problems with them then you have very little back-up to try and solve those problems.
A Mandibular Advancement Appliance/Device (MAA/MAD) however is a precision made dental device that protrudes the lower jaw. These devices are individually designed and made to fit your mouth and ensure the best possible results and comfort.
How Snoring & Sleep Apnoea Solutions Work
For most people snoring occurs because of narrowing of the airway due to a weakness in the soft palate. The air squeezing through the narrowed airway causes the soft tissues of the back of your mouth and throat to vibrate. This is what causes the charatorisitc noise.
By pushing your bottom jaw forward (protruding) with a MAD/MAA we can open up your airway and improve the tension in the soft tissues at the back of the mouth and throat which reduces the vibration.
How Long Does It Take?
There is a comprehensive assessment required, this involves completing a questionnaire that allows me to determine whether you are at risk of sleep apnoea and gives me an overview of your general health. I will carry out a general examination of your mouth to check that there is no obvious reason why we should not provide you with an appliance.
If you’re at risk of sleep apnoea then I will refer you at a suitably qualified medical practitioner for further assessment.
I will discuss with you and show you examples of the types of appliances that I feel may be appropriate for you. I then need to take impressions and or digital scans of your teeth and get some records of how you bite and your jaw movements. This usually takes about 40 minutes.
The appliances usually take 4-6 weeks to be made. I will then see you again to fit your devices and discuss with you how to get the best result from your particular device.
We generally agree to review your progress after 4-6 weeks.
Where Am I Based?
I work in two Cumbrian dental clinics throughout the week.
Derwent Dental Care, Cockermouth on a Monday and Tuesday.
Spedding Dental Clinic, Carlisle on a Wednesday, Thursday and Friday.
My name is Michael King and I am a General Dental Practitioner. I have been qualified for 25 years and I have a particular interest in Dental Sleep Medicine and its associated dental conditions.
I am a member of the British Society of Dental Sleep Medicine and a founder member of the British Academy of Sleep Medicine. I hope to be able to achieve the distinction of being one of the very first dentists to qualify as a Diplomate of the British Society of Dental Sleep Medicine in the summer of 2020.
I also love the great outdoors and in my spare time mountain bike across the amazing trails that cumbria has to offer.
Frequently Asked Questions
Will the device work?
MAA/MAD are scientifically proven to work, with many studies showing them to be at least as effective over the long term as the current gold standard, CPAP in the treatment of mild to moderate sleep apnoea. MAA/MAD will prevent or improve snoring in more than 80% of cases.
How much do they cost?
MAA/MAD cost between £450 to £2500 depending on the design.
How long do they last for and what are they made of?
Most MAA/MAD are made of various types of plastic and can be expected to last for 3-4 years. Some devices are made from metal and these can be expected to last up to 8 years. Most manufacturers offer warranties on their devices.
I wear dentures, can I use a MAA/MAD?
If you have some of your own teeth or dental implants in both your top and bottom jaw then yes we can make a device for you.
If you have no upper teeth or dental implants but some lower teeth or dental implants then we can often make you an appliance.
If you have no lower teeth or dental implants then it is not possible to make an effective MAA/MAD.
What happens if I lose or break my MAA/MAD?
If you lose your device, we will have to start again. If you break or damage your device, they can generally be repaired fairly simply and relatively cheaply. Most devices come with a 12 month guarantee.
If I already use CPAP can I use a MAA/MAD?
Yes you can and there is a growing body of scientific evidence to show that wearing a MAA/MAD whilst using CPAP can be advantageous.
Some people who use CPAP have a MAA/MAD which they use instead of CPAP when they are travelling.
We would reccommend this is done in conjunction with your sleep specialist.
I grind and clench my teeth when I am asleep, can I still wear a MAA/MAD
Yes, we just need to make some simple modifications to the devices.
Some devices are more sutiable for people who clench and grind than others. I will be happy to discuss this with you.
Do I need to be refer by a Dr/Dentist?
No, you can refer yourself if you wish. I will often communicate with your general medical practitioner and general dental practitioner (with your permission) as part of your treatment.
If you have had a professional sleep study carried out it is very useful if you can provide me with a copy of the report/results.
Need Help Sleeping?
If all of the above sounds like your situation and solution then please do use the contact form to book a consultation.