Cone Beam CT Imaging

Sleep Apnea

Obstructive Sleep Apnea

Your sleep impacts every aspect of your health and daily life. Sleeping well helps you look, feel and perform your best. But a sleep problem can be harmful to your health and well-being. One of the most common sleep problems is obstructive sleep apnea. Learn more about the warning signs and how you can get help.

About Obstructive Sleep Apnea

Nearly 30 million adults in the U.S. have obstructive sleep apnea (OSA), which can cause them to stop breathing hundreds of times a night for anywhere from a few seconds to more than a minute.

Sleep apnea is a chronic condition that occurs when your muscles relax during sleep, allowing soft tissue to collapse and block the airway. As a result, repeated breathing pauses occur, which often reduce your oxygen levels. These breathing pauses are followed by brief awakenings that disturb your sleep.

Common signs of sleep apnea include snoring and gasping or choking sounds during sleep. Like snoring, sleep apnea is more common in men, but it can occur in women too, especially during and after menopause. Having excess body weight, a narrow airway or misaligned jaw all increase the risk of sleep apnea.

Is Treating OSA Important?
Treating obstructive sleep apnea is incredibly important to your health. When left untreated, sleep apnea often causes excessive daytime sleepiness or fatigue, as well as morning headaches and memory loss. Sleep apnea also is a threat to your safety as it increases your risk of drowsy driving and workplace accidents. Untreated sleep apnea raises your risk for serious health problems. These include:

  • High blood pressure
  • Stroke
  • Heart disease
  • Diabetes
  • Chronic acid reflux
  • Erectile dysfunction

Severe, untreated sleep apnea even increases your risk of death.

How is OSA Diagnosed?
Kleinheinz Dentistry is proud to offer a Free Sleep Study. Call our office for more information. 704-542-6003.

How is OSA Treated?

Dr. Kleinheinz can discuss treatment options with you. We will provide a FREE SLEEP STUDY at your convenience.

  • Oral appliance therapy uses a mouth guard-like device - worn only during sleep - to maintain an open, unobstructed airway.

Research shows that oral appliance therapy is an effective treatment option for snoring and obstructive sleep apnea. An oral appliance is worn in the mouth only while you sleep and fits like a sports mouth guard or an orthodontic retainer. Oral appliances support your jaw in a forward position to help maintain an open upper airway.

Many patients consider a sleep apnea appliance to be more comfortable to wear than a CPAP mask. Oral appliances also are quiet, portable and easy to care for.

If you decide that oral appliance therapy is the best treatment option for you, then Dr. Kleinheinz will recommend a prescription for you to receive a custom-made sleep apnea appliance. More than 100 oral appliances have received FDA clearance. We prescribe and make the FDA approved appliances. Oral appliance therapy is covered by many medical insurance plans. We will do a complete benefits check upon your scheduled appointment.

Cone beam dental scans.In the early 20th Century, not long after X-rays were discovered, medical professionals recognized their value as diagnostic tools: They could clearly reveal structures hidden inside the body without the need for risky surgery. At the dawn of the 21st century, a revolutionary new technology has entered the diagnostic arena. Today, Cone Beam Computed Tomography (CBCT) promises to change the way many dental problems are diagnosed and treated.

Cone Beam CT has some similarities with conventional X-rays, and also with the standard CT scans you would get in a hospital setting. But it's a quantum leap forward in technology and diagnostic precision. For the dentist, it offers the ability to visualize intricate structures inside the mouth, such as root canals, nerves and sinuses (air-filled spaces) in the jaw — in three dimensions — without surgery. For the patient, it can reduce the need for invasive procedures, shorten treatment time and offer the chance for a better outcome.

The detailed diagnostic images that CBCT provides have made it an essential tool in many dental specialties. But, as with any diagnostic tool that uses radiation, the medical benefits offered must be weighed against the (small) potential risks of the procedure.

How Cone Beam CT Works

X-rays, like visible light, are a form of energy on the electromagnetic spectrum. Just as light makes an image on photographic film (or a digital camera sensor), X-rays can also form an image. The difference is that energetic X-rays can penetrate bone and soft tissue, and reveal its hidden structure by their varying degrees of absorption; in other words, they form a grayscale picture of what's underneath the surface. But conventional X-rays are limited: Like a still-life picture, they show only one perspective on the scene.

Now imagine a “flip book” — the kind of small book made up of a series of pictures, each slightly different. When you rapidly page through it, you may see (for example) an animated cartoon or a still subject from different perspectives. If you could put together a flip book made from a series of X-ray “slices” of the same subject, taken at slightly different angles, you would be able to create an “animation” of the X-rays. And from there, it's only one more step to making a 3-D model.

That's exactly what CBCT scanners do. Using a rotating imaging device that moves around the patient's head, the scanner records between 150 and 600 different X-ray views in under a minute. Then, a powerful computer processes the information and creates a virtual model of the area under study. When it's done, the model appears as a three-dimensional image on a computer screen: It can be rotated from side to side or up and down, examined in greater or less detail, and manipulated in any number of ways — all without the patient feeling any discomfort... or even being present.

Where Cone Beam CT Is Used

The ability to see fine anatomical structures in 3-D has proven invaluable in treating conditions in many areas of dentistry.

  • Orthodontics: Having accurate information on the position of teeth and jaws helps determine exactly how and where teeth should be moved.
  • Dental implants: Detailed CBCT images are used to determine the optimum location for the titanium implants while avoiding nerves, sinuses and areas of low bone density.
  • Orthognathic Jaw Surgery and Temporo-mandibular Joint (TMJ) Disease: Patients benefit when the specialists who treat these conditions can evaluate their anatomy with the three-dimensional perspective that cone beam CT provides.
  • Oral Surgery: Treatment for tumors or impacted teeth is aided by the level of fine detail shown in these scans.
  • Endodontics: Dentists performing intricate procedures (like complex root canals, for example) can benefit from a clearer visualization of the tooth's anatomy.
  • Sleep Apnea: Imaging the tissues and structures of the nose, mouth and throat can aid in diagnosis and treatment of this dangerous condition.

Could Cone Beam CT Benefit You?

Each patient's situation is different, and must be carefully considered by a clinical professional before any test or procedure is performed. While CBCT delivers a smaller dose of radiation (X-rays) than many other diagnostic tests, it still carries a small risk — particularly for younger patients, or those with other health problems. As is the case for any medical procedure, all risks, benefits and alternatives are taken into account before the procedure is recommended.

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Cone Beam Dental Scans - Dear Doctor Magazine

Getting The Full Picture With Cone Beam Dental Scans Dental imaging took a major leap forward at the beginning of the new millennium with a three-dimensional technology known as cone beam computed tomography (CBCT). The name comes from the cone-shaped beam of x-rays the CBCT machine projects as it rotates around a person's head, taking multiple images that are compiled into a 3-D picture by a computer. Find out what CBCT can reveal and how it helps a doctor to make a highly informed diagnosis and choice of treatment... Read Article