Dr. Conditt has practiced dentistry for nearly 30 years with an emphasis on TMJ and Full Mouth Reconstruction. Through this process, Dr. Conditt has become involved more with mandibular advancement devices and sleep breathing disorders to successfully treat these cases. He is an active member of the American Academy of Sleep Medicine, The American Academy of Dental Sleep Medicine and The Academy of Clinical Sleep Disorders Disciplines.
As a dentist we never diagnose sleep breathing disorders, but those that are CPAP Intolerant. We recognize that CPAP Therapy is the “Gold Standard” and follow the guidelines set up by the 2006 American Academy of Sleep Medicine “Practice Parameters with Oral Appliances and the Treatment of Sleep Apnea”. Mild to moderate AHI is the range that we have the greatest success with an oral appliance, but there have been numerous cases where severe AHI and CPAP intolerant patients have been very successful.
We never begin treatment on a patient without a current PSG (2 years or less) unless authorized by a physician’s office. The patient signs an affidavit to CPAP Intolerance and a prescription of medical necessity by the physician’s office. There will be continual communication with the physician’s office as treatment begins and continual updates as treatment progresses. This will usually take place in the form of a letter.
How We Treat:
Every patient is given a full oral examination. This will include all facial muscles and TMJ evaluations as well as joint sonogram, rhinometer screening and a pharyngometer study to determine if they are a candidate for an oral appliance and their mandibular jaw relationship can support an oral appliance for obstructive sleep apnea.
All appliances are FDA 510K approved. With all of our appliances we will consider TMJ support and comfort, which will assist in the success of treatment and compliance. All appliances will be carefully titrated. Once the ESS (Epworth Sleepiness Scale), sleep observer and symptoms are dramatically improved, a Home Sleep Test device is given for titration purposes only, not for diagnosis. Once the sleep-breathing disorders are in the American Academy of Sleep Medicine range of acceptance, the patient will be scheduled with your office for a verification of the oral appliance with a follow up PSG. If the appliance is verified valid in controlling the sleep breathing disorder, we will schedule the patient for bi-annual check-ups to reconfirm the compliance and comfort of the appliance.
Insurance and Cost:
Our fees vary depending on the severity of the OSA and the type of oral appliance. We usually bundle our treatment. We do have our DME and Tricare numbers. Most major insurance companies pay a benefit assuming the deductibles have been met. Since we are a dental office we are not in network with the medical insurance companies. For the majority, our patient’s “out of network” coverage pays exactly the same as “in-network coverage”.
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