FREQUENTLY ASKED QUESTIONS
What does SleepWell Solutions do?
SleepWell Solutions is a clinic that exclusively treats patients for sleep disordered breathing, snoring and sleep apnea. We offer a full range of services, including evaluation of your problem and diagnosis, treatment, and management of your condition over time. SleepWell Solutions integrates both dental and medical technology into a comprehensive, stepped approach to treatment. We are committed to working with our patients to manage their airway and sleep health over a lifetime.
What is the difference between SleepWell Solutions and other sleep centers?
SleepWell Solutions is a comprehensive treatment center. We are not a sleep lab that performs overnight sleep studies.
Do I need a referral before I make an appointment at SleepWell Solutions?
No. You do not have to have a referral before scheduling an appointment at SleepWell Solutions.
If I snore, does that mean I have sleep apnea?
If you snore, you do not necessarily have sleep apnea. Snoring, however, is considered a warning sign of sleep apnea.
I snore and had a sleep test but was not diagnosed with sleep apnea. I still feel tired every day and can’t seem to get other health issues under control (e.g. irritability, depression/anxiety, high blood pressure) can you help me?
Snoring and daytime sleepiness together indicate that your airway is constricted at night and you are likely working too hard to breathe. This disrupts your sleep, which can then compromise both your health and quality of life. SleepWell Solutions offers a range of therapy options for snoring – including a trial oral appliance that allows you to see benefits without investing in a more expensive, custom device.
How is the TAP different than other oral appliances on the market?
The TAP is the only oral appliance that can be adjusted by the patient while in the mouth. It is important for patient to be able to control their treatment position at home because sleep disordered breathing can vary night to night. The TAP has the smallest increments of adjustment of any appliance on the market. These increments are standardized so the patient and doctor know the precise setting and can fine-tune the position at any time. The TAP has the ability to adjust the position of the jaw farther forward than any other oral appliance on the market. Thus, the TAP has the ability to create the most open airway possible. Finally, the TAP is the only oral appliance that has an attachment for a CPAP mask.
What is the American Academy of Sleep Medicine’s policy on oral appliances, like the TAP?
The American Academy of Sleep Medicine recommends oral appliances like the TAP as a first line of therapy for patients with mild to moderate sleep apnea. They recommend oral appliances to people who have been diagnosed with severe sleep apnea and have tried and not been successful with CPAP.
How long does it take to see results with the TAP?
Most patients, including those with severe sleep apnea, see results the first night of wearing their TAP oral appliance.
Do I have to wear the TAP oral appliance every night?
Yes. You must wear the appliance every night to be treated for snoring and sleep apnea. When you do not wear your TAP oral appliance, your sleep disordered breathing will return.
Will my health insurance cover the cost of treatment?
Every health insurance policy is different. In general, you must be diagnosed by sleep apnea by a physician to qualify for coverage. SleepWell Solutions recommends that you contact your insurance company and ask if your benefit covers therapy for obstructive sleep apnea with a mandibular advancement device (also called an oral appliance). For reference, the code for a custom device is E0486.
Simple snoring is not classified as a medical condition. It is considered a quality of life issue and is not covered by medical insurance.
Does SleepWell Solutions accept insurance?
SleepWell Solutions is an out-of-network provider for all insurance plans. As a convenience, we will submit insurance paperwork on your behalf. You are responsible for the portion not covered by your plan.
Is SleepWell Solutions a Medicare provider?
Yes, SleepWell Solutions is contracted with Medicare part B. Medicare covers an oral appliance every 5 years. In order to receive coverage, you will need a sleep study that is less than 5 years old that shows that you have been diagnosed with obstructive sleep apnea.
Can I finance my treatment at SleepWell Solutions?
Yes. SleepWell Solutions offers a financing program to cover the cost of our services.
Can I wear a TAP if I have a bridge or dentures?
If the bridge is fixed in your mouth there should be no problem. If you have a removable denture then it would depend on the number of teeth that support the denture. As few as five teeth on the top and seven teeth on the bottom is enough to hold the TAP. If you have no teeth then the TAP will not work without implants.
What if the TAP doesn’t work for me?
Very few people are unable to wear a TAP. If the TAP is not a good solution for you, you have another non-surgical option – continuous positive airway pressure (CPAP). In some cases, surgery to reposition the lower jaw may be an option.
What happens if my snoring or sleep apnea gets worse?
The TAP oral appliance is fully adjustable and can be set at different, standardized settings. If your snoring or sleep apnea gets worse, you have the ability to advance the jaw forward to further open your airway. If you reach the maximum degree of advancement, you have the option of adding CPAP to the oral appliance for combination therapy.
What if I have severe sleep apnea?
If you have severe apnea, you have two options. You can try continuous positive airway pressure (CPAP) or you can start therapy with a TAP. If the TAP alone doesn’t improve your apnea, you have the option of adding CPAP to the oral appliance for combination therapy.
I currently use a CPAP machine, but I am rarely able to wear it the entire night. Am I a candidate for oral appliance therapy?
SleepWell Solutions routinely treats patients who are unable to use CPAP. Provided you have adequate oral hygiene and have at least four teeth on each upper and lower arch, you are a candidate for oral appliance therapy.
Will the TAP move my teeth?
The TAP is made with very durable material. Each tray (top and bottom) covers all of your upper and lower teeth, respectively. Because all of your teeth fit into the appliance, it is difficult to change the position of your teeth. However, minor tooth movement may occur in some cases.
Will the TAP hurt my jaw?
It may take a couple of days for your jaw muscles to get used to wearing the TAP at night. This is normal and will go away.
What if I have TMJ (a jaw joint pain disorder)?
The TAP may increase discomfort in the jaw joint. However, in many cases, the TAP will relieve joint pain and dysfunction. In fact, some dentists use the TAP as a treatment device for TMJ.
What if I grind my teeth?
By virtue that it covers all your teeth while in the mouth, the TAP can prevent your teeth from wearing down from grinding.