Cpap & Dental Titration

Titration

The procedure is the same as for a diagnostic study, only this time you will be wearing a CPAP mask. You will choose from a variety of masks. Once you have chosen a mask, the sleep technician will again attach the monitors for your brain, heart, and muscles. The sleep technician will have you try on the mask using the air pressure. They will ask you to breathe in and out of your nose while keeping your mouth closed. Once you fall asleep, the technician will monitor you and if you begin to have any respiratory events (snoring, apneas, hypopneas, etc), the technician will make the appropriate adjustments to resolve these events.

At the end of the study the technician will fill out a report for our physician who will ultimately recommend an optimal pressure for you. It will generally take 7 business days or so to complete the evaluation of your titration study. A prescription will be filled out and faxed to our selected DME companies. This DME company will contact with you within three business days. If you have not heard anything, please give our office a call at (410)284-3020 to find out the status of your study. The DME company should provide you with the mask you chose and a machine. They will also provide you with information on how to operate and maintain your machine and mask.

Just remember that CPAP therapy is only effective when you use it every night. If you have any questions or concerns, please feel free to call us any time. We will be monitoring your success. Soon you will really feel the benefits of CPAP therapy. We use Respironics encore anywhere software to monitor your progress. We will also arrange for you to return to our CPAP clinic after you are set up on your CPAP machine. It is imperative that you keep your appointment. These are available on Fridays and only by appointment. We request that you bring in your device with its compliance card and mask to your visit. Appointments to our CPAP clinic should be made within 2 to 4 weeks of your CPAP therapy initiation. Medicare requires a face to face evaluation and compliance report down load by our physician in order to continue coverage of your CPAP equipment. If compliance is not achieved then Medicare will not pay for your device and DME company will ask you to return this back to them.

Provent
Continuous positive airway pressure (CPAP) is considered the gold standard treatment for patients with obstructive sleep apnea (OSA). However, other treatment alternatives for OSA are needed to provide increased compliance and additional choices for patients and prescribing physicians. Prior studies have reported that a nasal expiratory positive airway pressure (EPAP) device (PROVENT) significantly reduced the anpea-hypopnea index  (AHI) as well as improved oxgenation and subjective daytime sleepiness. Provent Therapy may take up to a week or longer to "get used to." The device works by making it harder to breathe out through your nose, which creates the pressure needed to treat your Obstructive Sleep Apnea. It may require several nights of use to feel comfortable breathing with the device. 


In certain instances patients who cannot tolerate CPAP or who wish to try alternative therapeutic option for the treatment of Sleep Apnea will be referred to Dr. Anahita Abdehou for oral appliance therapy(Dental Device). Dr. Abdehou’s dental operatories are within our facilities for your convenience. Please call her office for an oral appliance(sleep dental device) consultation appointment at 410.682.3800

To arrange a daytime follow up CPAP clinic appointment or if you have any other questions please call our office at 410.284.3020
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