John A. Carollo, DMD, D-ABDSM, D-ASBA     

Phone: (973) 377-5117

Diplomate American Board of Dental Sleep Medicine
Diplomate American Sleep & Breathing Academy
Dental Sleep Medicine; General & Family Dentistry
Providing Sleep Dentistry for Snoring, Sleep Apnea and Sleep Breathing Disorders
 
 

 

 
 

Sleep Disorders Treated

  • Snoring
  • Mild and Moderate & Sevre Obstructive Sleep Apnea
  • CPAP Intolerent Patients
  • Hybrid Therapy for Severe Sleep Apnea

 

Obstructive Sleep Apnea:

Obstructive Sleep Apnea (OSA) is a common disorder characterized by brief, repetitive interruptions of breathing during sleep (The left above image shows this obstructed airway in red)

 

This occurs when the tongue and soft palate tissues of the airway collapse onto the back of the throat, causing air flow to decrease.  In sleep apnea, your breathing stops or gets very shallow while you are sleeping.  Apnea events can last 10-20 seconds.  These pauses or events can occur 23 to 30, up to 75 times and hour.  Sleep Apnea and Snoring are overlooked and left untreated.  Sleep Apnea can lead to other serious medical conditions like stroke, heart attack and other medical problems. 

A CPAP Machine, or Constant Positive Airway Pressure, can help in all cases of Obstructive Sleep Apnea.  It is the Stand for Severe Sleep Apnea.  While a CPAP is an extremely effective device, many patients cannot tolerate it and subsequently stop using it. 

A Dental Oral Appliance can be used in Mild and Moderate Obstructive Sleep Apnea, (OSA).  Oral Appances can also be usedin Severe OSA patients who cannot use heir CPAP Macne. (An example of a Dental Oral Appliance opening an airway is show below with in blue).

 

This video shows a how an oral appliance can help with OSA, the appliance Dr. Carollo uses is slight different than this oral appliance.

 

 

The Oral APlliance tht  Dr. Carollo uses are unlike other appliances.  Most Oral Appliances are made out of a thermoformed acrylic material.  These appliance tend to discolor, wear, pick up bacteraia, and can fracture over time.  Dr. Carollo uses appliances made of  newer materials. Surgial ylon, a polymer material and PMMA are he materials Dr. Carollo uses.  Additionally, these oral appliances are made from a 3D Printer, a CAD/CAM Process or Milled from a solid PMMA matrerial.  These mateials and processing reult in a more dense and durable oral appliance. Both have less bacteria uptake, and have a longer warranty.   The Pathera D-SAD and the ProSomnus IA are oral apliances that Dr. Carollo uses and fit this standards.

 

                        

                            The Pathera D-SAD Appliance                        The ProSomnus IA Appliance