Sleep Apnea

Highland, IN

People with obstructive sleep apnea (OSA) have disrupted sleep and low blood oxygen levels. When obstructive sleep apnea occurs, the tongue is sucked against the back of the throat. This blocks the upper airway and airflow stops. When the oxygen level in the brain becomes low enough, the sleeper partially awakens, the obstruction in the throat clears, and the flow of air starts again, usually with a loud gasp.

Repeated cycles of decreased oxygenation lead to very serious cardiovascular problems. Additionally, these individuals suffer from excessive daytime sleepiness, depression, and loss of concentration.

Some patients have obstructions that are less severe called Upper Airway Resistance Syndrome (UARS). In either case, the individuals suffer many of the same symptoms.

First Steps

The first step in treatment resides in recognition of the symptoms and seeking appropriate consultation. Oral and maxillofacial surgeons offer consultation and treatment options.

In addition to a detailed history, the doctors will assess the anatomic relationships in the maxillofacial region. With cephalometric (skull x-ray) analysis, the doctors can ascertain the level of obstruction. Sometimes a naso-pharyngeal exam is done with a flexible fiber-optic camera. To confirm the amount of cardiovascular compromise and decreased oxygenation levels, a sleep study may be recommended to monitor an individual overnight.

Treatment Options

There are several treatment options available. An initial treatment may consist of using a nasal CPAP machine that delivers pressurized oxygen through a nasal mask to limit obstruction at night. One of the surgical options is an uvulo-palato-pharyngo-plasty (UPPP), which is performed in the back of the soft palate and throat. A similar procedure is sometimes done with the assistance of a laser and is called a laser-assisted uvulo-palato-plasty (LAUPP). In other cases, a radio-frequency probe is utilized to tighten the soft palate. These procedures are usually performed under light IV sedation in the office.

In more complex cases, the bones of the upper and lower jaw may be repositioned to increase the size of the airway (orthognathic surgery). This procedure is done in the hospital under general anesthesia and requires a one to two day overnight stay in the hospital.

Finally

OSA is a very serious condition that needs careful attention and treatment. Most major medical plans offer coverage for diagnosis and treatment.

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Pulver Oral Surgery

5 out of 5 stars based on 243 Sleep Apnea reviews

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Everyone was very helpful through the process!!

- Patricia W

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My Son will no longer be in pain! Thanks Dr. Pulver and friends

- Amanda H

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Very happy with the facility and dentist. Brought my 8yr old daughter for a molar extraction. She was afraid and crying the first day. They explained to her the procedure and were able to calm and ease her. When she came in for her extraction she was not even a little nervous. They treated her with much care and I greatly appreciate them. Would recommend

- Maria S

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I would highly recommend for first time oral surgery needs Highly friendly and helpful staff through entire process.

- nicole h

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I highly recommend Dr. Pulver . He and his staff are knowledgeable and understanding. He makes time for any and all questions and concerns. He is an excellent oral surgeon .

- Cynthia H

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Would recommend

- Mary H

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Very friendly & informative with procedure & at home care.

- JoAnn F

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Absolutely love dr Pulver best dentist ever

- Rebecca D

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Would definitely recommend Dr. Pulver and his staff to anyone needing oral surgery.

- Dianne G

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This is the best experience. 4 wisdom teeth removed plus a pin tooth The Dr. Pulver was kind, professional, explained details of surgery, and quick No pain or heavy bleeding. Positive experience! I gave it a 5 star rating.

- Kara B

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while the doc is working he was also teaching. very impressed with the office professionalism all my experiences in dealing with people should be this easy

- timothy s

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We have been to Dr Pulver 's office a number of times. Both of our daughter have had oral surgeries there. We love the whole experience. The staff makes you feel welcomed and keep you calm. I have recommended them to all of our family and friends.

- AnnMarie K

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Dr. Pulver is professional, friendly, and an expert in his field. I had the All On 4 done. He did everything he said he would do for the price he quoted. I have had MANY bad experiences with Dentists and was scared to death. He put my fears at ease and explained everything to me....over and over again....for as many times as he thought I needed it. He did a FANTASTIC job and never hurried to get it over. He took his time to make sure everything was done perfectly. When I had a problem with the other Dentist making my teeth, Dr. Pulver stepped in and got me another Dentist he felt would do a better job. He was right. I will never go to any other Oral Surgeon and I will recommend Dr. Pulver to all my friends and family. Unlike so many other dentists today, Dr. Pulver can be trusted.

- Doreen N

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Great staff

- Lladira P

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Excellent care and skills by everyone in that office. Kelsey is very kind, reassuring, comforting as well as professional. Dr. Pulver could not be better. Thank you to the entire staff and Dr. Pulver.

- Judy M

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Over all my experience was great. Would highly recommend.

- Colleen L

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Dr. Pulver is great!

- Andi B

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Overall satisfied.

- Don N

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Great all over experience !

- Matt C

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great experience for my first extraction

- donna m

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