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Oral Sleep Appliances
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Visit All About Smiles
42180 Ford Road - Suite 301     Canton, MI 48187     Phone: 734.981.1199  Fax: 734.981.1200
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Sleep, teeth and your health

What happens in your mouth can affect your overall health. Disorders that disrupt sleep increase risk of health problems, anxiety and accidents. If you grind or clench your teeth at night or during the day, the strain on the muscles of your jaw, neck, head and face can cause headaches, jaw pain and other problems.

If you snore

A staggering 90 million Americans snore- and the problem is larger when you consider the sleeping partners it affects. But snoring isn't just an annoyance. It can lead to serious health issues. Sleep disruption can cause depression, irritability, learning,memory difficulties, mental awareness/mood and excessive sleepiness while working or driving.

Loud snoring with intermittent pauses, may be a symptom of obstructive sleep apnea (OSA). In this serious sleep disorder, air is repeatedly blocked from entering your lungs for a brief period during sleep.

Sleep and Breathing

When you're awake, your tongue and the soft tissues at the back of your throat (the soft palate),uvula, and tonsils maintain an open air passage so you can breather easily. As you fall asleep, your tongue and soft palate relax. If they relax too much or drop back into your throat, they can narrow or block the airway, causing problems ranging from mild snoring to severe obstructive sleep apnea (OSA). An oral appliance can be worn while you sleep to help.

Obstructive sleep apnea (OSA)

The tongue and soft tissues block (obstruct)air from entering your lungs. If the amount of oxygen in your blood drops too low, your brain alerts your body to unblock the airway by tightening the throat muscles. You partially awaken, and the flow of air starts again, usually with a loud gasp or snort.

If you wake gasping for air

If your sleep is restless and you often wake up with a loud gasp or snort, you may have obstructive sleep apnea. Sleep apnea occurs when your tongue and soft tissues block your upper airway,resulting in pauses in your breathing. If the amount of oxygen in your blood drops too low, your brain alerts your body to unblock the airway by tightening the throat muscles. You partially awaken, and the flow of air starts again, usually with a gasp or snort.

More than 18 million Americans have sleep apnea.The related lack of sleep dramatically increases risk of:

  • High blood pressure
  • Stroke, heart attack, and other heart problems
  • Depression, anxiety, and other mood disorders
  • Driving and work-related accidents

If you grind or clench your teeth

About 8 percent of adults grind their teeth, a condition called bruxism. Even more people clench which means you tightly clamp your top and bottom teeth together, especially the back teeth. Both may be triggered by daily stress.

The force of grinding or clenching puts pressure on the muscles, tissues and other structures around your jaw. This can lead to jaw joint disorders, jaw pain, soreness, headaches, earaches, damaged teeth and other problems. These symptoms are often referred to together as "TMJ" or temporomandibular joint disorders.

If you suffer from migraines

Migraine headaches affect 36 million Americans, or more than 1 in 10 people. One often unrecognized trigger for migraines is teeth clenching and grinding,which strains the muscles of the head, neck and face.

Nearly half of all migraines occur during the morning.If you wake up with a headache, you may be clenching or grinding your teeth at night.

Treating OSA

A variety of treatments are available:

Lifestyle changes: Losing weight, avoiding alcohol and sedatives, not smoking, controlling allergens,following good sleep habits, and sleeping on your side can decrease the severity of obstructive sleep apnea and snoring.

Positional therapy: Sleeping on your side can help keep the airway open during sleep. Placing a wedge-shaped pillow behind your back can help.

CPAP machine: Continuous positive airway pressure(CPAP) forces pressurized air from bed side machine through a mask into your nose and throat to keep the air passage open while you sleep. CPAPis an effective treatment for moderate to severeOSA.

Surgery: Removing tissues in the throat can help create a more open airway.

Oral Sleep Appliances
Mandibular advancement devices

The most common type of oral sleep appliance is a mandibular advancement device. It fits over your upper and lower teeth and holds your lower jaw (mandible)slightly forward as your sleep. This keeps your airway open by pulling the tongue and soft tissues forward, keeping them stable and firm. A dentist with experience treating snoring and sleep apnea - or one who focuses on dental sleep medicine- helps create a customized oral appliance.

Talk to Dr. Salah for further information about OSA and treatment with an oral appliance.

Adjustable PM Positioner™

Permanently connected splints provide maximum occlusal-vertical support and ample tongue space.

Note: Best for patients with lingual tori, narrow arches, lingually tipped teeth or large tongues.


Separate upper and lower,full coverage, clasp-retained splints provide comfort and freedom with normal mouth opening.Also available in FLEX.

Note: Best for patients desiring functional freedom and for those with lingual tori, narrow arches,lingually tipped teeth or large tongues.


EMA has separate upper and lower splints connected by interchangeable,with ample lateral movement and tongue space.

Note: Best for patients experiencing dentition changes.

Meet the Doc
Marc H. Salah, DDS

"My philosophy on patient care is to get to know each patient and understand their individual needs. I examine and diagnose their condition while educating them on the appropriate course of treatment to restore their oral health. By utilizing the most innovative, advanced procedures and state-of-the-art equipment available, I will ensure that every patient achieves a healthy and beautiful smile in a pleasant, stress-free environment. But it doesn't stop there. Throughout therapy, I teach every patient how to care for and maintain their oral health, because it is as important as the therapy itself. I am invested in each patient's treatment and consider it a privilege that they trust me with their care. My patients' care has always been my number-one priority."

University of Detroit Mercy School of Dentistry
Detroit, Michigan

Northeast Regional Board of Dentistry
Florida Board of Dentistry

American Dental Association
Michigan Dental Association
Florida Dental Association
American Academy of Cosmetic Dentistry
American Academy of Implant Dentistry
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Phone: 734.981.1199
Fax: 734.981.1200

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42180 Ford Road - Suite 301
Canton, MI 48187

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