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SleepWell Solutions

Q. What does SleepWell Solutions do? 
  Q. Where is SleepWell Solutions located?  
  Q. What is the difference between SleepWell Solutions and other sleep labs? 
  Q. Do I have to see my doctor for a referral before I make an appointment at
SleepWell Solutions?
 
  Q. Will SleepWell Solutions work with my physicians? 


Snoring and Sleep Apnea

Q. If I snore, does that mean I have sleep apnea? 
  Q. What is sleep apnea? 
  Q. What options do I have if I want to learn more about snoring and sleep apnea, before making a treatment decision?  


Testing and Diagnosis

Q. Why does SleepWell Solutions recommend that I get tested for sleep apnea if I snore? 
  Q. What if I don’t want to go to a sleep lab for a test? 
  Q. Do I have to go to a sleep lab first before making an appointment at SleepWell Solutions? 
  Q. Does SleepWell Solutions work with sleep labs? 


TAP Therapy

Q. What is a Thornton Adjustable Positioner® (TAP®)? 
  Q. What does a “stepped” approach to therapy mean? 
  Q. How is the TAP different than other oral appliances on the market? 
  Q. What is the American Academy of Sleep Medicine’s policy on oral appliances, like the TAP? 
  Q. How long does it take to see results with the TAP? 
  Q. Do I have to wear the TAP oral appliance every night? 
  Q. Can I wear a TAP if I have a bridge or denture? 
  Q. What if the TAP doesn’t work for me? 
  Q. What happens if my snoring or sleep apnea gets worse? 
  Q. What if I have severe sleep apnea? 
  Q. I am currently treating my apnea with a CPAP machine. I am rarely able to wear it throughout the night with any level of comfort and am often awakened several times by the device.  Am I a candidate for a TAP device? 


Side Effects of TAP Therapy

Q. Will the TAP move my teeth? 
  Q. Will the TAP hurt my jaw? 
  Q. What if I have TMJ (a jaw joint pain disorder)? 
  Q. What if I grind my teeth? 


TAP Combination Therapy

Q. What is TAP Combination Therapy™? 
  Q. What are the advantages of TAP Combination Therapy? 


Treatment Cost and Insurance


Q. What is the cost of treatment at SleepWell Solutions? 
  Q. Will my health insurance cover the cost of treatment? 
  Q. How much does insurance cover? 
  Q. Can I finance my treatment at SleepWell Solutions? 
  Q. If I have tried a CPAP, will insurance cover treatment with an oral appliance? 
  Q. Why do some people choose to pay out of pocket for treatment even if they have insurance? 



SleepWell Solutions

Q.What does SleepWell Solutions do?

A. 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.

Q.Where is SleepWell Solutions located?

A. SleepWell Solutions is located in Dallas near Northwest Highway and Preston Road.

Q.What is the difference between SleepWell Solutions and other sleep labs?

A. SleepWell Solutions is a comprehensive treatment center. We are not a sleep lab that performs overnight sleep studies.

Q.Do I have to see my doctor for a referral before I make an appointment at SleepWell Solutions?

A. No. You do not have to have a referral before scheduling an appointment at SleepWell Solutions.

Q.Will SleepWell Solutions work with my physicians?

A. Yes. SleepWell Solutions is committed to collaborating with each patient’s medical team and will send progress reports to your doctors upon request. We accept referrals and prescriptions for the TAP oral appliance treatment from all physicians.


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Snoring and Sleep Apnea

Q. If I snore, does that mean I have sleep apnea?

A. If you snore, you do not necessarily have sleep apnea. Snoring, however, is considered a warning sign of sleep apnea.

Q. What is sleep apnea?

A. Sleep apnea is a serious medical condition that can lead to other health problems like high blood pressure, heart disease, and stroke. Individuals with sleep apnea stop breathing repeatedly throughout the night. There are two types of sleep apnea – obstructive sleep apnea and central sleep apnea. Obstructive sleep apnea is the most common form and can be easily treated.

Q. What options do I have if I want to learn more about snoring and sleep apnea, before making a treatment decision?

A. For patients with questions about snoring and/or sleep apnea and who want to learn about their treatment options, SleepWell Solutions offers screening and consultation. Call us to schedule an appointment. The screening is a risk evaluation to see how likely it is that you have sleep apnea. All you have to do is answer a series of questions and then we take a couple of measurements. Although the screening won’t give us enough information to make a diagnosis, it helps us give you a better picture of your situation. From there, we are able to discuss your treatment options.


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Testing and Diagnosis

Q. Why does SleepWell Solutions recommend that I get tested for sleep apnea if I snore?

A. Because snoring is a warning sign of sleep apnea, we encourage all of our patients to have a sleep study. The sleep study will show how severe your condition is and help the doctor determine the best course of action for your condition. Patients can elect to have a sleep study in a hospital-type setting or sleep lab or they can take a sleep test at home with equipment from SleepWell Solutions.

Q. What if I don’t want to go to a sleep lab for a test?

A. SleepWell Solutions offers home-based sleep studies as a convenience to our patients. You check out equipment from us that will monitor your sleep. You then take the test at home in your own bed.

Q. Do I have to go to a sleep lab first before making an appointment at SleepWell Solutions?

A. No. You can make an appointment at SleepWell Solutions first for an evaluation. You will then have a choice to have a sleep study in your home or at a sleep lab.

Q. Does SleepWell Solutions work with sleep labs?

A. Yes. Currently, insurance only covers treatment for sleep apnea if you have had a polysomnogram (PSG) sleep study in a sleep lab. If you want to use insurance, we will refer you to an independent sleep lab for a test. We refer to independent sleep labs because they do not also own a CPAP supply company.


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TAP Therapy

Q. What is a Thornton Adjustable Positioner® (TAP®)?

A. The TAP is a customized oral appliance for the treatment of snoring and sleep apnea. It is an alternative treatment to constant positive airway pressure (CPAP). The TAP looks like a small football mouth guard. One “tray” snaps on your bottom teeth and the other snaps on your top teeth. There is a hook mechanism that keeps the two trays together when it is in your mouth. The TAP keeps the airway open at night and prevents snoring and apnea by holding the jaw in a forward position. You can adjust the TAP while it is in your mouth. This allows you to control your therapy. The TAP has the ability to create the most open airway possible because it can advance your jaw farther forward than any other oral appliance currently on the market. Finally, the TAP is the only oral appliance that can work in tandem with a CPAP for TAP Combination Therapy.

Q. What does a “stepped” approach to therapy mean?

A. A stepped approach to therapy means that there are several stages of treatment. We offer treatment to manage the airway that is based on the principles of cardiopulmonary resuscitation or CPR. The first step is to stabilize the lower jaw and pull it forward to open the airway with a TAP oral appliance. In most cases, this is all the treatment necessary to resolve snoring and sleep apnea problems (even in severe cases of sleep apnea). If a patient can't be treated with an oral appliance alone, we can add a custom CPAP mask to the oral appliance to further assist with opening the airway and breathing. With combination therapy, the patient gets the benefits of both oral appliance and CPAP therapies. Combination therapy is usually only necessary in very severe cases.

Q. How is the TAP different than other oral appliances on the market?

A.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.

Q. What is the American Academy of Sleep Medicine’s policy on oral appliances, like the TAP?

A. 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.

Q. How long does it take to see results with the TAP?

A. Most patients, including those with severe sleep apnea, can see results the first night of wearing their TAP oral appliance.

Q. 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.

Q. Can I wear a TAP if I have a bridge or dentures?

A.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. I f you have no teeth then the TAP will not work without implants.

Q. What if the TAP doesn’t work for me?

A. Very few people can not wear a TAP at all. 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.

Q. What happens if my snoring or sleep apnea gets worse?

A. 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. This is TAP Combination Therapy™.

Q. What if I have severe sleep apnea?

A. 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. This is TAP Combination Therapy™.

Q. I am currently treating my apnea with a CPAP machine. I am rarely able to wear it throughout the night with any level of comfort and am often awakened several times by the device.  Am I a candidate for a TAP device?

A. Yes. The TAP oral appliance is a primary alternative to CPAP. SleepWell Solutions routinely treats patients who have failed CPAP therapy and successfully resolves their sleep disordered breathing problems.


Side Effects of TAP Therapy

Q. Will the TAP move my teeth?

A. 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.

Q. Will the TAP hurt my jaw?

A. 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.

Q. What if I have TMJ (a jaw joint pain disorder)?

A. 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.

Q. What if I grind my teeth?

A. By virtue that it covers all your teeth while in the mouth, the TAP can prevent your teeth from wearing down from grinding.


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TAP Combination Therapy

Q. What is TAP Combination Therapy™?

A. When a patient’s sleep apnea is so severe that he or she needs more than a TAP alone to manage the condition, the TAP can be adapted to hold a custom CPAP mask. TAP Combination Therapy™ uses the TAP to stabilize your jaw and maintain an open airway. Positive air pressure is added to the TAP with a CPAP machine to reach optimal treatment parameters. TAP Combination Therapy eliminates the need for head straps, reduces feelings of claustrophobia, creates a perfect seal between the mask and the face, and requires less air pressure that CPAP therapy alone.

Q. What are the advantages of TAP Combination Therapy?

A. TAP Combination Therapy offers the benefits of both oral appliance and positive pressure therapies. The TAP keeps your jaw and airway in a stable, open position. The positive air pressure that is delivered through the mask will ensure that you get the air you need to your lungs. With TAP Combination Therapy, there are no head straps because the mask attaches to the TAP. This reduces feelings of claustrophobia. By design, TAP Combination Therapy requires less air pressure to be delivered by the CPAP machine than CPAP alone. The TAP is the only oral appliance that can be combined with a CPAP in this way.


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Treatment Cost and Insurance

Q. What is the cost of treatment at SleepWell Solutions?

A. If you pay out of pocket for treatment, the cost is approximately $2300. This covers a package of services that includes: evaluation by the dentist, initial x-ray, a custom TAP oral appliance and before and after home sleep studies. These home tests are necessary to determine treatment success and help us manage your condition over time. 

Q. Will my health insurance cover the cost of treatment?

A. Currently insurance only pays for treatment if you have been diagnosed with sleep apnea which is a medical condition. Simple snoring is not classified as a medical condition, but rather a quality of life issue. If your sleep study shows that you snore but do not have apnea (cessation of airflow), you will not be eligible to use your insurance for payment.

Q. How much does insurance cover?

A. The amount of coverage you receive depends on your specific benefits. As a convenience to our patients, SleepWell Solutions will call your insurance company on your behalf to verify your benefits. Before starting treatment, we will present you with a cost breakdown and financial agreement that details how much is covered by your insurance and what percentage you will have to pay out of pocket. Please note that SleepWell Solutions is an out-of-network provider for all insurance plans.

Q. Can I finance my treatment at SleepWell Solutions?

A. Yes. SleepWell Solutions offers a financing program to our patients. Qualifying for the financing program is similar to qualifying for a credit card. This payment plan acts the same as cash and has no interest for the first ninety days. You will then pay a low interest rate of 11.9% on the remaining balance for the next twenty-four to sixty months.

Q. If I have tried a CPAP, will insurance cover treatment with an oral appliance?

A. Insurance coverage for apnea treatment with a TAP oral appliance tends to be very good for patients that have tried but have not had success with CPAP.

Q. Why do some people choose to pay out of pocket for treatment even if they have insurance?

A. Some people choose to pay out of pocket or finance their treatment so they don’t get flagged as having a pre-existing medical condition. People who have been classified as having a pre-existing condition, such as snoring or sleep apnea, may experience a rise in their insurance premiums. Some people are unable to qualify for insurance (both health and life insurance) if they have been diagnosed with sleep apnea.


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