Sleep Disorder Treatment in Milford, MA | Drs. Goodman, Ko, & Associates

In our office, we treat sleep disorders seriously. Even though not all sleep disorders are related to the head and neck anatomy, the most common disorders such as obstructive sleep apnea (OSA) and upper airway resistance syndrome (UARS) have a lot of mouth anatomy connections. In our office, we perform home sleep test (HST) using SleepImage device. We work with local and remote sleep physicians to provide a solution for patients who are diagnosed with OSA and cannot tolerate CPAP. This is a sample SleepImage study for a SevereOSA Adult.

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Different treatment options are available in our office:

Invisalign Expansion - Not all Invisalign treatment is expansive in nature. Because airway is paramount, so the goals of Invisalign treatment in our office is never retractive, always expansive. Expansive movement allows more room for the tongue which often contribute to the obstruction. Sample of Invisalign expansion below.

Vivos DNA appliance - Epigenetics Orthodontic Therapy (EOT)

Patient doubled the size of her airway (from A-P) dimension, post treatment on the right

Increase in the overall size of the airway (smallest cross section) at the completion of Vivos treatment, post treatment on the right

This new and advanced oral appliance is:

None surgical
Removable
Only worn in the evenings and night time
Shown to reduce or eliminate sleep/airway problems
Shown to improve migraine headaches and TMJ symptoms
Improve nasal breathing
Reduce or improve snoring
Increase energy
Improve posture
Decrease anxiety

Oral Appliance Therapy (AOT)

Mandibular Advancing Device (MAD) also works. The goal is to move the tongue and other lower jaw anatomy out of the airway. We predominantly use Prosomnus, one of the leading companies for appliance therapy.