Sleep Apnea & Snoring Treatment Lancaster PA
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.
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 cephalometic (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.
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 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.
Dr. Weierbach has been fabricating sleep apnea and snoring oral appliances for over eighteen years. Oral appliances are an excellent treatment for patients who snore or who have mild to moderate sleep apnea. They are a comfortable and effective treatment for those patients who have difficulty with a the claustrophobic feeling or other side effects of a CPAP machine. He fabricates several different types of oral appliances dependent upon the patient’s symptoms and occlusion of their teeth. The Micro2 oral appliance is among those types that he utilizes.
i-CAT CBCT Scanner For Sleep Apnea
Dr. Weierbach uses his state-of-the art 3D scanner to diagnose and treat Sleep Apnea and other sleep conditions. The scans help Dr. Weierbach uses the scans to visualize airway space and to check out your anatomy.
I am very grateful for Dr. John Weierbach and for each of his staff members, for their excellent quality of dental care, the personable interaction with each one, and to be able to experience amazing solutions to difficult dental issues. When I first came to Dr. Weierbach, I was having intense pain and teeth problems. Dr. Weierbach was able to help me when I really needed answers and solutions, to relieve me of the pain that I was experiencing. It was a journey of healing: After a very thorough examination, Dr. Weierbach discovered a hidden cracked tooth. After the tooth was removed, another problem surfaced, which was a bone infection. Dr. Weierbach treated me faithfully and persistently till the infection cleared up. I then started to have TMJ issues, with extreme pain in my jaw, temples, and forehead. Dr. Weierbach, in his wisdom, gave me wonderful dental care, by measuring and fitting me with a mouth piece which I used for several months during the day as well as the night. It helped over time to relieve the pain and pressure. He also ordered physical therapy for me to take, which was extremely beneficial. Over time, and with treatments, the TMJ subsided, for which I was very grateful. After months of healing, it was time for reconstruction for my teeth. Again, Dr. Weierbach in his wisdom drew up a plan to bring wholeness in structure for my teeth. I received a bridge on each side of my upper teeth, and later on, four new front teeth that added to the beauty of my smile, which I am very grateful for. The care given by the dental assistants was great. They were very skilled in their abilities with dental assistance with Dr. Weierbach as well as doing mouth impressions and other dental care. The office staff was wonderful, kind, personable, and helpful with making appointments and scheduling needs. I would highly recommend Dr. John Weierbach and his staff to anyone who has a need for excellent dental care. Martha H. Martin
- Martha M
12 years ago I had a set of 3 implants installed on my lower jaw to secure a new prosthesis. Everything was wonderful until recently while chewing something popped. I just knew something was seriously wrong. My regular dentist, the amazingly talented Jim Smallwood, took x-rays and checked everything securing the teeth and couldn't detect any problem. Good, I'm thinking. Several months later while eating a cookie, 7 of the front center teeth broke off my prosthesis. Dr Smallwood took me in immediately thinking we would take an impression and have another prosthesis made in the next couple days. When he removed the prosthesis it didn't take long to discover that all three of the implants had the screw broken off in the implant. Jim very quickly realized this is going to call for what Jim described as the best in the area....Dr John Weierbach. John made room for me in his schedule immediately. While Jen was getting me seated and waiting for John to come into the room Jen said very confidently that when all else fails in dental care the patient ends up in Dr Weierbach's chair. John had the impossible task of removing broken off screws out of implants. The technology does not really exist to execute a task like that. John became obsessed over the next 30 days, in about 8 separate sittings, working endless hours to figure out how to get those screws out. John collaborated with the supplier of dental supplies and ended up using equipment like an auto mechanic might use in micro miniature form. John never considered the possibility that failure to accomplish the objective was an option. John found himself getting up in the middle of the night with this challenge on his mind and worked with mockups trying to come up with a strategy to extract the screws. Every one of the members of his team became part of the cheering squad. I have NEVER seem a more dedicated, eminently skilled and caring team and how we celebrated when the mission was finally accomplished. Had he not been successful at removing those broken screws it would have meant removing those implants, replacing with new implants and a new set of lower teeth and all the costs that go with it. I'm forever indebted.
- Mel H
Overall, I have had a great experience since I started going a few years ago. All the staff and Dr. Weierbach take time to get to know you as a person but also how to best meet your needs in the area of dental work. Everyone was very patient and supportive throughout the process of getting my porcelain crowns. I am beyond happy with the result of my teeth. They look so natural and are a huge improvement from before! I definitely couldn't stop smiling after I left the office! I would definitely recommend them for anyone that is interested in improving their smile!
- Brittany B
I would highly recommend Dr. Weierbach especially to patients who haven't been able to get a definite diagnosis for their problem. His expertise and thoroughness was even worth going out of network to find someone to identify the source of my tooth pain. The inclusive follow up visits to ensure my crown was perfect, the amenities and the exceptionally congenial staff were all "icing on the cake"
I was overly impressed with Dr. Weirbach and his staff. I have anxiety when going to a dentist because I'm pain sensitive. I had no anxiety after the first visit because they made sure that my comfort level was #1. I will not have another dentist. The staff always greets you with a smile and they are happy to work with you.
- Debbie M
The dental device that I got to was to help with my snoring when I travel instead of carrying along a CPAP machine. I used it for 2 weeks while out of the country and it worked great. What a great alternative rather than that machine! Thanks John!
- Doug G
Lots to smile about thanks to Dr Weierbach and his staff!!!!!!
- Diane G
Dr. Weierbach changed my life. I have always hated my teeth and have avoided smiling. Now my teeth are beautiful and white and I have a permanent smile on my face.
- Lisa G
This practice is by far the best I've ever encountered after living in major cities such as Chicago, Philadelphia, and NYC. Dr. Weirbach deserves a 10 out of 10 for all medical providers I have ever met with. Rating: 10 out of 5!
- Nancy B
everyone was very professional in what they were doing, my experience here at weierbach was great, if I had it to do over I would be glad I chose to come here
- Scott H