PART 9

NightLase® Revolutionizes
Sleep Apnea Treatment

Medical Laser Technology

NightLase® is an advanced laser treatment that targets the soft tissue at the back of the throat, tightening it to open the airway. Using the advanced Fotona laser, renowned for its medical laser technology, NightLase® offers unparalleled results. With extensive research and development backing its effectiveness, Fotona has revolutionized sleep apnea treatment.

Now, the idea of using lasers for snoring and sleep apnea might sound alarming to most patients. However, NightLase® is a non-ablative treatment that doesn’t involve cutting or removing tissue. This means no scarring and a comfortable experience for the patient.

Over time, the tissue at the back of the throat can lose collagen, leading to its drooping and obstructing the airway. NightLase® counteracts this effect by heating the tissue, causing the collagen to tighten and lift the drooping canopy. Just like a canvas patio awning that sags when filled with rainwater but tightens up when exposed to the sun, NightLase® can restore the tissue in the throat to its optimal position, creating a larger airway and facilitating better breathing and reduced snoring.

NightLase® not only improves airflow during sleep but also stimulates the production of new collagen, further enhancing the airway. We typically schedule four treatment sessions, two weeks apart, to provide ample time for the collagen to regenerate.

Besides treating the soft palate, NightLase® can also shrink an enlarged uvula, providing even greater airway improvement. This treatment not only helps with breathing but also enhances swallowing and reduces the gag reflex.

Each treatment session consists of two steps: preheating the tissue to acclimate the patient to the heat and then applying the laser to affect the collagen. The duration of each session varies based on the patient’s individual needs and sensitivity levels, typically ranging from fifty to sixty minutes for the initial session and around twenty minutes for subsequent sessions.

At the Julian Center, NightLase® has yielded remarkable results for patients diagnosed with sleep apnea. By utilizing this advanced technology, we have effectively transformed the lives of individuals, enabling them to experience restful sleep, increased energy, and improved productivity.

Don’t let sleep apnea hinder your quality of life any longer. Discover the power of NightLase® at the Julian Center and take control of your sleep health today.

Revolutionizing Sleep Apnea Treatment

NightLase is a revolutionary development in sleep apnea treatment. With over 80 percent of patients reporting significant improvements in their overall sleep after just four sessions, it’s clear that NightLase is making waves in the medical community. These results typically last between twelve to eighteen months, providing patients with long-lasting relief. A maintenance appointment is recommended at this time.

The effectiveness of NightLase is not merely subjective; it is backed by objective data obtained through follow-up home sleep studies. In a pilot study involving eleven patients at two different locations, NightLase showcased its prowess. Patients’ assessments of their experience, coupled with measurements from a sleep study test, demonstrated a reduction in snoring by approximately 23 percent on average. The sleep study measurements revealed an average reduction of 11 percent in snoring levels.

Further studies have reinforced the positive impact of NightLase on sleep apnea. In a nine-month study with twenty-one patients aged between twenty-six to fifty-nine, the researchers found that NightLase reduced snoring by an average of 43 percent after the first session and a staggering 62 percent after the second session. Additionally, overall sleep quality improved by approximately 68 percent after the second session.

What sets NightLase apart from other therapies is its ability to provide relief during the daytime hours as well. By opening and keeping the airway clear for up to a year or more, patients can breathe better both day and night. Unlike other treatment options that require wearing appliances primarily at night, NightLase eliminates the need for daytime wear. This improves patients’ daytime oxygenation levels, ensuring a more rejuvenated and energetic state.

NightLase is particularly beneficial for patients who struggle with CPAP compliance. For those who cannot or will not wear a CPAP, NightLase offers a superior alternative. Intraoral appliances, although effective, can still pose compliancy issues and discomfort for certain patients. However, NightLase eradicates such concerns. As a treatment rather than a manual tool, it requires no compliance or adherence. Patients can enjoy the benefits of the NightLase treatment for up to a year or eighteen months. For optimal results, we recommend combining NightLase with an intraoral appliance.

NightLase is a versatile treatment option that your dentist can perform on anyone without any special requirements. It does not necessitate anesthesia or pre-treatment, making it a convenient and effective choice. During the treatment, patients may experience a slight warmth when the laser is applied to the tissue, but there are no reported side effects. Patients often notice immediate improvements in their breathing, sleep quality, and overall energy levels following the first session.

Affordability is another key advantage of NightLase. Compared to comprehensive structural corrections that involve orthopedic appliances and braces, NightLase is substantially more cost-effective. Currently, NightLase treatment costs less than half of what intraoral appliances typically cost, and it often costs less than the amount reimbursed by medical insurance for appliance therapy. Additionally, NightLase sessions your sleep specialist can complete within a matter of hours over four weeks, whereas structural corrections can span several years and multiple phases.

To learn more about NightLase and the services offered as part of the Julian Protocol, visit www.juliandentist.com. Experience the revolution in sleep apnea treatment with NightLase—your gateway to better sleep and improved quality of life.

The Mallampati Score: A Window into Sleep Apnea Risk

In the realm of sleep medicine, the Mallampati Score has emerged as a crucial tool in determining whether a patient should undergo a home sleep study. This ingenious assessment rates the visibility of the uvula and airway space when the mouth is open and the tongue is sticking out, providing a quick and effective means of evaluating one’s risk for obstructive sleep apnea.

Conducting a Mallampati Score is a breeze. The doctor simply observes the patient’s mouth as they sit upright, mouth agape and tongue extended, reminiscent of the classic “open wide and say ‘ahh'” scenario at the doctor’s office, minus the dreaded tongue depressor. This straightforward evaluation allows us to categorize patients into one of four classes, aptly named Mallampati Classes I through IV.

Class I individuals exhibit a significant amount of visible space at the back of their throat, behind the tongue. Conversely, Class IV patients present no visible space, with the tongue concealing the uvula and airway. The esteemed anesthesiologist Seshagiri Mallampati, MD, initially developed this scoring system to access the intubation process during general anesthesia. However, as the field of sleep medicine developed, physicians noticed a correlation between Mallampati Scores and the presence of sleep apnea. Notably, those with a Mallampati I score are often devoid of sleep apnea, whereas individuals with a Mallampati IV score tend to suffer from this condition.

It is crucial to acknowledge that the Mallampati Score is not without its limitations. While it serves as an excellent initial indicator, further testing may be necessary to confirm a diagnosis. After all, as the old adage goes, “anatomy does not dictate physiology.”

Enter NightLase, an innovation that not only operates independently but also pairs exceptionally well with intraoral appliances and other therapies offered under the Julian Protocol. Following a NightLase session, patients frequently witness an improvement in their Mallampati Score. For instance, consider a patient whose initial Mallampati Score was a daunting Class IV. However, after undergoing NightLase therapy, the score improved to an encouraging Class I.

NightLase is an affordable, long-lasting, and noninvasive treatment, devoid of any side effects. It is one of the many state-of-the-art advancements that only the Julian Center has, distinguishing us from other dental practices and showcasing our expertise in dentistry and sleep-disordered breathing.

Curious about your own Mallampati Score and the potential presence of sleep-disordered breathing or sleep apnea? Take a moment to assess yourself in the mirror. Rate your score on the Mallampati Scale, focusing on Classes II, III, and IV. If you find yourself falling into any of these categories, we strongly recommend seeking an evaluation from a qualified provider. Additionally, we encourage you to complete the Epworth Sleepiness Scale for a comprehensive assessment.

To conduct a Mallampati Score self-evaluation:

  1. Stand before a mirror.
  2. Open your mouth wide and extend your tongue, as if saying “ahh.”
  3. Observe the back of your mouth. Can you spot your uvula? Is your airway visible? If you fall into Class III or IV, don’t forget to complete the Epworth Sleepiness Scale as well. A score greater than 9 on the ESS warrants a visit to a board-certified sleep physician or a reputable dentist specializing in sleep-disordered breathing.

Remember, your journey towards optimal sleep begins with understanding your Mallampati Score. Take charge of your well-being and embark on the path to restful nights and rejuvenating slumber.

Next Article: Part 10-A Customized and Comprehensive Approach to Dental Treatment

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           Ellicott City, MD 21042

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