For Physicians: Referring Patients

“We recommend that sleep physicians consider prescription of oral appliances, rather than no treatment, for adult patients with obstructive sleep apnea who are intolerant of CPAP therapy or prefer alternate therapy”

Statement by the American Academy of Sleep Medicine

For full article and statement see AASM Practice Parameters Guidelines for treating OSA with OAT

Dr. Vandervelden | Sleep Apnea Treatment | Zeeland, MI

My name is Dr. Vandervelden and I am a dentist in Zeeland, Michigan. I partner with board-certified sleep physicians to diagnose, treat, and manage obstructive sleep apnea using customized oral appliance therapy, CPAP, or both. I also treat patients with snoring or CPAP intolerance and/or non-compliance. Custom oral appliance therapy is an alternative to CPAP or can be used with CPAP for more effective treatment. I have been trained and certified by the American Academy of Dental Sleep Medicine to provide custom oral appliance therapy to treat obstructive sleep apnea. I have successfully used custom oral appliance therapy to treat many patients with obstructive sleep apnea at my practice. In short, a custom oral appliance positions the lower jaw forward which opens the airway, thereby preventing obstructed breathing during sleep. Oral appliance therapy is recommended by the American Academy of Sleep Medicine for treating mild to moderate obstructive sleep apnea and for patients who cannot tolerate CPAP. Most patients strongly prefer a custom oral appliance over CPAP. The American Academy of Sleep Medicine’s study on the efficacy of custom oral appliance therapy concluded that therapeutically, custom oral appliance therapy is comparable with CPAP in many cases, in part because adherence is so high. Custom oral appliance therapy is covered by medical insurance including Medicare. I work with all medical insurances and I am a Medicare provider. All associated costs of therapy are discussed upfront with the patient.

I would be happy to evaluate all of your patients who you suspect have sleep apnea so they don’t miss out on this great alternative to CPAP. If it is determined the patient is not a candidate for custom oral appliance therapy but needs a CPAP, my partnering sleep physicians can order and manage CPAP for your patient. Consider referring to my practice for screening, testing, diagnosing, treating, and managing obstructive sleep apnea.

Below you will find a referral form to my practice, literature about custom oral appliance therapy, and patient information handouts that you may print and give to your patients.

If you have any questions about custom oral appliance therapy, my process, or would like additional resources, please do not hesitate to call me at my practice at 616-741- 9035. We can set up a lunch meeting, phone call, or make other arrangements that are convenient for you. My sleep practice, West Michigan CPAP Alternatives, is located inside my dental practice, KV Family Dental in Zeeland, Michigan.

Thank you,

Dr. Vandervelden, DMD

Oral Appliance Handouts

Custom Oral Appliances Fact Sheet AADSM

Myths of Custom Oral Appliances Debunked AADSM

Custom Oral Appliance Evidence Brief AADSM

Referral Form
Sleep Referral Form | Sleep Apnea Treatment | Dr. Vandervelden | Zeeland, MI
Patient Handouts

Benefits of treating OSA/Harms of untreated OSA

References for patient handout- Benefits of treating OSA/Harms of untreated OSA

Literature and Practice Guidelines for Custom Oral Appliance Therapy

Below are references to literature related to custom oral appliance therapy.
Conceptual Comparison of CPAP and MAD | Sleep Apnea Treatment | Dr. Vandervelden | Zeeland, MI

MAD: Mandibular Advancement Device, also known as Custom Oral Appliance.
Reference: Chan, Andrew SL a,b; Cistulli, Peter A a,b. Current Opinion in Pulmonary Medicine: November 2009 – Volume 15 – Issue 6 – p 591-596

Different Oral Appliance Options | Sleep Apnea Treatment | Dr. Vandervelden | Zeeland, MI

There are several different mechanism designs and material selections that can be utilized to fabricate a custom oral appliance. Dr. Vandervelden has experience with all of these appliance mechanisms and will select the best option for your patient’s needs.

AASM-AADSM Practice Parameters for Treating Obstructive Sleep Apnea and Snoring with Custom Oral Appliance Therapy.
Summary page: 2015 AASM-AADSM Dental Sleep Practice Parameters Summary.pdf

The full article below is a clinical practice guideline for the treatment of obstructive sleep apnea and includes a systematic review; for a summary of findings, scroll down to page 794 until the end.
Full Article: AASM Practice Parameters Guidelines for Treating OSA with OAT.pdf
For further reading, click here.

Below is PDF providing a summary of pertinent comparisons between custom oral appliance therapy vs CPAP from above Meta-Analyses.
Custom Oral Appliance Therapy VS CPAP Summary.pdf

Study showing dilation of the upper airway and improvement in airflow while using oral appliance vs no oral appliance.
Physiologic and Geometric Effects of Upper Airway Air Flow With and Without Oral Appliance.pdf
For further reading, click here.

Statement from American Thoracic Society Statement on the importance of sleep health.
American Thoracic Society Statement on the Importance of Sleep Health.pdf

Journal of Thoracic Disease update on custom oral appliance therapy, click here.

Study showing no difference in temporomandibular side effects with oral appliance therapy vs CPAP.
Oral Appliance Therapy VS CPAP Looking at TMD Side Effects.pdf