How we work

At Custom Sleep Solutions we believe in flexible delivery of health care.

We incorporate a combination of telehealth and in person consultations to provide a custom made oral appliance to help you wake feeling refreshed and ready to start your day.

Over the past 20 years there have been a number of studies confirming the effectiveness of oral appliances to treat snoring and mild to moderate obstructive sleep apnoea.  The Australasian Sleep Association(ASA)(1,2), the American Academy of Sleep Medicine(AASM)(3) and Australian College of General Practitioners (ACGPs)(4) recommended oral appliances as first line treatment of snoring, mild to moderate obstructive sleep apnoea and for those individuals who have either failed or cannot tolerate CPAP. The most common type of oral appliance is known as a mandibular advancement splint (MAS).

Many studies have found that oral appliances provide comparable cardiovascular health outcomes to CPAP(5).

How we work

At Custom Sleep Solutions we believe in flexible delivery of health care.

We incorporate a combination of telehealth and in person consultations to provide a custom made oral appliance to help you wake feeling refreshed and ready to start your day.

Over the past 20 years there have been a number of studies confirming the effectiveness of oral appliances to treat snoring and mild to moderate obstructive sleep apnoea.  Both the Australasian Sleep Association(ASA)1,2 and the American Academy of Sleep Medicine(AASM)3 recommended oral appliances for the treatment of snoring, mild to moderate obstructive sleep apnoea and for those individuals who have either failed or cannot tolerate CPAP. The most common type of oral appliance is known as a mandibular advancement splint (MAS) or mandibular advancement device (MAD).


Our Process

At Custom Sleep Solutions we understand your time is valuable, so we use a combination of telehealth and in person consultations to optimise treatment timings while maintaining our high standards.

Our process involves the following consultations:


1. Telehealth - Initial 30 minute consultation.

  • Review of your symptoms and diagnosis (as per your medical specialist/ general practitioner)
  • Explain the rationale of oral appliance treatment based on your individual diagnosis.
  • Review of dental screening radiographs (referral for imaging will be e-mailed to you prior to appointment)
  • Discuss the different oral appliance options available.
  • Collaborate with you to pre-select the right oral appliance for your needs (design will require confirmation after clinical examination of oral structures).
  • Confirmation of treatment plan including item numbers and cost of appliance (quote will be e-mailed to you prior to appointment)
  • Appointment booked for in-person record taking.


2. In person 30-45 minute consultation.

  • Oral, airway and jaw examination to ensure an oral appliance is suitable for you.
  • Confirm oral appliance design.
  • Digital scan and measurement of your jaw position to take a record of your teeth. These will be sent to the dental laboratory to fabricate a custom fit oral appliance. Allow 4-5 weeks for your oral appliance to be manufactured. 


3. In person 30 minute visit to collect your oral appliance

  • Fit and adjust of your custom oral appliance.
  • Detailed information and education about the use, care and adjustment of your oral appliance.


4. Reviews - combination of telehealth and in person consultations

    Time frame and type of review may vary however usually:

  • One week - telehealth/phone review to check in and troubleshoot any issues.
  • Three - four weeks - In person consultation to review and adjust appliance with guidance on further adjustments required.
  • Two - three months - Telehealth or in person review to finalise appliance position. Report sent to your referring medical specialist/general practitioner.


5. Regular annual in person reviews.

    12 monthly reviews are recommended to:

  • Check your appliance for warranty purposes.
  • Monitor for any tooth movement or bite changes and troubleshoot any issues.


    References:

1.  ASA position paper - The use of oral appliances in the treatment of snoring and obstructive sleep apnoea.

     https://www.sleep.org.au/common/Uploaded%20files/Public%20Files/ASA%20Membership/Guidelines/OA%20Position%20paper.pdf

2. Sarkis et al (2023). ASA position paper - Consensus and evidence based treatment for primary snoring

                 https://onlinelibrary.wiley.com/doi/10.1111/resp.14443

3. Ramar et al. Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance - Therapy: An Update for  2015.

    https://jcsm.aasm.org/doi/10.5664/jcsm.4858

4. Ellender et al (2024). Management of obstructive sleep apnoea in primary care. Australian Journal of General Practice. 53(6) 363-369

    https://doi: 10.31128/AJGP-08-23-6933

5. Treatment of OSA and its Impact on Cardiovascular Disease, Part 2: JACC State-of-the-Art Review

     https://doi.org/10.1016/j.jacc.2024.07.024


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