Find comfortable, effective relief from sleep apnea in San Francisco

Find comfortable, effective relief from sleep apnea in San Francisco

According to the Centers for Disease Control and Prevention (CDC), insufficient sleep is a public health epidemic. Lack of sleep has been linked to industrial disasters, motor vehicle wrecks, and other serious occupational errors, such as in the field of medicine. Additionally, insufficient sleep has been linked to serious conditions such as increased mortality, cancer, obesity, depression, diabetes, high blood pressure, lack of productivity, and a reduced quality of life. Insufficient sleep can be caused by a number of things, but sleep disorders such as obstructive sleep apnea play a significant role. Fortunately, people in San Francisco can turn to Dr. Leo Arellano for relief from this extremely serious condition.

What is sleep apnea?

OSA (obstructive sleep apnea) is a condition in which an individual stops breathing while sleeping; there can be hundreds of these episodes per night. These pauses in breathing are known as apneas or apneic events. The word apnea (Gk, a – “absence of” + pnoē – “breathing”) literally means absence of breathing. Absence of airflow for 10 seconds or longer is considered an apneic event.

An apneic event occurs as follows:

  • Air passes through the upper airway (mouth, nose, and throat) on its path to the lungs
  • Normally, the soft tissue in the throat collapses inward during a breath
  • Dilator muscles widen this gap, keeping the airway open by working against the collapse. Abnormalities or interference cause turbulence in the airflow
  • If the throat tissue collapses, and the airway becomes blocked momentarily; an apneic event occurs and breathing pauses
  • The lack of oxygen causes the brain to send out distress signals, and the sleeper, although unaware of it, partially wakens and resumes breathing. This is typically accompanied by sounds of gasping or snorting
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Symptoms and causes

The common symptoms of this disorder include morning headaches and dry mouth, excessive daytime fatigue or sleepiness, irritability, depression, impaired mental function, and loud interrupted snoring. OSA can be caused by a number of conditions including:

  • Weakness or abnormalities in the muscles surrounding the airway
  • Abnormalities in the structure of the airway, face, or skull
  • Enlarged tongue or tonsils
  • Conditions such as acromegaly, retrognathia, or micrognathia
  • Gender, age, ethnicity, family history, obesity, physical characteristics, medical conditions, smoking, and alcohol use also play a role in the occurrence of OSA

A CPAP (Continuous Positive Airflow Pressure) device is commonly prescribed to treat moderate to severe obstructive sleep apnea. This treatment requires the patient to wear a nose mask that delivers a steady stream of air to prevent the airway from collapsing. Although CPAP is effective, patient compliance is low due to discomfort and inconvenience.

A comfortable oral appliance is a comfortable, convenient, effective alternative to CPAP for patients with mild to moderate OSA and for those who cannot tolerate CPAP. At times it can be effective in even severe OSA. There are several different styles of dental devices available, and
Dr. Arellano chooses the appropriate type for the individual situation.

The doctor and his team use their skills, training, and experience to help San Francisco sleep better. Call 415-881-4343 today to schedule a consultation.

Real Patients Real Results

Before and After Photos

Snap-On Smile® as a "quick cosmetic fix" until appropriate treatment can be afforded.

Photo by Dr. Leo Arellano

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What our patients are saying...

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I’ve been going to Dr. Arellano for about 20 years and I continue because of the excellent care and treatment I get with him and his whole office team. He is both professional and personable.
Recently I had a newer technique of gum surgery/grafting at his office called, “Pinhole Surgical Technique of gum grafting.” I personally found this to be much easier to handle than the other style of gum grafting that I received years ago for the other side of my mouth. That worked, it was where part of my roof of my mouth was cut and surgically sewn onto the gum. However, I much prefer the pinhole technique. It was actually the easiest dental work I’ve had (beyond regular cleaning) It didn’t take too long and it didn’t feel uncomfortable getting it done.... More Reviews