About Pain & Sleep

If falling asleep is a battle and waking up feeling refreshed is rare, you are far from alone. However, just because this condition is common does not mean you just have to live with it. If your sleep struggles are chronic, it is time to seek help.

For many adults who struggle with sleep, it isn’t sleep itself that is the issue, but pain or breathing troubles.

Luckily, we offer treatment options that address both causes. No matter why you are struggling with sleep, our Cleveland practice will be able to help you.

TREATMENT INFORMATION & SERVICES

TREATMENT INFORMATION & SERVICES

Assistance with craniofacial pain—head and facial pain—primary headaches, TMJ pain, and sleep breathing disorders (snoring and sleep apnea)

Here at TMJ & Sleep Therapy Centre of Cleveland, patients are given the chance to improve their lives with the assistance of innovative treatments that do not require surgery. We are able to meet the needs of patients of any age, from small children to older adults.

At our clinic, treatment isn’t just managing symptoms. We seek out the underlying cause of the problems a patient struggles with and address it. Patients get more than temporary relief, living without pain and getting restful sleep on a nightly basis.

This means we deliver targeted treatment, ensuring we miss nothing. Every patient is given a treatment plan tailored to their needs, delivering exactly the care they require—nothing extra, nothing lacking. From physical therapy to CPAP alternatives, we are confident we offer the treatment you need.

 

Services for Adult Patients

Comprehensive Evaluation for Primary and Secondary Diagnoses
  • Hard and soft tissue evaluation
  • Range of motion evaluation
  • Skeletal structure evaluation
  • Oral airway evaluation
  • Muscle, tendon, ligament palpations
  • Directed Imaging / Radiographs
  • Neurological testing
  • Volumetric analysis of airway
Patient Specific Treatment Plans for: Rehabilitation for craniofacial pain (TMJ, head, face and neck pain) utilizing:
  • Orthopedic appliance therapy
  • Nutritional counseling
  • Physical medicine / laser therapy

Services for Children

Comprehensive Evaluation for Primary and Secondary Diagnoses
  • Hard and soft tissue evaluation
  • Range of motion evaluation
  • Skeletal structure evaluation
  • Oral airway evaluation
  • Muscle, tendon, ligament palpations
  • Directed Imaging / Radiographs
  • Neurological testing
  • Volumetric analysis of airway
Patient Specific Treatment Plans for: Skeletal development for proper function, pain relief and proper breathing (treating pediatric OSA) utilizing:
  • Orthopedic Orthodontics
  • Nutritional Counseling
  • Physical medicine
  For Cleveland residents, effective solutions to craniofacial pain and sleep disorders are accessible. Just contact the TMJ & Sleep Therapy Centre of Cleveland

SLEEP RELATED BREATHING DISORDER

Sleep Related Breathing Disorders

When someone suffers from a sleep-related breathing disorder, their quality of life is diminished. What many do not know, however, is that people with these disorders may not realize they have them. It is common for patients to think they just snore a little too loud or to feel fatigued on a regular basis without understanding why.

Oftentimes, the first step in getting treatment is just realizing that these symptoms could indicate something much bigger.

One of the most common sleep-related breathing disorders we treat is obstructive sleep apnea (OSA). With this disorder, the airway is obstructed at times during sleep. This obstruction tends to be in the soft palate to the base of the tongue, where no rigid structures are located to force the airway to stay open.

OSA is a misunderstood condition. Many believe it to only be an issue impacting older adults and those who are overweight. While excess weight and advanced age can make someone more likely to develop OSA, people off all ages and sizes can suffer from the condition—including infants.

In fact, it is common for children who are diagnosed with behavior disorders to actually be suffering from OSA. Enlarged tonsils and small structural features of the maxilla/nose, mouth and throat may contribute to childhood OSA. Once treated, conditions such as ADHD improve, or are even eliminated.

OSA is not a condition that can be diagnosed or treated at home, no matter the age of the patient. OSA is a life-threatening disorder. Patients with suspected sleep apnea must undergo a study to determine if they indeed have the disorder, and if so, what type it is. If it is obstructive, we can offer help. We are happy to help our patients schedule their sleep study to get the answers they need.

Sleep Services

Here at TMJ & Sleep Therapy Centre of Cleveland, we provide a service known as dental sleep medicine. If you have never heard of this before, don’t worry—our practice is pretty unique. In essence, dental sleep medicine is the management of diagnosed sleep-related breathing disorders using appliance therapy for adults and orthopedic orthodontics for airway development and correction in children.

Adults

Once an adult patient has a diagnosis, we take the diagnosis and craft a comprehensive treatment plan that addresses the underlying cause and manages the symptoms that give the patient discomfort. Our plans can include any number of elements, including behavior and lifestyle changes, Oral Appliance Therapy (OAT) wear Continuous Positive Airway Pressure device (CPAP), and in extreme cases, surgery.

There are more than 100 types of appliances with FDA approval for OSA treatment and we know how to select the best to meet your individual needs. The doctors of TMJ & Sleep Therapy Centre use precision equipment and imaging programs to measure the airway, predict what improvement will look like, and generate customized appliance designs. We also provide ongoing care and monitoring to ensure long-term success.

  • Unexplained daytime sleepiness
  • Restless sleep
  • Loud snoring (with periods of silence followed by gasps)
  • Morning headaches
  • Insomnia
  • Trouble concentrating
  • Mood changes such as irritability, anxiety and depression
  • Forgetfulness
  • Increased heart rate and/or blood pressure
  • Decreased sex drive
  • Unexplained weight gain
  • Changes in urination
  • Frequent heartburn and heavy night sweats
  • Adults who are obese, over the age of 40, and have abnormalities in the anatomy of their upper airway are more likely to develop OSA than others. A family history of the disease, drinking alcohol regularly, smoking, having hypertension, and chronic use of sedatives also put a patient at greater risk.

    Children

    Addressing OSA in children requires specialized training. Adult therapies are not just ineffective on pediatric patients, but can be incredibly dangerous. Therapies such as Continuous Positive Airway Pressure (CPAP) and Oral Appliance Therapy (OAT) have been known to arrest skeletal development of the growing child.

    This is why we offer specialized therapies specifically designed to harness the growth of the child, not cause problems with it. We work to increase the airway volume and address the obstructions we find so that pediatric patients can sleep better now and for the rest of their lives. Pediatric OSA treatment is ideal, as the corrections made can ensure that the condition never returns.

    • Snoring
    • Mouth breathing
    • Restlessness during sleep
    • Sleeping in odd positions
    • Periods of not breathing
    • Teeth grinding
    • Night terrors
    • Mood changes
    • Poor concentration
    • Bed wetting
    • Headaches
    • Frequent infections

    Please keep in mind that children with OSA are often misdiagnosed with other conditions because poor sleep has an effect on the whole child. If your child has been diagnosed with a behavior or learning disorder, get a sleep study to eliminate sleep-breathing disorders as the cause.

    craniofacial pain (tmd/tmj)

    Craniofacial Pain (TMD/TMJ)

    At TMJ & Sleep Therapy Centre of Cleveland, we know just how complex craniofacial pain can be. The manner in which it presents is highly varied, necessitating individualized treatment plans for each patient. A patient may have TMD, migraines, facial neuralgias, musculoskeletal pain, or a combination of any or all of the above.

    TMJ pain is the condition that our patients most frequently turn to us for help with. TMD can cause significant pain affecting much of the craniofacial region. TMJ pain can arise on its own but is usually just one part of a complex series of issues. Some reasons TMJ pain develops are:

    • Car accidents
    • Sports injuries
    • Falls
    • Clenching the teeth
    • Grinding the teeth

    However, a frequent cause of TMD that many overlook is insufficient oxygen intake during sleep. We believe this to be the primary cause of TMJ pain. When the airway is obstructed, the body reacts in specific ways to prevent suffocation. One of these ways is grinding and clenching the teeth. When this action is repeated multiple times a night, the bones and joints can be worn down and damaged, causing pain.

    Craniofacial Pain Services

    The first step is diagnosing the condition causing the craniofacial pain. Once we have that diagnosis, successful treatment is possible. Our treatment plans are customized to the paint, offering different options for adults and children.

    Adults

    Craniofacial Pain Services for Adults:

    • Comprehensive diagnostics
    • Non-surgical treatment plan for rehabilitation
    • Decompression appliance therapy (short term wear of custom orthopedic oral orthotics – not splints)
    • Nutritional counseling
    • Medication and supplement regimens
    • Physical medicine treatment (Laser therapy, trigger points, prolo therapy, phonophoresis)
    • Multi-discipline Referral Coordination

    Adult Symptoms Indicating the Need for Treatment

    • Headaches – recurring or chronic
    • Earache or ear symptoms of stuffiness or ringing
    • Neck Pain or Stiffness
    • Facial Pain
    • Jaw joint sounds – clicking, popping or grating
    • Limited ability to open or close mouth
    • Jaw locking (opened or closed)
    • Sensitive, loose or worn down teeth
    • Pain or soreness in the TM joints
    • Dizziness or Pain or difficulty chewing or swallowing
    • Pain behind the eyes
    • Extreme sensitivity to light

    Children

    Craniofacial Pain Services for Children

    • Comprehensive diagnostics
    • Non-surgical treatment plan for rehabilitation
    • Orthopedic orthodontic development
    • Nutritional counseling
    • Supplement regimens
    • Physical medicine treatment (Laser therapy, phonophoresis)
    • Multi-discipline Referral Coordination
    Pediatric Symptoms Indicating the Need for Treatment
    • Headaches – recurring or chronic
    • Earache or ear symptoms of stuffiness or ringing
    • Neck Pain or Stiffness
    • Facial Pain
    • Jaw joint sounds – clicking, popping or grating
    • Limited ability to open or close mouth
    • Jaw locking (opened or closed)
    • Sensitive, loose or worn down teeth
    • Pain or soreness in the TM joints
    • Dizziness or Pain or difficulty chewing or swallowing
    • Extreme sensitivity to light
    • ADHD
    • Bed wetting

    pediatric osa

    Orthodontics/Orthopedics for Treatment of OSA

    At TMJ & Sleep Therapy Centre of Cleveland, we look at crooked teeth as being more than a simple orthodontic condition. While crooked teeth aren’t uncommon, they can indicate serious problems beyond mere aesthetics. Sometimes, they reveal dysfunctional breathing and improper tongue posture. Every child should be screened for Pediatric Obstructive Sleep Apnea (OSA) according to the American Academy of Pediatrics Guidelines.

    Is Your Child at Risk for OSA?

    TAKE THE BEARS SCREENING TEST
    OSA can only be diagnosed by a medical doctor. Treatment can be handled by a dentist with specialized training in addressing sleep-related breathing disorders. However, the dentist offering treatment must understand how to address problems correctly in pediatric patients, as adult therapies can cause harm to children.
    Signs indicating a need for treatment include:
    • Snoring
    • Mouth breathing
    • Restlessness during sleep
    • Sleeping in odd positions
    • Periods of not breathing
    • Night terrors
    • Mood changes
    • Poor concentration
    • Bed Wetting
    • Headaches
    • Frequent infections