Dental sleep medicine in Munich
As a member practice of the German Society for Dental Sleep Medicine (DGZS), we deal in detail with the diagnosis and therapy of sleep-related respiratory disorders. Our practice in Munich works in an interdisciplinary way with pneumologists, sleep laboratories and physicians for ear, nose and throat medicine (ENT). If there is an indication for a splint for the treatment of the diagnosed sleep disorder (sleep apnoea), a protrusion splint individually manufactured in the laboratory can be inserted by the practitioner after impressions have been taken.
The same splint systems are used to treat simple snoring.
For sleep apnea
Bei einer leicht- bis mittelgradigen Schlafapnoe mit AHI <30 (Apnoe-Hypnoe-Index) kann statt einer CPAP-Maske direkt eine Unterkieferprotrusionsschiene verordnet werden.
In severe sleep apnea with an AHI >30, a mandibular advancement splint can be prescribed instead of a CPAP mask if the patient cannot manage with the CPAP mask.
In principle, a prescription can be made by a sleep physician (usually a lung specialist or ENT). The dentist uses certain criteria (including tooth status) to determine whether a mandibular prosthesis can be fitted before he or she is allowed to make and fit it. In this therapy, the dentist represents the "extended arm" of the sleep physician.
Most private and many statutory health insurance companies now cover the costs of a mandibular protrusion splint for diagnosed sleep apnea if the indication is correct. We will gladly help you with reimbursement questions.
For simple snoring / ronchopathy
If there is only simple snoring and no diagnosed sleep apnea, the same splint systems can be incorporated. If sleep apnoea is suspected, we will be happy to refer you to a suitable specialist for clarification.
In the following some examples of possible protrusion rails. We will be happy to explain the advantages and disadvantages of the individual models to you in more detail in a consultation at our Munich office.
Mandibular protrusion splints are invoiced according to the scale of fees for dentists (GOZ), the costs vary depending on the case and amount to approximately 1400 Euros. If the health insurance companies do not cover or subsidize the treatment, the costs must be borne by the patient. For example, simple snoring without a diagnosed sleep apnea.