Dental Sleep Medicine: Comfortable CPAP Alternatives for Sleep Apnea: Sleep Apnea Treatment Testimonials.

Dr. Shapira Chicago, Highland Park, Lake Bluff, Lake Forest, Sleep, Uncategorized 0 Comments

Sleep Apnea is a dangerous disorder with multiple medical problems associated with untreated Sleep Apnea.

There are many methods used to treat sleep apnea. The standard medical treatment is CPAP or versions of CPAP called BiPAP and APAP.

CPAP in any of it’s forms is very effective. Unfortunately, CPAP fails the majority of patients due to non-compliance, or minimal compliance.

25% of patients use their CPAP and love it but 75% of patients fail to properly treat their sleep apnea due to not using it or using it for too short a period of time.

CPAP Alternatives include comfortable oral appliances to treat sleep apnea. There are currently over 120 different appliances available. They are considered a first line treatment for mild to moderate sleep apnea and a second line approach for severe sleep apnea when patients refuse CPAP or cannot tolerate CPAP.  See the patient Oral Appliance Testimonials at the end of this post.

Oral Appliances are also used by patients who like their CPAP but do not take it with them when they travel. Severe apnea puts patients at risk for heart attacks and strokes , especially in the early morning. Traveling without CPAP can be dangerous. Patients who only wear their CPAP for an hour or two at night are also at high risk for heart attacks and strokes.

Colin Sullivan who invented CPAP uses an oral appliance. I have many physicians as patients who also prefer an oral appliance to CPAP.

Some patients are not good candidates for Oral Appliances due to severity. In most cases these patients are obese to morbidly obese. They are often good candidates for combination therapy which tuilized an oral appliance and CPAP. Some oral appliances are designed to increase the comfort of the nasal CPAP.

Combination therapy can also be an oral appliance and a night time positioner to keep patients off their back where sleep apnea is usually more severe.

Oral appliance therapy is NOT indicated for patients with primarily Central Sleep Apnea but mays ill be used to increase comfort of the masks.

You have every reason in the world to hate CPAP

Dr. Shapira Blog 0 Comments

CPAP is life saving technology for people with obstructive sleep apnea.  Unfortunately, the majority of patients do not tolerate CPAP and often go untreated.  Dental Sleep Medicine offers a comfortable, safe and effective alternative to CPAP.  Dr Shapira is a pioneer in the use of oral appliances to treat CPAP with over 30 years experience.

Ira Shapira has been utilizing physiologic dentistry for over 30 years to treat TMJ disorders, headaches, migraines and sinus pain. Dr. Shapira is a dentist whose philosophy of care leads to more than just a pretty smile. Cosmetic dentistry is one of his specialties, but more and more his practice has come to focus on the tremendous health benefits that can come from a smile that blends form and function. The founder of, a nationwide network of dentists dedicated to educating patients about the dangers of sleep apnea and the treatment options available, he says, “I often joke that I was a quack for 25 years when I was one of the few dentists in the world treating sleep apnea and I woke one day to find I was the expert.

His interest in sleep apnea treatment began with his son’s treatment for the condition.  “I was told my 5 year old son had ADHD could not start kindergarten and needed to be on Ritalin for life.  I said I don’t think so.  He had a sleep study and had severe apnea which was treated with tonsilectomy and orthodontic.  Turns out his drug of choice was OXYGEN not Ritalin.  He graduated magna cum Laude  double major, double minr.  All he needed was good sleep!”   Following this experience he became a visiting Asst Profesor at Rush Medical School’s Sleep Disorder Center where he did research on jaw position and sleep apnea in the 1980’s long before most ohysicians or dentists even knew what sleep apnea was.  He felt that people needed to learn about sleep apnea, and he decided there should be more treatment options available. This intensely personal origin to his interest in sleep apnea is responsible for his treatment attitude: “I like to think of my patients as though they were members of my family. I want them to have the quality of care they can appreciate and that I would expect for myself or my family.”

The same spirit has inspired him to found, a website that can help people get in touch with local physiologic  dentists who can resolve the most common form of headaches: tension headaches.  These headaches are related to TMJ disorders and to Myofascial Pain and Dysfunction (MPD)…