Sleep Disorders

It’s not always easy to tell if someone has a sleep disorder, and some symptoms present themselves while a person is sleeping. However, there are some symptoms that occur when a person is awake that can facilitate diagnosis as well.
Symptoms can include:

  • Headaches, especially in the morning
  • Excessive daytime drowsiness
  • Depression
  • Dental changes and/or teeth grinding
  • Diabetes
  • Heartburn and GERD excessive drowsiness during the day (hypersomnia)
  • Not having energy during the day, even after a full night’s sleep
  • difficulty focusing during the day
  • Forgetfulness, frequent mood swings, a reduced interest in sex, are often signs of a lack of sleep.
  • Obesity
  • Waking up with a dry mouth
  • Headaches in the morning

Sleep Apnea

Sleep apnea is a sleep disorder in which a person starts and stops breathing repeatedly. It is the most common sleep-related breathing disorder.

While there are several kinds of sleep apnea, obstructive sleep apnea is the most common form. In obstructive sleep apnea, the throat muscles intermittently relax and block a person’s airway during sleep. Snoring is often, but not always, a sign of obstructive sleep apnea.

How do I know if I have sleep apnea?

The first thing you can do on the road to diagnosis is to take our sleep apnea quiz and make an appointment with our office.


It is estimated that 90 million adults snore in the United States.

While snoring is common and often interrupts partners’ sleep at night, we often accept it just another part of life. However, it can actually signal a serious sleep disorder, such as obstructive sleep apnea which studies have shown can result in sudden death and increased risks of heart attacks.

Simply put, people snore because they have difficulty moving air through the nose and throat. This is because the airway is restricted in some way.

Common causes of snoring can in include:

  • Nasal Polyps,
  • Inflamed Nasal Passages,
  • A Long Soft Palate,
  • Enlarged Tonsils or Lymph Nodes,
  • Poor Muscle Tone in The Nose and Throat,
  • Nasal Deformities, and More.

Many people don’t even realize that they have one of these causes of snoring, or that it can be treated effectively. Depending on your cause of snoring, we will develop a custom-tailored treatment plan for you. This can include interventions such as the use of a custom oral appliance or treatment with the advanced Nightlase laser to tighten the palate.

NightLase® Treatment

Developed in Europe, Nightlase is a fast, non-invasive, non-surgical, laser treatment that increases the quality of your sleep by tightening the soft palette tissues in the throat and mouth, thus improving airflow.

Nightlase can reduce or eliminate snoring and decrease the effects of Sleep Apnea.

Sleep Disorder Treatment

Sleep disorders, including apnea and snoring, can effectively be treated after proper evaluation and treatment by our staff. Every patient is unique, with unique issues, and deserves a unique plan of care. Our staff is committed to providing non-invasive treatment that is best suited for each individual patient who comes to us for help.

The most common treatment for sleep apnea is the use of a CPAP machine. While CPAP machines can be effective for some people, others find them to be highly invasive and intrusive and hat they hinder their ability to fall and stay asleep.

For that reason, many patients are CPAP intolerant.

We have solutions that can alleviate your symptoms by treating the source of the issue – not simply disguising it or covering it up. For patients who cannot use CPAP machines and those with mild or moderate sleep apnea, for example, we might devise a treatment plan that treatment that utilizes a highly advanced TRIOS digital impression scanner to take an impression of your mouth to construct a custom-made appliance, in conjunction with the cold laser therapy, combined with the use of the highly advanced Nightlase laser. These appliances can open the airway during sleep, reposition the jawbone slightly to an ideal resting position, and prevent teeth grinding or clenching.

These treatment appliances can substantially improve a patient’s quality and quantity of sleep, improving their quality of life in the process.

We have found that most of our patients prefer a solution that does not require them to attach a bulky CPAP mask to their face every night when they go to bed.

“We know that the most effective solution for any patient is the one that they are likely to actually use every night.”  Dr. Shab Krish

Your First Appointment with Us

Before your first exam, we’ll have a questionnaire and other forms related to your sleep patterns for you to fill out. This helps us explore any drowsiness or restlessness you might be experiencing. Any input from your bed partner will also be very helpful in identifying symptoms that may be present during your sleep. These might include snoring, gasping, apnea (pauses in breathing) or choking.

We’ll take pictures and measurements of your head, neck, and jaw as well as a three-dimensional 360-degree scan of your head and neck using a technology known as cone-Beam Computed Tomography (CBCT). Dr. Krish will give you a physical examination to look for anything that might be blocking your airway in the back of your mouth and throat, such as enlarged tissue or swollen glands.

Depending on what issues she identifies, Dr. Krish may also recommend other tests, such as a sleep study, either at home or in a sleep lab, to discover more information about what happens as you sleep.