Dentist San Mateo

Sleep Apnea Solutions

Sleep Apnea Solutions San Mateo

Sleep Apnea San Mateo | Fiori Dental San Mateo

What Is Sleep Apnea?

These terms describe parts of the continuum of airway collapsibility expressed as sleep-disordered breathing. This spectrum ranges from slight vibration of tissues at its mildest to death from asphyxiation at its severe extreme. Between lies pathologic snoring and periods of complete airway closure and breathing cessation called “apnea”.

Some of the most serious chronic diseases of man have been associated with snoring and sleep apnea, including: stroke, hypertension (high blood pressure), myocardial infarction (heart attack), arteriosclerosis (hardening of the arteries), cardiac arrhythmias (irregular pulse), diabetes, gastro-esophageal reflux disorder (GERD), polycythemia vera (thickening of the blood) and others.

Sleep disordered breathing also disrupts the normal patterns of brain activity and relaxation, precluding restorative sleep. Overwhelming daytime sleepiness contributes to the risk of accident and injury from decreased attention span, judgment and reflex. The risk of automobile accident in the untreated sleep apnea patient is about 8 times that of the normal sleeper. Work productivity and safety suffer.

During the increasing muscular relaxation of deepening sleep, the airway can become increasingly flaccid. The relaxing tongue falls back, sealing against the back of the throat during the sucking, negative pressure of the attempt to take a breath. Snoring is the vibration of the uvula, soft palate and throat walls against the tongue during the inspiratory phase of breathing, with reduced airflow due to increased resistance. As collapsibility increases, complete closure can occur.

In either narrowing (hypopnea) or closing (apnea) events, oxygen levels of the blood can drop precipitously triggering a response of the brain to prevent asphyxia. This “sympathetic discharge” of adrenaline, corticosteroids and other agents raise blood pressure, pulse rate, muscle activity and brain activity to protect the unconscious sleeper from death.

The sleep apnea patient may have these events occur up to 600 times or more per night resulting in fragmented, non-refreshing sleep as well as chronic activation of the sympathetic nervous system. This activation is thought to be the reason for such devastating long-term negative effects on cardio-pulmonary health. Untreated for nine years, sleep apnea patients may lose 20-50% of lifespan.

The main types of sleep apnea are:

  • Obstructive sleep apnea, the more common form that occurs when throat muscles relax.

  • Central sleep apnea, which occurs when your brain doesn’t send proper signals to the muscles that control breathing.

  • Complex sleep apnea syndrome, also known as treatment-emergent central sleep apnea, occurs when someone has both obstructive sleep apnea and central sleep apnea.



If you think you might have any form of sleep apnea, contact San Mateo Dentists Dr. Anthony and Dr. Jane Ferrera today. Treatment can ease your symptoms and may help prevent heart problems and other complications.

Oral Appliance Therapy

Oral appliance therapy is an effective treatment option for snoring and obstructive sleep apnea (OSA). A custom-fit oral sleep appliance can improve your sleep, restore your alertness and revitalize your health.


1. How common is this disorder?

Recent research estimates that about 1/3 of the population has some form of sleep disordered breathing which is a spectrum of severity from mild snoring to complete closures of the airway (obstructive sleep apnea) to death from asphyxiation.

17% of the population has obstructive sleep apnea, and in the age groups over 60 years, the occurrence rate doubles. Sleep apnea is made worse with increasing body weight. As the obesity rates are rising in the United States, so is the incidence and severity of Obstructive Sleep Apnea (OSA)


2. How would I know if I have OSA?

Several peer-reviewed research articles have examined the relationship between patient medical history and sleep testing for the presence of OSA.

If you answer “yes” to two questions:

A. “Do you snore regularly?” and

B. “Do you sometimes gasp for air?”

there is an 88% chance of accurately diagnosing OSA at a severity level of 10 collapses per hour. This is significant and requires treatment.

Adjusted Neck Circumference Survey for OSA

New England Journal of Medicine 347:498-504, 2002

The adjusted neck circumference survey uses 4 predictors of OSA to screen patients for the likelihood and possible severity of the disorder.


1. Neck circumference in cm
(2.5 X inches)

2. History of high blood pressure
(treated or not) ADD 4

3. Snoring ADD 3

4. Gasping or choking in sleep
(observed or awakened) ADD 3







Probability of Obstructive Sleep Apnea

Less than 44 = LOW

44 – 48 = MODERATE

Greater than 49 = HIGH

3. How do I get treatment for OSA?

Any practitioner treating OSA should do so by practice parameters established by the American Academy of Sleep Medicine (AASM). To be in compliance, patients must be diagnosed by polysomnography (PSG) which is an overnight sleep test at a sleep laboratory. 16 channels of physiology are studied including brain function and cardio-pulmonary status.

A. Get an evaluation appointment with Drs. Anthony and Jane Ferrera. Referrals for diagnostic sleep testing can be obtained at that visit if you have not been tested. If you have been tested and are looking for treatment, Drs. Anthony and Jane Ferrera will be able to make sure that you are fully informed of all treatment options available.

B. If you select oral appliance therapy, Drs. Anthony and Jane Ferrera will provide standardized care with proper informed consent, proper follow up therapy and objective measurement of results in accordance with AASM standards of care.


4. Will my insurance cover this therapy?

It is very likely that your medical insurance carrier will cover oral appliance therapy for you. Drs. Anthony and Jane Ferrera can offer a complete insurance assessment at the initial visit. This assessment, prior to accepting any therapy virtually eliminates patient uncertainty over any financial obligations. Please contact Drs. Anthony and Jane Ferrera for complete details.


About Oral Appliance Therapy

Worn only during sleep, an oral appliance fits like a sports mouth guard or an orthodontic retainer. It supports the jaw in a forward position to help maintain an open upper airway. Research shows that oral appliance therapy is an effective treatment option for snoring and obstructive sleep apnea.

Invisalign Treatment San Mateo

Fiori Dental of San Mateo offers a full range of cosmetic dentistry including professional teeth whitening. Teeth whitening is the #1 requested and performed cosmetic dental procedure. Teeth whitening (sometimes called teeth bleaching) is a procedure that brightens teeth and helps to remove stains and discoloration.

Throughout the day a thin coating of bio film collect on teeth, the bio film can attract stains that can be trapped in the pores of tooth’s enamel.

Teeth whitening by a dental professional is key as cavities need to be treated before teeth are whitened. Cavities are problematic because whitening solution can penetrate the cavity allowing decay to reach inner areas of a tooth. People with good dental health may also use a kit to whiten teeth at home. However, in a single office visit, teeth whiting preformed by a dental professional will produce brighter results that are more consistent in color across all teeth.

Teeth whitening is a cost-effective way to enjoy the benefits of cosmetic dentistry. From our location in San Mateo, we are your fast and knowledgeable source to provide you with bright, sparkling smiles.

Breathe Easy Again

Respire Medical Sleep Apnea Solutions

Custom oral devices for the treatment  of Snoring, Obstructive Sleep Apnea and TMJ

Obstructive sleep apnea (OSA) is a serious and potentially life threatening disease. At Respire, we have developed a range of oral sleep devices designed to assist patients in the treatment of this condition.

When selecting an oral sleep device we believe that one design is not suitable for all patients needs. At Respire we have developed a range of products designed to meet these requirements. Each recognizable device has a different function, and each with a different color.

To learn more about Fiori Dental or to schedule an dental appointment, please call San Mateo Dentists Drs Anthony and Jane Ferrera Today 650-348-2844!

San Mateo Dentists
Drs. Anthony and Jane Ferrera

341 N San Mateo Dr. #1
San Mateo, CA 95409

Call 650-348-2844

New Patient Welcome Center

Frank V.
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Dr. Anthony Ferrera, DDS is the one dentist everyone should see! He takes time to fix any dental issues you may have with nothing but the latest techniques, technology, and skill. Thanks so much!
Marcy M.
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The office is in a great location and staff is friendly and knowledgeable. Dr. Ferrera does excellent work and the only person I trust with my smile.Her and her team help you feel comfortable and at ease. Very clean office and the staff are so professional and very nice people. Great customer service. I’m in great hands.
Jennifer M.
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First time back to the dentist in over 10 years. Friends recommended Dr. Anthony and Dr Jane and they didn’t steer me wrong. The office is bright and open, the staff friendly, welcoming, and informative. Quickly I got a great plan for treating what needed done (a filling, cleaning, X-rays) and the team was happy to help schedule and work with my insurance. I’ve recommended my husband change dentists and see Drs Ferrera as well. You know it’s a great spot when you leave smiling :). Highly recommend Fiori Dental!