Airway Therapy - Brooklyn, NYC
Personalized Airway Therapy for Better Sleep
Living with sleep apnea, loud snoring, or chronic fatigue can take a toll on your quality of life. If you’re tired of restless nights, worn-out mornings, and overwhelmed by CPAP intolerance, we offer advanced airway solutions in Brooklyn, NY, that go beyond symptom management, targeting the underlying structural causes of poor airflow.
At Always Beautiful Smile, Dr. Margarita Degtyareva provides customized airway therapy using Vivos® Airway Therapy, MARPE (Miniscrew-Assisted Rapid Palatal Expansion), and MSE (Maxillary Skeletal Expansion). These therapies help improve airway space and breathing through dental and skeletal changes, often reducing or eliminating obstructive sleep apnea symptoms without lifelong reliance on CPAP machines.
Vivos is a patented oral appliance system designed to reshape and expand the airway over time by addressing jaw and palate structure. It’s tailored for patients with mild to severe obstructive sleep apnea (OSA) and is FDA 510(k) cleared for this use. Vivos works by encouraging healthy development and alignment of craniofacial structures to reduce airway collapse during sleep. The Benefits include:
MARPE is an advanced palatal expansion method that uses mini-implants to widen the upper jaw (maxilla) and nasal airway. Unlike traditional expanders that rely on tooth movements, MARPE’s skeletal anchorage allows for predictable expansion, even in adult patients whose palatal sutures have fused.
Why MARPE Matters:
MSE is a specific type of palatal expander that also uses mini-implant anchorage, but it’s bone-borne, designed to provide stronger, more efficient expansion through the palatal bone itself. This method often achieves faster and more comprehensive skeletal changes compared to traditional MARPE, especially in adult patients.
MSE and MARPE both aim to widen the maxilla and increase airway space. Still, their mechanics differ, with MSE typically facilitating greater skeletal changes and potentially quicker results in selected patients.
Narrow jaws, underdeveloped palates, and airway restrictions can contribute to airway collapse during sleep, a common anatomical factor in obstructive sleep apnea and snoring. Vivos, MARPE, and MSE address these structural limitations by:
Instead of just masking symptoms, these approaches work toward lasting anatomical improvement. Each option is customized to your dental and airway anatomy, sleep symptoms, and treatment goals.
You might be a candidate for Vivos, MARPE, or MSE if you:
Vivos, MARPE, and MSE are all airway-focused treatments designed to improve breathing and reduce symptoms of sleep-disordered breathing, including sleep apnea.
Dr. Degtyareva will determine which option, or combination of options, is best for you based on your anatomy and sleep concerns.
Yes. Vivos, MARPE, and MSE are commonly used to help manage obstructive sleep apnea by addressing one of its root causes: a narrow or restricted airway. By expanding the upper jaw and increasing airway space, many patients experience reduced snoring, improved breathing, and better sleep quality. These therapies may also reduce dependence on CPAP for certain patients.
No. Unlike traditional palatal expanders, MARPE and MSE are specifically designed to work in both adults and adolescents. Because these systems are anchored with mini-implants, they can successfully expand the upper jaw even after growth has stopped, often without the need for surgical intervention.
Treatment length varies depending on the therapy used and your individual anatomy.
Your provider will outline a personalized treatment timeline during your consultation.
For many patients, yes. While CPAP remains an effective treatment for sleep apnea, not everyone tolerates it well. Airway therapy focuses on improving airway structure rather than relying on nightly equipment. Some patients can significantly reduce symptoms or eliminate the need for CPAP, while others may use airway therapy in conjunction with CPAP for improved comfort and effectiveness.
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