Sleep Solutions

Available at Stillwater Dental in Bend, OR

Sleep disorders are a multifactorial, whole-body connection that takes investigative work to find the root cause. Stillwater Dental takes the time to listen to patients and collaborate with other providers to devise a thorough, (w)holistic plan for our patients. We believe that it takes a team approach to give you the best care possible.

Sleep Solution Services

Stillwater Dental is the only dental facility in Central Oregon recognized by the American Academy of Dental Sleep Medicine as a qualified clinician to treat the following conditions:

Sleep apnea is the cessation of breathing during sleep and is a common problem that affects both adults and children. In the long term, chronic sleep deprivation may lead to a host of health problems including high blood pressure, obesity, diabetes, cardiovascular disease, and even early mortality.

Symptoms of Sleep Apnea Include:

  • Headaches
  • Poor Concentration
  • Loss of Libido
  • Tiredness of waking
  • Daytime sleepiness
  • Difficulty waking up in the morning
  • Poor performance in school, on the job, or in sports
  • Increased clumsiness
  • Falling asleep during work or class

Commonly referred to as a Tongue or Lip Tie Release is a liberation of the tongue or lip from anatomical restrictions that prevent proper nasal breathing, speech and can contribute to a myriad of other health issues.

Frenuloplasty Procedure

Frenectomy or Frenuloplasty, is a relatively minor surgical procedure performed to loosen or remove overly large, tight, or poorly positioned band(s) of tissue that are present inside the mouth, connected to the lip, cheeks or floor of the mouth (frenum.) Once the tissue has been removed, the wound will typically be sutured. Frenuloplasty is a quick procedure, generally taking less than 45 minutes, and is often performed with just local anesthesia in adults.

Orofacial Myofunctional Disorders (OMDs) affect the functions and muscles of the mouth and face. OMDs include problems breastfeeding, stunted facial skeletal growth and development, disordered chewing, swallowing, speech impediments, malocclusion, temporomandibular joint movement/disorders, poor oral hygiene, the stability of orthodontic treatment, facial esthetics, and more.

May Benefit those Who Suffer From

  • Headaches
  • Gastroesophageal reflux disease (GERD) or heartburn
  • Temporomandibular joint (TMJ) pain
  • Neck pain
  • Thumb sucking
  • Nail-biting

Oral appliance therapy is an effective treatment option for snoring and obstructive sleep apnea (OSA). Worn only during sleep, an oral appliance fits like a sports mouthguard 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.

Advantages of Oral Appliance Therapy

If you and your doctor decide that oral appliance therapy is the best treatment option for you, then your doctor will write a prescription for you to receive a custom-made oral appliance. You also will receive a referral to a qualified dentist who can provide oral appliance therapy. Oral appliance therapy is covered by many medical insurance plans.

Central Oregon’s Resident Expert

Stillwater Dental works with all the myofunctional therapists in Bend. Dr. Miller is the only Diplomat by the American Academy of Dental Sleep Medicine in Central Oregon using the latest technology for Oral appliance therapy. She completed a residency in Dental Sleep Medicine at UCLA in 2014 and continues to do hundreds of hours in continuing education to provide optimal care. Her training and observation came from Dr. Soroush Zaghi, MD at The Breathe Institute in Los Angeles, Dr. Bobbi Ghaheri, MD ENT in Portland, Dr. Audrey Yoon DMD, Stanford, Dr. Derick Nordstrom DMD, inventor of ALF and many more national and worldwide. Now, Dr. Miller hosts local lectures to physicians in Central Oregon on the topics of sleep-disordered breathing.

2019 Trainings

November 2019- 20 hours: AADSM Mastery III course
September 2019- 7 hours: Untying Anklyogrossia Dr. Bobbi Ghahari
​September 2019- 20 hours: AADSM Mastery II course
July 2019- 25 hours: AADSM Mastery I course
Sept 2018 – June 2019- 16 hours: Bend Chapter of Spears Study Club
March 2019- 8 hours: ADA Pediatric Airway Symposium
March 2019- 16 hours: Spear Seminar: Dr. Jeffery Rouse: Airway Prosthodontic
Feb 2019- 8 hours: The Breathe Institute: Dr. Soroush Zaghi: Functional Approach to Frenuloplasty
Jan 2019- 16 hours: The Healthy Start: Dr. Jill Ombremo:
Jan 2019- 16 hours: Advanced light functions: Dr. Derrik Nordstrom

2018 Trainings

Oct 2018- 4 hours: Shadowing Dr. Bobbi Ghahari
Oct 2018- 4 hours: Shadow Dr. Art Parker
June 2018- 24 hours: The Healthy Start: Clinical Application: Dr. Earl Bergersen

2013 - 2017 Trainings

June 2017- 23 hours: AADSM Dental Sleep Medicine Conference- Boston
Jan 2016- 16 hours: One and One training with Dr Dennis Bailey- Author and director of UCLA Dental Sleep Medicine
Jan 2016- 16 hours: AADSM Advanced Sleep Medicine Conference
March 2015-8 hours: Advanced Sleep Medicine Study Club- AADSM
Jan- Jun 2014: 60 hours: UCLA Sleep medicine for the Dentist
Jan 2013- 16 hours: Sleep Group Solutions: Obstructive sleep apnea course

Adult Sleep Solutions

In many instances, a sleep disorder develops in response to late jaw growth, over crowded teeth, or other reasons, such as tooth loss. The good news is that treatments for adult patients are typically efficient! Dr. Miller’s training and expertise gives her the tools to treat adults faster and with less noticeable appliances. We understand the nuances of working with fully-developed gum, bone, and joint structures in adults.

Treatment Options

  • Adult orthodontic treatment: healthy teeth can be moved at any age, so there is no such thing as being too old for braces. However, adult jaws are no longer growing, so the orthodontic treatment plans will vary.
  • Surgical cases and airway treatment: many sleep and airway-related issues stem from underlying discrepancies in the jaws. When your jaw is in the right place you will breathe better, sleep better, and experience a higher quality of life.
  • Non-surgical alternatives: if you would prefer to avoid jaw surgery, Dr. Miller offers multiple modern ways to align the teeth, such as myofunctional therapy.

Pediatric Sleep Solutions

Normal skeletal and dental growth of the face and jaws depends on even pressure from the lips and cheeks on the outside, and from the tongue on the inside of the mouth. Children with a nasal obstruction such as asthma, allergies, deviated septum, and large tonsils and adenoids are forced to breathe through their mouths. Chronic mouth breathing in growing children alters the way their upper and lower jaws form. Such abnormal growth patterns in the jaws may necessitate surgical correction if not diagnosed and treated early. If caught and treated early, we have the ability to alter the growth trajectory and make tremendous positive changes.

Signs to look for in growing children

  • Did your child have difficulty with breastfeeding?
  • Does your child struggle with “s” and/or “r” sounds?
  • Can your child put their tongue to the roof of their mouth comfortably?
  • Have you heard your child snore?
  • Have you heard your child stop breathing?
  • Have you heard your child grind his or her teeth?
  • Does your child toss and turn through the night?
  • Is there a history of bedwetting?
  • Do you observe daytime sleepiness?
  • Do you observe hyperactivity and/or an inability to pay attention to tasks?

If you answered yes to a majority of those questions…

Schedule an appointment for your child at Stillwater Dental for an examination. Dr. Miller will provide a diagnosis and direct you to educational resources. Early correction of airway problems can help change the growth trajectory of your child – helping prevent adult sleep apnea, preventing the need for jaw surgery later in life, and creating an environment for normal growth and development.

Sleep Solution Resources

Sleep Apnea

Sleep Apnea

Tonsillar Surgery

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Pediatric Questionnaire

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Your Child & Sleep Apnea

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Frenuloplasty

Frenuloplasty

Zaghi Lingual Frenuloplasty

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OSA and Short Frenulum

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Tongue Tie 101

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Malocclusion

Malocclusion

Eruption Guided Appliances

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Myofunctional Therapy

Myofunctional Therapy

Oral Dysfunction as a Cause of Malocclusion

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Growth and Mouth Breathing

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Committed To Lifelong Learning & Improvement

Stillwater Dental leverages continuing education and industry advancements to provide modern dental care. We believe that if patients develop lifelong habits at a young age, they will be able to keep their teeth healthy and strong throughout their life. We are ready to help you and your family form these habits and gain confidence in a healthy smile!