Sleep Medicine2018-09-10T22:24:10+00:00

Find Relief from Sleep Apnea


Have you been diagnosed with sleep apnea? Does your husband or wife talk about your snoring, or does it wake you up? Are you constantly tired after sleeping all night? Dr. Timothy E. Mickiewicz can help! Our goal is getting you back to a well-rested, healthy life. If you have or suspect you have sleep apneacontact our office in Sacramento, CA, to schedule a consultation with Dr. Mickiewicz.

man snoring in bed with wife

Sleep Apnea: What is it All About?

Obstructive sleep apnea (OSA) is a medical condition that occurs when airflow to the lungs is blocked due to the relaxation of the muscles around the tongue and throat during sleep. Airway blockage results in repeated breathing pauses and reduced levels of oxygen in the blood when sleeping. The quality of your sleep impacts every facet of your overall health and day-to-day functioning. Getting a good night’s rest contributes to your appearance and performance every day. When you do not get the sleep you need, these areas are negatively affected.

Approximately 70 million people in the United States have a sleep disorder. One of the most common is obstructive sleep apnea, or OSA, which causes breathing to stop multiple times a night, for a few seconds to over a minute. Every time you stop breathing in your sleep, the lack of oxygen alerts your brain and your body to wake up to breathe. As a result of the constant wake-sleep cycle, your body never reaches the deep sleep stage needed to refuel your body. Constant waking activates the body’s fight-or-flight response, which can negatively affect your heart rate, blood pressure, and hormone levels.

man wearing cpap machine in bed

Do I have OSA?

A physical examination can determine if you suffer from OSA. Doctors who specialize in sleep apnea will perform either an overnight sleep study or a home sleep test. After your doctor carefully analyzes the data from these tests, he can make an official diagnosis.

Signs and symptoms of OSA are varied but distinct. If you suffer from any of these symptoms, please contact our office for an evaluation.

  • Loud snoring at night
  • Headaches in the morning
  • Nodding off or extreme drowsiness during the day
  • Snorting or choking during the night
  • Chronic insomnia or difficulty sleeping
  • You need frequent naps and never feel rested
  • High blood pressure that is hard to treat

man with sleep apnea falls asleep at he wheel

Causes/Risk Factors

Multiple issues can cause OSA, ranging from natural causes to obesity to smoking. Below are a few of the most common causes and risk factors:

academy of orofacial myofunctional therapy

Age – Muscles in the throat lose definition with age. As they weaken, they are more apt to block the airway during sleep.

Genetic Predisposition – Some people have a narrower throat or an enlarged tongue that obstructs the airway. Knowing your family medical history can help your doctor determine if you are at risk for OSA.

Smoking – Cigarette smoke irritates the lungs, throat, and esophagus, and causes fluid buildup in the upper airways. This can lead to inflammation that obstructs airways.

Weight – In most cases, excess weight is directly linked to OSA. An abundance of fatty tissues can restrict airflow when the upper respiratory system pathways are narrowed or blocked during sleep.

Long Terms Effects of Chronic Sleep Apnea

If not treated, OSA can cause significant damage to your health and negatively affect all areas of your life. Relationships, recreational, and work activities, may suffer due to low levels of energy.  With a compromised immune system, you raise your risks of serious health problems, as well. These issues include:

  • High blood pressurenasal breathing
  • Heart disease
  • Diabetes
  • Chronic acid reflux
  • Erectile dysfunction
  • Depression
  • Stroke
  • Chronic fatigue

Dr. Mickiewicz will work with your primary care physician and specialists to address sleep apnea risk factors. Returning patients to good health and a full life is always our goal.

Treatment Options

Dr. Mickiewicz recommends treating OSA with a custom-fitted oral appliance called a mandibular advancement device or MAD. Research shows that oral appliance therapy is effective in decreasing snoring and relieving OSA. A MAD supports the jaw in a forward position to maintain an open airway during sleep.

Mandibular advancement devices are comfortable to wear, convenient to use in all settings (at home and traveling), quiet, and easy to care for

“I have had headache issues for the last 35 years. Every morning greeted me with a headache. I’ve been to many doctors and have had many X-rays and cat scans of my head and neck.  I was treated for migraines and neck issues.  Nothing worked. I went to Dr. Mickiewicz two months ago and his diagnosis was TMJ. He fitted me with an appliance and the results are amazing. I have been back twice to have him adjust the appliance as my jaw loosens and adjusts, and he is always very patient with my extra-long explanations. I wish I had known him 35 years ago.  FYI – I am now waking up without headaches – it is a good start to any day.  Thanks Dr. Mick!”

– Lily S.

“I have been seeing Dr Mickiewicz for over two years and am very satisfied with his services. I have a sleep apnea problem and rarely was getting any good nights rest. My medical doctor suggested I wear a large breathing machine… so I went ahead and got one and tried it out and and had nothing but problems trying to sleep with this large breathing machine strapped to my head. Then I saw Dr Mickiewicz and he has found the simplest and most affordable solution with my custom made mouthpiece that reshapes my jaw position just while I sleep! Bingo– no more sleep issues and also no more large breathing machine to struggle with! I am very grateful for his expertise and experience with sleep issues.”

– Tony A.

“I recently visited Dr. Mickiewicz after years of suffering from sleep apnea and no success using conventional CPAP machines. I was fitted with dental appliance in an effort to resolve the problem. Frankly, I was skeptical, but I am so pleased with the early results. I just started using the device last week and I am already seeing an improvement in the quality of my sleep. From my first contact with Dr. Mickiewicz, it was immediately apparent that his grasp of the issues surrounding sleep apnea were light years ahead of his peers. He is a true professional and I enthusiastically recommend him.”

– Don B.

Contact Our Office

Our comfortable and patient-friendly office is the perfect place to learn about OSA and discuss your oral sleep appliance options. Dr. Mick invites you to call (916) 469-9178 for an appointment to set up a sleep apnea appliance consultation.