SERVICES The Gelb Center, praised in trade publications and magazines, Improving Your Life Through Quality Sleep is directed by Dr. Michael Gelb. As one of the world’s leading experts, he offers a combined seventy-one years of experience in the diagnosis and treatment of TMD (Temporomandibular Disorders) and Orofacial Pain. The Gelb Center differentiates www.gelbcenter.com its practice from others by integrating diagnosis and treatment firstname.lastname@example.org under one roof. Specifically, it has developed a comprehensive on-site program of same day diagnosis, Michael Gelb, D.D.S., M.S. creating and then implementing individualized treatment SNORING/SLEEP APNEA protocols. Most recently, physical therapy, acupuncture and Oriental medicine services were added to the Center. APPLIANCE Once diagnosed, patients are then seen by the appropriate team Michael L. Gelb, D.D.S., M.S. of New York members: Dr. Harold Gelb, TMJ; Dr. Charles Lennon, Prosthodontist; Dr. Sathya Kallur, Implantologist and is one of the world’s leading specialists in sleep Endodontist; Dr. Robert Schulman, Prosthodontist and disorders and orofacial pain, which includes Jason H. Wallman, Integrated Medical Therapist. TMJ, snoring and sleep apnea. He was the director of the TMJ and Orofacial Pain program at NYU where he is currently The Gelb Center specializes in the following areas: a clinical professor. TMJ Dr. Gelb has studied breathing related sleep Tension and Migraine Headaches disorders (BRSD), specializing in how they relate Sleep Disorders to fatigue, focus, pain, and the affects all of these Snoring and Sleep Apnea can have on one’s performance. Earaches and Tenderness Dr. Gelb received his DDS degree from Facial Rejuvenation Columbia University in Boston. He was awarded Clicking, Grating and Locking of Jaw Joints Diplomat of the American Board of Orofacial Limited Range of Motion with Jaw Opening Pain in 1995. Dr. Gelb is one of the inventors of Pain Chewing, Talking and Yawning the NORAD, or Nocturnal Oral Airway Dilator Uneven Bite and Receding Jaw appliance that reduces snoring by positioning the Clenching, Grinding and Sleep Bruxism patient’s tongue and jaw so the airways stay open. Unresolved Face, Head and Neck Pain He has updated the Gelb appliance, named after his father. THE GELB CENTER for CRANIOFACIAL PAIN, SLEEP DISORDERS and COMPREHENSIVE DENTISTRY 635 MADISON AVENUE 12 OLD MAMARONECK ROAD 19th FLOOR SUITE 1C NEW YORK, NY 10022 WHITE PLAINS, NY 10605 PHONE 212.752.1661 PHONE 914.686.4528 FAX 212.832.5904 FAX 914.289.1731 INTRODUCTION THE GELB Snoring and Sleep Apnea are common conditions in our society today. WHAT IS SLEEP APNEA? Sleep Apnea is estimated to affect 20 million people. SNORING-SLEEP APNEA APPLIANCE They are caused by a narrowing or collapse of The Gelb Snoring-Sleep the airway during sleep. Snoring or sleep apnea It occurs when the airway becomes completely Apnea Appliance is a one appliances are devices that are worn in the blocked and air is not able to move through th piece individually mouth during sleep that are designed to airway at all. This is more commonly called designed oral appliance reposition the lower jaw so the airway Obstructive Sleep Apnea because the made of heat cured is supported in such a way that air can airway is totally obstructed. acrylic polymer which flow more freely. This reduces or eliminates is soft on the inside and snoring and can treat your sleep apnea which This obstruction may occur anywhere from the comfortable to wear. then leads to a more quiet, restful night’s sleep. area of the soft palate down to below the tongue. When the airway is totally obstructed, the patient It brings the lower jaw will awaken many times during the night with a forward and prevents it cough or gasping sound as an attempt is made from sliding back and closing off the airway. to restore normal breathing. CAUSES OF SNORING 70-90 million people are affected by SYMPTONS AND SIGNS THE TAP II The most common symptoms and signs that are ( The Thornton Adjustable Positioner II) snoring.Snoring can occur when the airway becomes partially blocked during sleep. This associated with Sleep Apnea: The Thornton Adjustable may occur more frequently when: Snoring Non-refreshing sleep Positioner II (TAP II) You sleep on your back Daytime fatigue or daytime tiredness alleviates snoring and You are overweight History of falling asleep driving, watching TV sleep apnea by holding the You have a large neck size or reading mandible forward during The tongue falls back into the throat Awaken during sleep coughing, choking or gasping sleep to prevent the tongue and soft tissue of the The tonsils and/or adenoids are large Morning headaches throat from collapsing into the airway. You mouth breathe during sleep Elevated blood pressure You are overly tired Cardiovascular disease You eat or drink alcohol too late at night The TAP is based on the same principle as Other commonly occurring findings associated You have a cold or are congested with snoring and Sleep Apnea: cardio-pulmonary resuscitation (CPR). The airway must be opened to allow air to Gastric reflux or acid reflux with indigestion Snoring becomes more common: pass through the throat. Grinding of the teeth during sleep (Bruxism) Diabetes As we get older The TAP II is a custom-made two-piece Mood swings If you are a male Symptoms of depression and anxiety appliance that snaps firmly over the upper After menopause If you have a small airway (may be genetic) and lower teeth.