BIO: John S. Viviano B.Sc. DDS obtained his credentials from the University of Toronto and has maintained a private practice of General, Family and Cosmetic Dentistry in Ontario, Canada since 1983. He maintains a special interest in the conservative treatment of Sleep-Disordered Breathing. A member of various sleep organizations, he is Credentialed by the Certifying Board of the Academy of Dental Sleep Medicine, and has lectured internationally on the treatment of Sleep-Disordered Breathing and the use of Acoustic Reflection. He has authored articles reviewing Acoustic Reflection and establishing protocols for its utility in assessing Airway Normalization. Currently, Dr. Viviano is conducting original research evaluating the Clinical Utility of Airway Acoustics in the Practice of Airway Orthotic Therapy.
Services Offered
AirwayOrthotics: Treatment of Snoring, Sleep Apnea & Sleep-Disordered Breathing through Oral Appliance Therapy
AirwayAcoustics: Assessment of Airway Pathology and Normalization through Acoustic Reflection
OralHealthSolutions: Creating Healthy Attractive Smiles through State-of-the-Art Dentistry
Contact Information
Phone: 905 820-3200
Fax: 905 820-9346
Address: 1-4099 Erin Mills Parkway, Mississauga, Ontario, Canada, L5L 3P9
Located at: www.MichaelAngelos.ca
Electronic mail: : JohnViviano@SleepDisordersDentistry.com
Our Creed
We are dedicated to providing every patient
with the most thorough and up-to-date
preventive Dental Health Care.
We will always be courteous, thoughtful,
and responsive to our patients feelings,
needs and comfort.
We work together as a team and take pride
in everything we do.
John S. Viviano
and Team
Together, our Doctors, Hygienists and Auxiliaries offer you over 250 years of Dental experience, 180 of which they’ve shared in this office. Our services, include every aspect of Family, General and Cosmetic Dentistry, and our office environment is warm, friendly, and comfortable. As a Team we’ve worked together since 1985 to provide you with the most up-to-date and thorough Dental Care and Sterilization. Our specialty services include Snoring/Apnea Therapy and Dental Implants. Through the use of Hi-Tech Dental Imaging you will marvel at before and after pictures of any work done in your mouth. Extended hours, payment plans, complete sterilization of instruments, Children’s playroom and video games are just some of the features that will help to make your visit both comfortable and enjoyable. Please accept our personal invitation to come visit our office. We look forward to meeting you soon.
Treatment of Sleep Apnea and Snoring
The American Academy of Sleep Medicine (AASM) is a Medical organization whose mandate includes Accreditation,Continuing Education, Fellowship Training, and Standards of Practice for Physicians, Dentists and technicians involved in Sleep Medicine.
The AASM recommends that the first line of therapy is to establish healthy “Lifestyle Choices” and “Sleep Hygiene”.
These efforts alone may not resolve a more serious sleep disorder, but are likely to reduce it’s severity. Should further therapy be necessary, they have made recommendations on the use of nasal continuous positive airway pressure (nCPAP), Surgery and Airway Orthotic Therapy (AOT) based on the results of current research.
Airway Orthotic Therapy (AOT) has been demonstrated to be very effective for simple snoring and all levels of Obstructive Sleep Apnea (OSA).
Studies demonstrate that they effectively treat “moderate sleep apnea” (15-30 events/H) 80% of the time, and “severe sleep apnea” (> 30 events/H) 61% of the time, and that “Snoring is improved in almost all patients and is often eliminated”.
By altering jaw posture, most often forward by a few millimeters, tension is placed on the soft tissues that make up the airway, preventing them from vibrating and the airway from collapsing.
The AASM states that Airway Orthotics “are indicated for use in patients with primary snoring or mild OSA who do not respond to or are not appropriate candidates for treatment with behavioral measures such as weight loss or sleep position change”.
The AASM goes on to state that Airway Orthotics “are indicated for patients with moderate to severe OSA who are intolerant or refuse treatment with nCPAP”.
Crossover studies comparing AOT and nCPAP demonstrate that AOT is effective in treating snoring and mild to moderately severe OSA, and is preferred by 10 out of 11 patients as a long term treatment.
Any Orthotic that manipulates the mandible to the same degree can be expected to produce an equivalent improvement in symptoms. The issue then becomes one of comfort and compliance.
Airway Orthotic Therapy is conservative and completely reversible. Side effects are usually short lived and are rarely a problem. Approximately 14% of patients experience some tooth movement; mostly minor in nature.
Long term compliance for AOT has been demonstrated to be 90% after 2 1/2 years.
;){kind=link}