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Dr. Bradley Udell Sainsbury, DDS, MS is a general dentist in La Mesa, CA specializing in general dentistry, pain medicine and orofacial pain dentistry.
CPAP Treatment
Continuous positive airway pressure (CPAP) treatment is a medical treatment for people with sleep apnea. Sleep apnea interrupts breathing during sleep, resulting in lapses of oxygen. Lapses of oxygen may in turn lead to severe headaches, heart problems, fatigue, and poor sleep quality. The CPAP device remedies sleep apnea by forcing open the airway with pressurized air, ensuring someone receives enough oxygen while sleeping. The CPAP device is a mask attached to a machine (with a tube) that takes in air from the surrounding room, filters it, and then pressurizes it. The constant flow of pressurized air treats sleep apnea by keeping the tongue and soft palate from obstructing the throat and airway. Benefits of CPAP treatment include:
In order to receive a CPAP device, patients must receive a prescription from a physician. Some patients may be asked to complete an overnight sleep study known as a titration study. A titration study monitors patients' sleep using a mask attached to a CPAP machine. The technician may monitor and adjust the CPAP's air pressure throughout the night. The purpose of a titration study is to determine the appropriate air pressure for patients with obstructive sleep apnea (blocked upper airway). Once an appropriate CPAP pressure is identified, physicians or sleep technicians may recommend a specific brand or style of device to the patient for long-term use.
Temporomandibular Joint Disorder (TMJ)
TMJ stands for the temporomandibular joint, the little round joint that lies in front of the ear between the temporal bone ( the cheek bone) and the mandible (the lower jaw.) Often people use the acronym 'TMJ' to refer to temporomandibular joint dysfunction or disorder - that is, pain and stiffness in this joint and the muscles around it.
TMJ can cause a wide variety of symptoms related to the movement of the jaw. They can include earaches, headaches, an inability to open the mouth very far, painful clicking or popping noises when chewing or talking, and stiffness or pain in the jaw, face, or neck. Sometimes TMJ symptoms seem to go in cycles, getting better or going away for a while only to come back again. Symptoms can be mild and not very bothersome, or so persistent and painful as to be almost debilitating.
There can be many potential causes of TMJ. An injury or trauma to the jaw, arthritis, or grinding the teeth can all contribute to TMJ. The temporomandibular joint contains a small disc of cartilage that allows it to move smoothly, and this disc can become dislocated or torn. Sometimes the cause is unknown. There are no standard tests for TMJ, and it can be difficult to diagnose and treat.
Mild cases of TMJ may benefit from self-care such as eating soft foods, practicing stress management techniques, and applying ice packs to the jaw. NSAIDS, such as ibuprofen, can be purchased without a prescription and work to reduce pain and inflammation. Some dentists and occupational therapists can suggest stretching techniques for the jaw which may help relieve stiffness. More serious cases may require a form of splinting called a stabilization splint or bite plate, which helps reduce pressure on the joint. Extreme cases may benefit from arthroscopic surgery on the joint.
He completed residency at University of Southern California (USC) Affiliated Hospitals. He is certified by the American Board of Orofacial Pain and has a state license in Washington.
Residency: University of Southern California (USC) Affiliated Hospitals
Board Certification: American Board of Orofacial Pain
Licensed In: Washington
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Dr. Bradley Sainsbury works as a pain medicine, orofacial pain dentistry, and general dentistry specialist in La Mesa, CA. Dr. Sainsbury obtained a license to practice in California.
