12620 Clarksville Pike
Clarksville, MD 21029


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Posts for category: Sleep Apnea

By Rashmi Parmar
August 05, 2013
Category: Sleep Apnea
Tags: Untagged

At Parmar Family & Cosmetic Dentistry, we've helped many individuals who have been suffering from sleep apnea.

Each patient, and his or her own story, is different. They may be experiencing different symptoms, or have different root causes of their mouthpiece to help sleep apneacondition. They may also prefer one treatment to the next.

We place a premium on finding tailor-made solutions to each person's specific circumstances, and that's how we were able to help Christina with an oral appliance.

Christina was diagnosed with sleep apnea in 2009, and her Physician provided her with a CPAP machine. It's the solution that other family members had utilized in the past, and it's what her Sleep Physician recommended. However, for her, it made the problem even worse. It took her hours to fall asleep, she was never comfortable or felt restful, and her quality of life was diminishing.

Eventually, she had enough, and she needed an alternative solution. That's when she turned to Parmar Family & Cosmetic Dentistry and learned more about an oral appliance.

This proved to be a life-changing decision for Christina.

"I can't live without it now," she says.

Before this, Christina had been on multiple medications to cope with depression, anxiety and sleeping problems. Within six weeks of trying the oral appliance, she began to stop using her medications entirely. She felt completely different and renewed, and was able to lose weight and enjoy improved all-around health.

She says it changed the quality of her life tremendously. Her coworkers noticed improvements in her performance around the workplace, and she was promoted. Her family also noticed the changes in her personality and energy, and the difference that the oral appliance made for her.

"Every time I wake up, I feel like I can get up and go," she says. She doesn't have to press the snooze button, she's ready to go out there and take on the world.

Christina needed a practical solution which fit into her active lifestyle and enabled her to thrive once again.

From improvements in her energy levels to better job performance, feeling rested and healthy, losing weight, ditching her medications and more, an oral appliance from Parmar Family & Cosmetic Dentistry was able to come to the rescue for Christina.

We pride ourselves on the positive impact we have on our patients, and we couldn't be happier for Christina and the results she has seen and neither can she. View her testimonial and hear her story on our YouTube channel.

If you have sleep apnea or are concerned that you might, then call us today at 410-531-5639 to schedule an appointment for an evaluation. We'll tell you more about how we can help, and hopefully have the same kind of impact on your life as we were able to have with Christina's.

By Rashmi Parmar
June 24, 2013
Category: Sleep Apnea
Tags: Untagged

Sleep Apnea and Children - What to Look For and What to Know

When it comes to your child's sleeping habits and his or her health, there's a lot to know. This also happens to be a complex subject that most parents don't understand much about.

Of course, at Parmar Family and Cosmetic Dentistry, patient health and education, and their all-around wellbeing, are all top priorities. That's child with sleep apneawhy it's important for us to help explain the issue of sleep apnea and children, and how this may be having an impact on other aspects of your child's life.

We all know that as adults, when we don't get enough sleep, we get tired. It may feel like you're sleepwalking through the day and you always need that next dose of caffeine. We've all been there before at one time or another certainly.

On the other hand, and this is surprising to learn for many parents, when their children aren't getting enough sleep, the opposite reaction takes place. Kids become hyperactive, and this behavior issue can even lead to a misdiagnosis of ADD, or ADHD. We believe that medicating a child to keep him or her calm is never a top solution, especially when it’s based on an inaccurate diagnosis.

In fact, just recently a patient came into our office and child said she snored and she knew because her parents talked about it. Dr. Parmar continued with appropriate questioning, which revealed she was having hard time focusing in school and parents were looking into getting special help. On evaluation by Dr. Parmar patient’s airway was compromised with big tonsils affecting facial, jaw growth and breathing passage way. Appropriate referral to ENT surgeon was given and Tonsillectomy and Adenoidectomy was done which completely solve the issue at hand, to the surprised delight of both parents and child alike.

Many different factors could lead to a child's sleeping problems, and sleep apnea is something which must not be ignored. We can help your child  by screening for sleep apnea with appropriate referral and treatment to diagnose and cure both the underlying core issue, and the related symptoms and effects which occur.

Some symptoms to look out for in children that could point to Sleep Apnea: 

  • Snoring, stops breathing or gasping for air while sleeping
  • If your child is a restless sleeper
  • Do they grind teeth at night? 
  • Wet the bed?
  • Breath more through mouth?
  • Have allergies?
  • Large tonsils and adenoids?
  • Get lot of sore throats?
  • Get lot of ear infections?
  • Are they hyperactive?

You don't need to turn to medication to stop a child's hyperactivity, especially when ADD/ADHD isn't even the real culprit. The first step is to simply make an appointment, express your concerns and the relevant details, and begin exploring the diagnosis and treatment options which are available.

At Parmar Family and Cosmetic Dentistry, Dr. Parmar and our team will go the extra step to ensure you receive the utmost in customer service, tailored treatments based upon your needs, attention to detail, and more. Your child deserves the best, and that's we strive for, particularly with the issue of sleep apnea and children which is so often misunderstood. Please call us today at 410.531.5639 with any questions, or to schedule your next appointment.


At Parmar Cosmetic & Family Dentistry, two of the most important issues we deal with are establishing proper dental hygiene, care and routines for children, and treating sleep apnea and other sleep disorders. And now is the perfect time to address both of these topics at once.

Master Dental Sleep Physician Dr. Rashmi ParmarFirst, since National Children's Dental Health Month is still fresh in our minds, it offers a great opportunity to prioritize pediatric dental care and prevention. Second, our very own Dr. Rashmi Parmar has just been awarded with the special designation of Master Dental Sleep Physician, or MDSP, by the Elite Dental Institute. It was the first time that the honor was awarded, and Dr. Parmar was one of just three dentists to be recognized as an MDSP.

Understanding the prevalence, risks and symptoms of sleep apnea is key to being able to treat and manage this dangerous condition, and many adults carry misconceptions about its severity and how commonplace it is.

All told, an estimated 20 million Americans have obstructive sleep apnea, and between 2 and 5 percent of all children may suffer from sleep apnea. It's not just an annoyance, either. It is a life-threatening problem, potentially leading to heart attack and stroke. In children, issues such as bed-wetting, sleep-walking, hormonal and metabolic problems and more can all be caused by sleep apnea.

Some children may complain about a problem falling or staying asleep, however, you should not wait for that to occur before taking action. For one thing, children as young as two years old could be suffering from sleep apnea, and will be unable to tell you about their issues.

Additionally, watching for sleep apnea warning signs could provide you with even more clues as to what's happening. A child may seem exhausted even after you thought they would have gotten proper rest, or could always be snoring, exhibiting a high level of tossing and turning during sleep, or having night sweats.

Our patients are our family at Parmar Dentistry, which is why we're dedicated to providing the information and resources required for education, as well as expert, caring treatment, always focused on preventative and non-invasive solutions when possible.

Sleep apnea and other sleep disorders in children can be a very serious health issue and risk. If you're concerned that your child may be suffering from sleep apnea or a related sleep disorder, don't hesitate to get in touch with us by calling 410.531.5639 to schedule an appointment or ask any questions.

Recently, I was home visiting my parents and I noticed my mother had dark circles under her eyes and she was nodding off during my nephew's football game. When I asked her if she was getting enough sleep, she looked at me a bit perplexed. She said the following: 

"I just don't get it. You know what a loud snoorer your father is. I sleep most nights in the quiet and comfortable guest bedroom and yet, I am not getting any sleep there either!"

When I suggested she might be suffering from sleep apnea, she shugged it off and said, 

"I'm not a man. That's a man's disorder!" 

When I explained to her that sleep apnea did not just affect men and given her age (73 years old) and weight, this is exactly what could be going on. I am happy to report that my mother is now sleeping soundly. The doctors confirmed she had sleep apnea and she is now sleeping with an oral appliance. No more baggy eyes or drifting off! She is a different woman and I am so glad her energy has rebounded! 

Even with my own mother's experience behind me,  the medical community still thinks of sleep apnea as a "man's disorder". However, 3 recent studies confirm that women, especially older women, are very susceptible to this sleep interuption problem. And if left untreated, it can get worse over time.  

In a recent Swedish study, 400 women between the ages of 20 to 70 were asked to sleep overnight at home with sensors attached to their body to detect any change in their breathing patterns during the night. What they found was both interesting and a bit alarming. It turns out that women as young as 20 years old can suffer from sleep apnea and as women age their chance of having sleep apnea increased 3 fold. Here is how the study broke down by age category:  

  • Of  women 20-44 years old, 1 in 4 suffered from some level of sleep apnea
  • 2 out of 4 women between 45-54 had it
  • 3 out of 4 of women between 55-70 were troubled by sleep apnea 

But what are the risks of sleep apnea if left untreated? 

In a Spain study of 939 women who were 65 years or older with untreated severe Obstructive Sleep Apnea (OSA), they had an increased risk of a heart attack, stroke, or heart failure, as compared to women who did not have OSA. 

There is another risk factor if left untreated: memory problems. 

In the study from the University of California, San Fransico, 298 women with an average age of 82 years and without dementia, were given sleep apnea tests. They found that 1 in 3 of the women had untreated sleep apnea. 

They let 5 years pass and they brought the same women back for a sleep test and this is what they found: 

  • Of the ones who had sleep apnea 5 years before, 45% had developed thinking and memory problems. 
  • Of the ones who did not have this problem, only 31% developed thinking and memory problems. 

"It makes sense that good sleep is going to be protective to the brain," said Dr. Robert Thomas, who studies sleep patterns at Harvard Medical School. 

"We see that it (sleep apnea) doesn't go away and it gets worse," said Terry Young, Professor for the School of Medicine and Public Health at the University of Wisconsin. Studies have confirmed that sleep apnea is tied to a higher risk of stroke, heart attack, and early death.

In summary, sleep apnea affects both men and women. As women age, they have a greater propensity to it. It is up to us, to watch both the sleep and awake patterns of our parents and encourage them to get a sleep test if there is any question they might have sleep apnea. 

Parmar Family & Cosmetic Dentistry is located in Clarksville, Maryland. They have a variety of oral appliances available for their patients that suffer from sleep apnea. Dr. Parmar's mission is to provide each and every patient optimum CARE, with COMPASSION and COMPETENCY in a COMFORTABLE, trusting environment. Give them a call today to schedule your sleep apnea evaluation appointment! 

Do you ever feel like the person in this picture? There isn't enough coffee that can wake you up? In addition, did you know that about 20% of all automobile accidents are attributed to drowsy driving? It can affect not only the way we drive, our attitude in the work place, and believe it or not, it can even age our brain. 

But what is the adequate amount of sleep? Experts in this field agree that between 7-8 hours a night is about right and yet 33% of the US population gets less than that, every night. While it is agreed that caffeinated beverages, stress, and a busy schedule can attribute to our lack of sleep, there is also one very large contributor that interrupts our sleep cycle through the night: obstructive sleep apnea

For sleep apnea patients, it doesn't matter how long they are in bed. Their sleep is fragmented because they literally stop breathing several times throughout the night. Each stoppage is followed by a brief waking as they begin to breath again. Dangers of sleep apnea disorder include heart attacks, strokes, memory problems, and even dementia. 

In a recent study from the University of California, San Fransico, 1,300 women over the age of 75 found that participants with sleep apnea had a greater than twice the odds of developing dementia over 5 years than those without this condition. 

Most sleep apnea patients are fitted with a Continuous Postive Airway Pressure (CPAP) mask that fits over their face and requires a hose and electricity to run. These units can also be difficult to travel with and require the patient to remain on their back during the sleep cycle, which may be difficult to do if the person is a side sleeper. 

An alternative to this option, is an oral appliance from a dentist, like Dr. Rashmi Parmar, who has been trained in dental sleep options. 

Parmar Family & Cometic Dentistry can help if you want a diagnosis or already have sleep apnea and can treat patients with oral appliances that are custom-fitted to help them sleep soundly and minimize the effects of sleep apnea, such as snoring. These FDA-approved devices essentially treat Obstructive Sleep Apnea by preventing airway obstruction and allowing the patient to breathe easily and continuously. Parmar Family & Cosmetic Dentistry is located in Clarksville, MD and is accepting new patients. Call them today at (410) 531-5639 to learn more about this breathtaking offering!