Oral Appliance Therapy
Worn only during sleep, an oral appliance fits like a sports mouth guard or an orthodontic retainer. It supports the jaw in a forward position to help maintain an open upper airway. Research shows that oral appliance therapy is an effective treatment option for snoring and obstructive sleep apnea.


If you and your doctor decide that oral appliance therapy is the best treatment option for you, then your doctor will write a prescription for you to receive a custom-made oral appliance. You also will receive a referral to a qualified dentist who can provide oral appliance therapy. More than 100 oral appliances have received FDA clearance. Your dentist will recommend the oral appliance that is best for you. Oral appliance therapy is covered by many medical insurance plans.
Advantages of Oral Appliance Therapy
Oral appliance therapy is an effective, non-invasive treatment that fits easily into your lifestyle.

                                 "In Office Intravenous Anesthesia

                                                  with Local Anesthetic*

Wrinkles result from a combination of many factors. It’s not just about cellular changes that can occur over time, reduction of collagen, or damage caused by free radicals in the sun and the environment. When you frown or concentrate, the muscles between your brows contract, causing your skin to furrow and fold. And when you squint, the muscles around your eyes contract and cause crow’s feet.

BOTOX® Cosmetic works beneath the skin’s surface and targets the underlying muscle activity that causes frown lines and crow’s feet.

Cone Beam CT scanners use a pulsed cone-shaped x-ray beam, which is captured on a square 2 dimensional array of detectors. Instead of data taking the form of a set of consecutive slices as with the conventional medical CT scanners, the Cone Beam CT scanner provides a volume of data. The voxels created are isotropic (i.e. of equal height, breadth and depth dimensions). The uniform nature of the voxels means; there is superior dimensional accuracy in the reconstruction process of the raw data (DICOM - Digital Image COMmunication in medicine) captured by the scan, the data is easily uploaded into 3rd party software, and accuracy is not lost if the image data undergoes repositioning or reorientation.


Why remove your wisdom teeth? Just because your wisdom teeth aren’t a source of pain doesn’t mean there’s nothing wrong. The teeth could be stuck, or impacted. That means they can’t break through your jaw and into your mouth. Maybe your mouth is too small to make room for them, or the teeth could be growing at an angle to other teeth. They can damage the tooth next door if they push up against it.

Some dentists take out healthy molars to prevent problems later on. As you age, the bones in your mouth get harder. That makes your teeth tougher to remove.

If you wait, you could have problems after surgery that range from heavy bleeding and fractured teeth to severe numbness and minor loss of movement in your jaw. These troubles could last a few days or a lifetime.

Louisville Oral Surgery & Dental Implants BBB Business Review

Medications are administered through an intravenous line (I.V.). The patient falls asleep and is completely unaware of the procedure being performed. Medications most commonly used are Fentanyl (opiate), Versed (benzodiazepine), Ketamine, and Diprivan. Supplemental oxygen is delivered through a nasal breathing apparatus and the patient's vital signs are closely monitored.

What services we offer:

Next best thing to healthy, natural teeth.  Strong and stable, a dental implant restores a lost tooth so that it looks, feels, fits and functions like a natural tooth. Other options can lead to bone deterioration, and may interfere with eating, smiling, speaking and other activities of everyday life.

Built to last. Dental implants are a long-term solution. Traditional, tooth-supported dental bridges only last five to seven years, and with proper care often more than 10 years, but at some point they may need to be replaced. While dental implants may need periodic adjustments, they can last a lifetime when properly placed and cared for over time.

Anyone who has sun damaged, aging skin, irregularly pigmented skin, wrinkles, sagging, irregular texture of the skin or other skin condition that could be expected to be improved with this treatment that understands the risks, costs and time necessary to achieve the full benefit of the procedure and who has realistic expectations of the ultimate outcome. 

This is not a good treatment for skin of color.  The reason is that this is an aggressive treatment that does result in prolonged healing of the surface.  Pigmented skin tends to heal with hyperpigmentation and that does occur with this procedure upwards of 30% of the time. It can take many months of topical treatments and sometimes additional laser treatments to correct this.  If this treatment is to be undertaken on dark skin, it will need to be part of a series of gentler treatments and not a single treatment.