{"id":10791,"date":"2021-10-14T05:20:55","date_gmt":"2021-10-14T09:20:55","guid":{"rendered":"https:\/\/staging.somnomed.com\/uk\/?page_id=10791"},"modified":"2021-10-14T06:06:27","modified_gmt":"2021-10-14T10:06:27","slug":"cost-of-a-somnodent","status":"publish","type":"page","link":"https:\/\/staging.somnomed.com\/uk\/cost-of-a-somnodent\/","title":{"rendered":"Cost of a SomnoDent\u00ae<\/sup>"},"content":{"rendered":"\t\t
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How much does a SomnoDent cost?<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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This is a common question that we get.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Treatment costs\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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The question on costs is difficult to answer as it will vary depending on where you live.\u00a0<\/p>

The team at SomoMed UK is extremely passionate in their belief that every person diagnosed with obstructive sleep apnoea should receive treatment, including those who are unable to tolerate CPAP. You will have read on the previous pages of the website about the serious and sometimes life-threatening side effects caused by untreated OSA, so treatment is essential.\u00a0<\/p>

Unfortunately, the current reality is that there are still a limited number of NHS sleep services who have funding to provide MADs as an alternative treatment for OSA, meaning that many patients must pay privately. At SomnoMed we are working very hard to prove the efficacy and cost effectiveness of MADs to the NHS to ensure that no one with sleep apnoea is left untreated.<\/p>

The new NICE (National Institute for health and Care Excellence) guidelines for the treatment of obstructive sleep apnoea were published on 20th<\/sup>\u00a0August 2021.\u00a0 The guidance clearly states that for those people with mild, moderate or severe OSA, who can\u2019t tolerate or don\u2019t want to use CPAP, a MAD should be considered as an effective alternative treatment in the NHS.<\/p>

So we hope that in the future all NHS sleep services will offer MADs as an alternative to CPAP where appropriate.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Do you already have a diagnosis and a CPAP machine?<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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If you have already received a diagnosis of OSA then you will have most likely been prescribed CPAP.\u00a0 However, if you have tried CPAP and are unable to cope with it the question is, what next?<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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<\/i><\/span><\/i><\/span> NHS provision of mandibular advancement device <\/span><\/i><\/div>

Cost to you = supplied free by NHS<\/em><\/p>

If you are one of the lucky ones and your NHS service offers MADs as an alternative, then the sleep team will organise for you to have one made.\u00a0 This part of the process will involve a dental specialist who will check your oral health and take impressions or scans of your teeth to ensure a perfect fit for your MAD.\u00a0 Your SomnoDent MAD will then be made in our laboratory and within a couple of weeks your dental specialist will be ready to fit it for you.<\/p>

At your fitting appointment the dental specialist will discuss adjustment of the device and also the optimal cleaning and care to ensure it lasts for several years.<\/p><\/div>\n\t\t\t\t\t<\/div>

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<\/i><\/span><\/i><\/span> Private dentist provision of mandibular advancement device<\/span><\/i><\/div>

Cost to you = approximately \u00a31000 with a 2 year warranty (this price is subject to change dependant on dentist fees).\u00a0 The device should last at least 3-5 years if cared for correctly.<\/em><\/p>

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If your NHS sleep service is unable to offer you the alternative of a MAD then the next step is to find a private dentist with an interest in dental sleep medicine who will provide a SomnoDent MAD.\u00a0 You can find a list of dentists in your area by clicking the link.<\/p>

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The dentist will assess your suitability for a MAD.\u00a0 They will check your oral health and take impressions or scans of your teeth to ensure a perfect fit for your MAD.\u00a0 Your SomnoDent MAD will then be made in our laboratory and within a couple of weeks your dentist will be ready to fit it for you.\u00a0 At your fitting appointment the dentist will discuss adjustment of the device and also the optimal cleaning and care to ensure it lasts for several years.<\/p>

Although we charge a fixed fee to the dentist, the final price you pay for the device can vary.\u00a0 This is dependent on the additional dentist\u2019s fees and will be affected by things such as number of appointments required, any complications, the technology they use etc. \u00a0Check the cost with the dentist before you go ahead.<\/p><\/div>\n\t\t\t\t\t<\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Efficacy and compliance of CPAP versus MAD<\/h2><\/div><\/div>

Every NHS sleep service in the UK will offer CPAP to those patients with moderate to severe sleep apnoea and, in specific cases, mild sleep apnoea.\u00a0 This is because CPAP is recognised worldwide as the gold standard for severe sleep apnoea as it is extremely effective in reducing a very high AHI (over 30) down to normal levels.\u00a0

However, research shows that the compliance rates for CPAP have been consistently low (around 50% of those prescribed CPAP abandon the treatment after just a few weeks) despite many improvements in the machine and masks over the years. There are many reasons why people abandon their CPAP treatment including discomfort, noise, inability to fall asleep, drying of the airways etc.<\/p>

Although CPAP is excellent at reducing AHI, this only occurs during the period the CPAP is being worn, there is no overflow effect into the rest of the night once removed.\u00a0 The current definition of compliant is as little as 4 hours per night, but surely to be fully effective it needs to be worn all night, every night? So what is happening to your AHI the rest of the night and what is the cumulative effect?<\/p><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\nThe Effectiveness Equation- CPAP versus MAD<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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On the left, the graph shows the effect CPAP being worn for 4 hours per night, the minimum amount of time required to be considered compliant with treatment.\u00a0 On the right is the effect of wearing a SomnoDent for 8 hours.\u00a0 Research has shown that because our devices are bespoke and fitted so accurately, they are comfortable enough to wear all night.<\/p>

The result is that despite CPAP reducing this person\u2019s AHI from 25.6 to 4.5 while the CPAP is worn, for the rest of the night they are untreated, and their AHI quickly increases back to 25.6!<\/p>

The MAD reduces that same AHI of 25.6 to 11.1, but in this case for the whole of the night.<\/p>

The cumulative effect is that CPAP reduces the number of apnoeas (breath holds) to 120 during the night and the MAD to 96 during the night, making the MAD more effective.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

How much does a SomnoDent cost? This is a common question that we get. Treatment costs The question on costs is difficult to answer as it will vary depending on where you live.\u00a0 The team at SomoMed UK is extremely passionate in their belief that every person diagnosed with obstructive sleep apnoea should receive treatment, …<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-10791","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/staging.somnomed.com\/uk\/wp-json\/wp\/v2\/pages\/10791","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/staging.somnomed.com\/uk\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/staging.somnomed.com\/uk\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/staging.somnomed.com\/uk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/staging.somnomed.com\/uk\/wp-json\/wp\/v2\/comments?post=10791"}],"version-history":[{"count":3,"href":"https:\/\/staging.somnomed.com\/uk\/wp-json\/wp\/v2\/pages\/10791\/revisions"}],"predecessor-version":[{"id":10826,"href":"https:\/\/staging.somnomed.com\/uk\/wp-json\/wp\/v2\/pages\/10791\/revisions\/10826"}],"wp:attachment":[{"href":"https:\/\/staging.somnomed.com\/uk\/wp-json\/wp\/v2\/media?parent=10791"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}