Powell Dental Sleep Solutions LLC welcomes you to our practice. Our patients are like our family and we care for you like we care for our family & friends. We practice dental sleep medicine for the treatment of obstructive sleep apnea with custom fabricated and carefully titrated dental appliances including home sleep calibration testing to assure effectiveness of treatment. We coordinate and practice with a multidisciplinary medical-dental team approach that is patient-centered around you!
Dr. Shelley Shults is a board certified in dental sleep medicine from the American Board of Dental Sleep Medicine, has achieved the prestigious designation as a diplomate in dental sleep medicine, is a general and cosmetic dentist, and is a family nurse practitioner with a focus in sleep medicine, sleep dentistry, and TMJ therapy. Through extensive multi-disciplinary education and professional team relationships, board examination including case presentations, extensive continuing education, extensive practice experience, teaching & coaching new providers in training, Dr. Shelley Shults has positioned her practice to be patient-centered with a medical-dental comprehensive approach. Her expertise closely collaborates with medical physicians in optimizing your opportunity for a comprehensive medical-dental team and patient-centered care.
Dr. Shelley Shults has served as faculty in education with The American Academy of Dental Sleep Medicine, is currently serving as an expert in Dental Sleep Medicine for the Ohio State Dental Board, and lectures at study clubs and conferences.
Dr. Shelley Shults desires to help you find the type of treatment or combination therapy that you are comfortable using and one that works well for you without discipline bias. Her goal is to identify a therapy that is effective, affordable and well tolerated for your unique needs by thoroughly assessing your condition and presenting all treatment options. She desires to help you prevent co-morbid health consequences, feeling healthy and vital throughout your lifetime.
Obstructive sleep apnea is a serious medical condition. The disease of Obstructive Sleep Apnea (OSA) is a serious and potential silent killer in the night that most people are unaware of having. It is best known for causing systemic release of adrenaline that fragments your sleep, leaves you feeling tired, causes memory problems, reduces oxygen in your blood and organs, and causes chronic inflammation in your blood vessels. Untreated OSA has been associated with increased risk for developing high blood pressure, heart attack, stroke, diabetes, heart failure, heart arrhythmias, obesity, GERD, depression, anxiety, headaches, insomnia, memory problems, excessive fatigue and tired ness, relationship discord, workplace and auto accident, dementia and some cancers amongst others. It is estimated that 18-25 million Americans have sleep apnea and more than 16 million Americans remain untreated. If you or someone you know has OSA symptoms, they should seek professional care ASAP. There are different types of sleep apnea and many types of treatment available.
OSA dental appliances are an alternative therapy to CPAP for patients with mild or moderate obstructive sleep apnea, or for those who cannot tolerate or refuse CPAP, including those with severe sleep apnea (who often benefit from combination therapy). According to a research study by Harvard Medical School, an average of 40% of OSA patients are unable to tolerate CPAP. A commonly accepted and effective alternative is oral appliance therapy.
Oral appliances (OAT), also called mandibular advancement devices (MAD), utilize the teeth to stabilize the device, provide force to advance the jaw for an open airway. They require a prescription supplied by a sleep physician, fabrication by qualified dentists who also manage the device for effectiveness. Remember, these appliances are used to treat a medical condition not a dental condition. This does not mean that every dentist has received proper training for managing oral appliance therapy in OSA and physicians must be involved. ABDSM certification is key.
Most commonly, dental appliances will reduce OSA severity by 50% although results greatly vary. They are effective to most patients although the response is non-uniform. They are comfortable, convenient, effective, and economic. Data insertion chips are available for tracking compliance especially useful for elderly, FAA, and DOT patients. Potential side effects are minimal and these appliances are now used in treating many TMJ disorders.
Fees greatly vary amongst providers so it is recommended to obtain a treatment plan and quote from any dental sleep medicine provider prior to treatment in order to be an informed patient. Sleep testing should be charged only through sleep medicine providers. Treatment without collaboration of a sleep medicine physician is considered practicing outside the scope of dental practice for the dentist.
It is important that your dental sleep medicine practitioner actively collaborates with the medical team in coordinating your care appropriately. Don’t allow inexperienced providers to quiet your snoring and not effectively treat the apnea. Seek out experienced and board-certified providers in both sleep dentistry and sleep medicine who want to find the treatment that will be comfortable, tolerated, and effective. We want you to wake up to a better life!
Board certified member dentists of the American Academy of Dental Sleep Medicine (AADSM) have obtained ABDSM board credentialing and continuing education in dental sleep medicine. To accomplish this, they have met requirements of multiple specific case-type presentations to the AADSM, have completed many observation hours in a sleep lab, have obtained recommendations from three board-certified sleep physicians, have passed a computer-based knowledge examination, are board certified in dental sleep medicine from the ABDSM, maintain diplomate status through continuing education.
The AADSM is now offering general dentists the term of ‘qualified dentist’ if they have recently completed 24 hours of CEU in a qualified dental sleep medicine course. A ‘qualified dentist’ is the term assigned to dentists who are in training to become board certified eligible through education preparedness ‘Mastery Program’ with the AADSM. Board certified dental sleep medicine dentists work in an interdisciplinary approach with sleep physicians in managing a patient’s disease process in a collaborative manner. Sleep apnea is a medical disease process and falls under the scope of practice in medicine. Dentists are the durable medical equipment providers that must also manage the patient’s disease process under the guidance of the sleep medicine practitioner and return that patient for final follow-up with the medical team.
You can locate a Board Certified Dental Sleep Medicine provider on the AADSM website.
At Powell Dental Sleep Solutions/Powell Dental Group, we desire to make the treatment process easy for you, your sleep medicine provider, and your medical insurance carrier. We want you to have an effective customized premium appliance that is crafted with excellence, is easy to adjust, is comfortable, and effective. Our premium devices are custom fabricated by the highest quality labs with a 1-year warranty, are reasonably priced, and calibration home sleep studies are always included at no additional expense to the patient at Powell Dental Sleep Solutions. Every appliance has the same fee; this encourages choice of the proper appliance by the patient. To encourage patient compliance and follow-up testing, we have no additional fees for office visits or calibration sleep testing during the initial calibration adjustments over the first 90 days with the exception of a one-time $40 fee for disposables used during sleep calibration home testing. Should your device be out of warranty and repairs are needed, you will be able to pay only the exact lab cost for repairs and repeat calibration testing may be performed at no additional fee.
We are an in-network traditional Medicare provider as well as are in-network with many other traditional medical insurance plans. We do not balance bill traditional Medicare Insurance patients and most of these Medicare patients have little or no out of pocket expense. If your insurance company is not allowing sleep dentistry to be in-network, we will request a GAP exception for you. As an additional benefit, we file your medical insurance claims for you and do not out-source these claims, improving accuracy. We accept Care Credit (et al) as a financing option for co-pays, deductibles, or private pay preferences.
We look forward to partnering with you in achieving your health goals. Welcome to our gentle & friendly practice where you’ll become part of our dental sleep medicine family!
A full night’s sleep is essential to your overall health. If you are well rested, you feel good and can function at your best. According to statistics, approximately 25 million adults in the United States suffer from obstructive sleep apnea and more than three times that number snore. At Powell Dental Group, we provide care to address these issues so that you can enjoy a safe and uninterrupted night’s sleep.
A custom fabricated oral appliance to address snoring fits somewhat like a sports mouthguard or orthodontic retainer and is only worn while you sleep. As a removable and non-invasive treatment for snoring, your appliance slightly repositions your jaw to allow for a less restricted airflow to promote a quieter and more restful sleep.
To alleviate the symptoms of bruxism, wearing a night guard while sleeping is frequently recommended. This appliance is designed to fit over the teeth and to keep the jaws slightly apart. Wearing a night guard prevents a number of damaging events including muscle strain, excessive pressure on the jaw joint (the TMJ), and such dental damage as chipped or cracked teeth resulting from the teeth grinding against each other.