Every patient is unique. The team at RVA Dental Care will help each patient identify if they are at risk for a sleep-breathing disorder.
Our AADSM qualified dentists work as a team with medical professionals to find our patients the proper diagnosis and treatment. We work closely with Certified Sleep Physicians, Pulmonologists, Primary Care Physicians and other health care providers to assure the best possible sleep solutions for you and your family.
If you, your loved ones or friends have concerns regarding sleeping, breathing or snoring, please contact our office to set a FREE consultation with our doctors and team.
Both Dr. Friend and Dr. Lawrence have personal experience with their own sleep and breathing disorders. After turning 50, Dr. Friend began to experience severe daytime sleepiness and difficulty falling asleep and remaining asleep through the night. After several unsuccessful changes to diet, routines and even sleeping medication, exhausted and frustrated, Dr. Friend sought the advice of a local sleep physician. A home sleep test was conducted, diagnosing Dr. Friend with mild obstructive sleep apnea with severe symptoms.
At the instruction of the sleep physician, Dr. Friend made himself an oral appliance called a “mandibular advancement device.” Immediately the appliance eliminated the snoring and after some time and appliance adjustment, his symptoms began to fade away. It was at this point that Dr. Friend began educating himself on sleep apnea and his role as a dentist in helping people with the same disease.
Due to an athletic injury, Dr. Lawrence spent most of his high school years with a deviated septum. After surgical correction, the difference in breathing was immediately evident. Patients with similar conditions can greatly benefit as nasal breathing is more beneficial than mouth breathing during sleep and daytime hours. Dr. Lawrence has joined Dr. Friend in his dental sleep medicine education and both are eager to share their knowledge and experience with their patients.
Both Dr. Friend and Dr. Lawrence are Qualified Sleep Dentists with the American Academy of Dental Sleep Medicine and are actively pursuing Diplomate status with the AADSM, a prestigious award held by only a handful of dentists in Virginia. They have seen the transformative power of a good night’s sleep in themselves and their patients. Drs. Friend and Lawrence use acoustic pharyngometry, a safe and painless method to measure the airway, to screen patients for potential sleep-breathing disorders. The same technology is used to properly titrate every custom oral appliance to each patient. This technology ensures that oral appliance therapy is effective in relieving both snoring and sleep apnea episodes.
I wanted to write this note to anyone wondering if a snore guard could help you feel better and stop the snoring for you. Yes, it will!
On August 22nd I came to RVA Dental for a consultation with Dr. Jeffrey Friend and it was a great experience right from the start! Prior to the appointment I received documents by email which could be completed in advance which saved time and they could have my history before my visit.
Upon arrival I was greeted with warm smiles and receive those each time since.
As a little background, a sleep study had been performed a few years ago which was suggested by my neurologist. It was determined I have moderate sleep apnea and snore much of the night. So I was prescribed a CPAP machine. Unfortunately, I was just unable to sleep wearing it. Just too bulky, cumbersome and uncomfortable.
I learned that it is a common complaint and problem for many and I was advised of other options. I am thankful as I had gotten used to feeling tired and sleepy and not well rested.
I was thoroughly tested and fitted for the best appliance for me. The very first night I wore my appliance and using an app to record my snore levels, I realized I had already, in the first night, gotten a better night's sleep.
I record my levels often and on a whim decided to go without the snore guard one night to see what the levels would be not wearing the appliance so I had numbers to compare to, and it was a terrible result! No wonder I have been so tired for so long.
I have been using my Moses snore guard for about 3 weeks and it is helping me already! I am snoring about a quarter of the night (lightly) instead of three quarters of the night at loud levels. And, I am sleeping better, getting up only once during the night instead of 2 or 3 times. Another great thing about the appliance is that it's fully portable. It comes in a little case small enough to fit in your purse.
Thanks to the referral to Ashley and Dr. Friend I am sleeping better and feeling more rested already. It is quite amazing to see the difference and I have to think it will only get better.
I love my sleep appliance! I experienced improved sleep starting the first week and every week since. The device is easy, unobtrusive, and low-impact. I feel better rested, improved air capacity and an increase in energy and stamina. Overall improved quality of work, rest and play.
My entire life, I have struggled with feeling spacey and lethargic. One day Dr. Friend suggested that this could be caused by sleep apnea, and although I'm not an overweight individual, the anatomy in the back of my throat showed some warning signs. He referred me to Bon Secours Sleep Center and the sleep test came back as positive for mild obstructive sleep apnea. Dr. Friend made me a SomnoMed mouth guard, and the results have been incredible. After the second day of sleeping with it, I was able to stop taking the ADHD medication that I had been on for the past four years, and my mental clarity was better than it was while I was taking medication. The only regret I have about getting involved with the sleep therapy program at RVA Dental is that I didn't start it sooner!
My experience with Dr. Friend and Ashley in the RVA Dental Sleep Center - along with the rest of the office staff - has been nothing short of fantastic. My sleep improved dramatically after receiving an oral device, but the process of getting fitted was most impressive. the office invested in the latest technology and training in this emerging field and they provided what felt like concierge level care in getting to know me and managing my case. It's no wonder they get results. Wow........
I LOVE MY Sonnamed SLEEP APPLIANCE! I have had several appliance prior to this one, and I can honestly say this is the most comfortable one I've ever had. Yes, it is a bit pricy, but worth EVERY penny. Not to mention, that Dr. Friend at RVA Dental Care, is so passionate about his patients getting a quality nights sleep, that he worked with me on a payment plan. American's do not put enough importance on a good nights sleep. I grew up in the era where sleep was a waste of productive time. This is how I lived my adult life until my health failed. Studies have shown how vital quality sleep is to our overall emotional, mental and physical health. Not only do I look forward to a quality nights rest now while using my sleep appliance but I also look forward to the comical entertainment when remembering bits and pieces of dreams while in R.E.M. Sleep cycle the night before. A cycle of sleep that I don't reach without my sleep appliance. Don't wait until your health fails you to understand the importance of a quality nights rest and the importance of the R.E.M. sleep cycle.
Independent Predictors of Heart Attack
Risk Factor Odds Ratio
Obstructive Sleep Apnea 23.3
Heart Attack and stroke
OSA increases the risk of heart attack and stroke more than any other single factor – including smoking, obesity etc. (5 X increase ) Nearly 80 % of nocturnal strokes can be directly attributed to OSA.
Why are headaches a symptom of OSA?
Three types of headaches have been directly linked to the presence of OSA.
• Cluster Headaches
• Dull Morning Headaches
All are caused by different things, morning headaches and cluster headaches have been linked to oxygen desaturation events caused by OSA.
Migraine headaches are correlated with REM & Delta sleep patterns which are severely disrupted in patients with OSA.
Why is sexual dysfunction a sign of OSA?
Lack of nitric oxide in the body narrows arteries and decreases blood flow to all areas of the body. The major erectile dysfunction medications all function by causing a spike in nitric oxide production, which causes vasodilation and increased blood flow.
Why are social problems a sign of OSA?
Simple equation! OSA = Poor sleep= Unhappy, grumpy, irritable person=work/relationship/school problems
Why is Diabetes a symptom of OSA?
Obese patients are more likely to have OSA, they are also more likely to have diabetes. Perpetual lack of sleep in young adults results in changes in glucose metabolism and endocrine function.
New Studies Related to Cancer
Severe Apnea results in 5X the number of cancer deaths for those with cancer. New studies show that periodic lower oxygen results in 2X the speed of growth of cancer tumors
Mild OSA= 10% increase in cancer deaths
Moderate OSA= 200% increase in cancer deaths
Severe OSA= 480% increase in cancer deaths
Contact our dental office to set a FREE consultation with our doctors and team.