man wearing a CPAP machine to help with Sleep Apnea

Prior to initiating any insomnia or sleep apnea treatments it is essential to have a comprehensive clinical exam evaluating the airway that is compromised. It doesn’t make sense to treat the collapsing airway prior to a proper evaluation.

First line treatment for OSA included Continuous Positive Airway Pressure (CPAP) machine or Oral Appliance Therapy for mild to moderate patients. Patients with severe OSA are recommended to initiate our CPAP therapy sleep disorder treatment in South Bend.

CPAP Therapy requires wearing a mask on your face at night that blows air (positive pressure) through your nose to keep your airway from collapsing at night. This breathing machine is kept on all night and can require adding distilled water to humidify the air you breathe. CPAP machines are not custom made but prefabricated with a number of different mask to attach to the hoses.

Oral Appliance Therapy requires wearing a customize oral appliance resting on your dentition. This appliance serves to physiologically prevent the collapse of your airway by stabilizing your lower jaw, tongue, and soft palate. There are over 115 different variations of these customized appliances making a comprehensive evaluation paramount for selecting the best device for you. Oral appliance therapy can be very effective in treating patients who snore and those suffering from mild to moderate sleep apnea. Additionally, if severe sleep apnea patients are unable to tolerate a CPAP machine, they can be fitted with an appliance that positions the lower jaw and tongue to provide optimal airflow during sleep.

Custom Orthotic Device
Custom Orthotic Device
Airflow with Orthotic Device Treatment

The two most important factors for success with CPAP and/or Oral Appliance therapy are nasal patency (ability to breathe adequately through nose) and BMI (body most index).

Conservative, non surgical sleep apnea treatment is always attempted first, however if these modalities fail Dr. Klauer works closely with providers that can offer surgical options for managing OSA. These procedures range from surgeries directed at the nose, soft palate, tongue, and permanent repositioning of the upper and lower jaws.

Let Us Help!

If jaw pain, facial pain, or sleep disorders plague you, let us help! The TMJ & Sleep Therapy Centre has a treatment that will provide relief. From laser therapy and physical therapy to airway pressure machines and orthotic appliances, we will find a way to help you live your best life.

For more information, please call 574-203-5599

Very thorough evaluation of my son. The technician had him do all the measurements with a game, which was great for a 6 year old. You can tell they have worked with many other children and know how to get what they need in an engaging way. I was very impressed.read more
Alaina Brady
15:22 17 Dec 18
The staff is AMAZING. So supportive and positive, it’s clear everyone enjoys what they do and have helped me tremendously. Dr. Klauer has uncovered a lot of underlying problems for symptoms I didn’t realize could be caused by my clenching and grinding. I feel better and better every day and continue to be fully supported by the staff during my treatment. They even bring me hot tea during my visit! Aesthetically pleasing facility, and sometimes you get to wear some sweet looking goggles. 😄 10/10 would recommend.read more
Jessica Rowley
00:52 07 Nov 18
The staff at the TMJ & Sleep Therapy Centre are courteous and professional, but are also treat the patient in a friendly way. The wait times for my appointments have been short. Taken all together, I would highly recommend Dr. Klauer and his staff for treatment of any TMJ or sleep deprivation issues.read more
Daniel Kleimola
18:53 27 Nov 18
When I started with Dr Klauer I couldn't open my mouth wide enough to take a bite of a sandwich. I had constant jaw pain and always thought I had an ear infection. I had instant relief while the Dr was making the impressions for my mouth piece. I told him, and he gave me the 2 pink forms to use until my mouth pieces were finished! Worth every penny!read more
Lori Renee
22:19 08 Feb 19
Doctor Klauer’s staff was amazing. I came in with horrendous pain and left feeling almost normal again! The staff was compassionate and well trained. Sally was very thorough and her chair side care was gentle and reassuring. Everyone was extremely professional. A few days later, when (after looking again at the imaging that was taken in the office) Sally spotted something that resembled a fracture in one of my teeth that the referring dentist didn’t see on the panoramic x-rays that were taken in his office prior to referring me to The TMJ & Sleep Therapy Centere. She brought it to my quick attention and advised me to call her immediately if I am feeling any additional pain. This only proves how skilled their staff is!! I hadn’t thought TMJ was even a real condition until I experienced my pain and was diagnosed. The treatment plan that was designed for me is sensible and I look forward to learning how to relax and not store built up tension. I understand it will be a process but I believe that I am in very good hands!M.KretchmerGranger, INread more
Michelle Kretchmer
23:39 25 Feb 19
I was just in Dr. Klauer’s office for my yearly follow-up. Dr. Klauer and staff are so thorough and friendly it makes the appointment so easy and seamless. He always makes me feel like I am the only patient he has. I appreciate his attention to detail and his expertise on head and neck disorders. TMJ, ear, sinus, and especially airway problems. We are very fortunate to have him in our professional community. Thanks Dr. Klauer!!Kevin T Campbell D.D.S.read more
Kevin Campbell
21:38 04 Mar 19
Dr. Klauer is not only a colleague of mine, but a mentor in the field of Craniofacial Dental Sleep Medicine. His relentless dedication and thoroughness in continuing education and patient centered therapies are what set him apart from just about any other dentist/doctor I've ever met. That's saying a lot in that my father is a fantastic dentist as well. He has helped treat my condition and I have sent my own family members to him and would do so again.read more
Ryan Skale
19:45 10 Mar 19