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Dr. Michael Montgomery
Irene Sandoval – Office Manager
Princess Abigail Opare – Registered Dental Nurse
Gillian Joy Calimpon – Registered Dental Hygienist
Angie Williams – RDH MPA
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The Best in Los Angeles Medicine
Hours of Operation
  • MON 8:00am-5:00pm
  • TUE 8:00am-5:00pm
  • WED 2:30pm-8:00pm
  • THU 8:00am-5:00pm
  • FRI 10:00am-1:00pm
Dr. Montgomery's Team

Blog

Is Snoring sexy???
June 12, 2012

My school teacher friend Hector who is 50+ years old is having medical problems and his doctors have not been able to determine the cause of his problems.  When he was younger he was a good basketball player and now stays active playing tennis.  He is 30 pounds overweight, snores, takes daily naps, and gets 9 hours of sleep each nite.   According to his wife, he also snores quite a bit.  He likely has moderate to severe sleep apnea, but refuses to discuss this possibility with his physician.  WHY??  Because he doesn’t want  to consider that he might need to nightly use a CPAP (Continuous Positive Air Pressure) mask while he sleeps.  He has been hospitalized for heart problems, passed out at dinner, yet his doctors cannot determine the cause.  He is risking his life refusing to be tested because a CPAP is not sexy.  He will not listen to me when I tell him there are dental devices that may be used instead of a CPAP.  The quality of his life may be improved with a simple dental device especially if he could lose some weight.

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How big a problem is snoring?
May 10, 2012

Besides the nuisance to your bed partner, snoring has some very considerable consequences to our bodies as well.  Take the case of Mr. Y, a seemingly healthy 40 year old flight attendant.  Although he snored, he was fit and active, but one day he had a heart attack.   His doctors told him it was caused by sleep apnea.  He had never heard of sleep apnea, but he had all the symptoms–snoring, slightly overweight, large neck, and daytime tiredness.  His snoring (50% of people who snore have sleep apnea) was the result of an obstruction in his throat or nose which caused partial collapse of the airway while he slept.  Unfortunately, in those with sleep apnea, this partial collapse periodically becomes a total obstruction resulting in no passage of air into or out of the lungs.  If this occurred once or twice a nite, it would be of minimal concern, but in Mr. Y’s case, it occurred 35 or more times per hour and would last from 30-40 or more seconds each time.  Imagine holding your breath 30-40 seconds every 2 minutes for 6-8 hours.   These multiple obstructive events caused the life-giving oxygen levels  in his blood to drop from 94% to as low as 74%.  Healthy people start to become non-healthy very quickly when blood oxygen levels drop to less than 90% and in Mr. Y case it was occurring more than 35 times per hour while he was sleeping.  His heart finally reacted very poorly to this severe lowering of his oxygen–it was being suffocated.  Other organs could also have reacted to this oxygen deprivation–a stroke, diabetes, high blood pressure have also been attributed to sleep apnea.  Fortunately, his doctor diagnosed his problem and prescribed weight loss and nightly use of a CPAP machine to manage his problem.  He was able to return to normal work duties.  In other words, snoring issues need to be addressed.

 
Snoring – a silent problem
May 18, 2011

Had a rather unique experience last week where a patient was trying to deal with a snoring problem. Most people don’t consider the interpersonal effects that snoring can have on their bed partner. Usually, it is a man who snores and causes such poor sleep for his partner that a great deal of tension builds up that can lead to breakups or for the partner to sleep in another room. However, last week a young women asked me what she could do to “fix” her snoring as her husband told her that he couldn’t sleep with her anymore until she fixed this problem. She didn’t know whether she should see her MD, ENT, or if I had any other recommendations. This happens to be a area of strong interest for me.

Fortunately, I was able to give her some valuable advice that likely will help her with this problem. Since snoring can be a sign of medical problems, air way obstructions, sleep apnea, I recommended that she have a full exam by her MD and get an OK to have sleep study done to determine how significant her likely sleep apnea is–she had heard of sleep apnea but said she didn’t have it (most people’s response). Sleep apnea occurs as result of a collapse of the airway during sleep (much like snoring) such that one cannot breath. These events may last 15-60 seconds and usually cause one to stir and wake up so that breathing may resume. There may be just one such event per sleep cycle or as many as 60-100 per HOUR. These events significantly the quality of sleep and reduce the blood oxygen which in turn deprives our brain, heart, and other vital organs of life-giving oxygen. Obviously, long-term oxygen deprivation has a detrimental effect on our body. If her MD finds no obstructions and the sleep study shows only mild or moderate sleep apnea, her snoring could be controlled with a dental device that will be covered by her MEDICAL insurance. If she has obstructions or has severe sleep apnea, surgery and or other measures may be necessary to overcome this silent problem.

If you need more information on this, please see the following website,

 
Thoughts from Dr. Monty..
May 05, 2011
Dr. Montgomery

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