Case Study: Successful Treatment of Sleep Apnea with Sleep Perfection

case study of sleep apnea

Patient Profile:

  • Initial Sleep Study Date: May 2023
  • Treatment Start Date: November 2023
  • Location: Tucson, AZ

Initial Diagnosis:

  • Apnea Hypopnea Index (AHI): 17
    • Indicates that the patient experienced airway collapse 17 times per hour for at least 10 seconds, with a 4% drop in blood oxygen saturation.
  • Respiratory Distress Index (RDI): 28
    • Indicates that the patient had partial or complete airway closures 28 times per hour for less than 10 seconds.

Treatment Plan:

Upon returning to Sleep Perfection in Tucson, AZ in November 2023, the patient began treatment with a custom oral appliance provided by Sleep Perfection. This appliance is designed to maintain airway patency during sleep, reducing the frequency and severity of apneas and hypopneas.

Evaluation and Monitoring:

  • Pretreatment CBCT Scan: Conducted at the start of treatment in November 2023.
  • Follow-up CBCT Scan: Conducted in May 2024 after six months of appliance use.
  • Both scans were taken in the same position and without the appliance in place to ensure consistent and accurate comparison.


The follow-up CBCT scan showed significant improvement in the patient’s airway structure, confirming the effectiveness of the oral appliance in managing her sleep apnea. The consistent use of the appliance has led to a notable reduction in both AHI and RDI, improving her overall sleep quality and health.


This case exemplifies the success of customized oral appliance therapy in treating sleep apnea. Sleep Perfection’s comprehensive approach, from initial diagnosis through continuous monitoring and follow-up, ensures optimal patient outcomes.

For more information on how Sleep Perfection can help you manage sleep apnea and improve your sleep quality, please visit our website.

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Dr. Sharad Pandhi in white lab coat and blue shirt with tie

Dr. Sharad Pandhi

Dr. Pandhi is a seasoned dental professional with over 40 years of experience, specializing in treatments for sleep disorders. A graduate of the University of Bombay’s dental school, he established his private practice, Smile Perfection, in 1987, and has since dedicated his career to helping patients achieve ‘sleep perfection.’ Recognized for his innovative approach, Dr. Pandhi combines holistic medicine with appliance treatments to treat sleep apnea and associated conditions, such as bruxism and TMJ dysfunction. His commitment to lifelong learning is demonstrated through his completion of C.E. courses from Sleep Group Solutions and Vivos training, as well as his active memberships in the ADA, Az D.A., Southern Arizona D.A., AGD, and American Academy of Sleep Medicine.