Sleep Apnea in Orange Park and Jacksonville

People with obstructive sleep apnea (OSA) have disrupted sleep and low blood oxygen levels. When obstructive sleep apnea occurs, the tongue is sucked against the back of the throat. This blocks the upper airway and airflow stops. When the oxygen level in the brain becomes low enough, the sleeper partially awakens, the obstruction in the throat clears, and the flow of air starts again, usually with a loud gasp.

Repeated cycles of decreased oxygenation lead to very serious cardiovascular problems. Additionally, these individuals suffer from excessive daytime sleepiness, depression, and loss of concentration.

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Some patients have obstructions that are less severe called Upper Airway Resistance Syndrome (UARS). In either case, the individuals suffer many of the same symptoms.

The first step in treatment resides in recognition of the symptoms and seeking appropriate consultation. Oral and maxillofacial surgeons offer consultation and treatment options.

In addition to a detailed history, the doctors will assess the anatomic relationships in the maxillofacial region. With cephalometic (skull x-ray) analysis, the doctors can ascertain the level of obstruction. Sometimes a naso-pharyngeal exam is done with a flexible fiber-optic camera. To confirm the amount of cardiovascular compromise and decreased oxygenation levels, a sleep study may be recommended to monitor an individual overnight.

There are several treatment options available. An initial treatment may consist of using a nasal CPAP machine that delivers pressurized oxygen through a nasal mask to limit obstruction at night. One of the surgical options is an uvulo-palato-pharyngo-plasty (UPPP), which is performed in the back of the soft palate and throat. A similar procedure is sometimes done with the assistance of a laser and is called a laser assisted uvulo-palato-plasty (LAUPP). In other cases, a radio-frequency probe is utilized to tighten the soft palate. These procedures are usually performed under light IV sedation in the office.

In more complex cases, the bones of the upper and lower jaw may be repositioned to increase the size of the airway (orthognathic surgery). This procedure is done in the hospital under general anesthesia and requires a one to two day overnight stay in the hospital.

OSA is a very serious condition that needs careful attention and treatment. Most major medical plans offer coverage for diagnosis and treatment.

Imray and Gesek DMD, PA

5 out of 5 stars based on 36 Sleep Apnea reviews

Patient Review by Peggy W

We have come to Imray & Gesek several times over the past 5 years. First to have 6 teeth removed from my son before braces (2 were extra teeth), then later when he fractured his jaw playing soccer. My son now has now had 7 more teeth removed (six wisdom teeth & another extra tooth) by this office. They have been very courteous & helpful over the years.

- Peggy W

5 out of 5 stars on

Patient Review by Alyssa E

Dr. Gesek was great! He displays so much confidence and professionalism mixed with genuine care and friendliness. I felt completely at ease in the teams hands. After my procedure I healed so quick and barely had any pain or swelling from my 4 extractions. I would 10/10 recommend.

- Alyssa E

5 out of 5 stars on

Patient Review by Paige H

The staff made me feel comfortable before the Wisdom Teeth procedure. The aftercare instructions were easy to follow and the recoup time was minimal. The follow up appointment was quick and they made sure the area was healing well.

- Paige H

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Patient Review by Tana R

I received excellent care with this office from the point of scheduling the appointment through the surgery and follow-up. If I ever need any other type of oral surgery I will be calling him again. Dr. Imray was excellent.

- Tana R

5 out of 5 stars on

Patient Review by Aniya W

Extremely professional, courteous and knowledgeable. Highly recommended

- Aniya W

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Patient Review by Elvia A

Everything went well better than expected very satisfied thank you all.

- Elvia A

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Patient Review by Deborah P

I went to the Baymeadows office and saw Dr. Middlebrooks. Everyone from the Surgeon to the dental assistant to the front office was courteous and showed genuine care. I will definitely recommend and return if need arises again.

- Deborah P

5 out of 5 stars on

Patient Review by Sean W

Excellent care and very nice, professional office staff!

- Sean W

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Patient Review by Stephanie M

Dr. Imray was exceptional with both of the surgeries he performed on me. Explained everything to me in an easily understandable manner.

- Stephanie M

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Patient Review by Alexis H

They did a great job! Very friendly and efficient

- Alexis H

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Patient Review by Jaclyn B

Dr. Imray is very caring and compassionate and relates very well with the teenagers. I would highly recommend him to anyone!

- Jaclyn B

5 out of 5 stars on

Patient Review by Cynthia S

I had all four of my wisdom teeth removed by Dr. Gesek. Him and his staff were very friendly and professional and I would recommend them to anybody.

- Cynthia S

5 out of 5 stars on

Patient Review by Keera K

They were great and explained everything to me so that I knew what was going on.

- Keera K

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Patient Review by Michael W

Dr. Scott Imray is the best around! I would recommend him to anyone who needs and Oral Surgeon!!

- Michael W

5 out of 5 stars on

Patient Review by Tanner A

The staff and doctors here were wonderful. Treated us like we had known each other for years.

- Tanner A

5 out of 5 stars on

Patient Review by Feleecia C

I would definitely return if needed and recommend to anyone I know! Thank you!

- Feleecia C

5 out of 5 stars on

Patient Review by Ashley L

Dr. Gesek performed my wisdom teeth extraction. He was extremely personable. His office staff was caring and friendly. I had a wonderful experience throughout the whole procedure and someone from the staff called to check on me after the procedure! Highly recommend!

- Ashley L

5 out of 5 stars on

Patient Review by melanie m

im very pleased with the overall experience,,,,and would highly recommend this group to my friends

- melanie m

5 out of 5 stars on

Patient Review by tecilla h

dr imray and his staff was wonderful they made my visit as comfortable and pleasureable as possible,i will return for future visits,

- tecilla h

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Patient Review by Nancy F

friendly and kind staff--- will recommend this office to friends/family.

- Nancy F

5 out of 5 stars on