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1150 NW Maynard Road, #140
Cary, NC 27613
Telephone: (919) 323-4242

Relieving TMJD and Sleep Apnea

Dr. Charles Ferzli has extraordinary experience and credentials (see box below) to help patients ease and overcome the debilitating conditions of TMJD—Temporomandibular Joint Disorder (TMJD) and sleep apnea. His practice is the TMJ & Sleep Therapy Centre of Raleigh-Durham, located in Cary.

In the Clinic

In the Centre, notes Dr. Ferzli, “We work every day to help patients who suffer with teeth, jaw, neck, facial pain, migraines and headaches—common examples of TMJD. And these are symptoms often related to poor sleep and sleep-related breathing problems.

Dr. Ferzli uses a laser with this patient to decrease inflammation and promote healing in the head and neck areas.

“It is our mission and passion to help those in pain feel better and sleep better, and we have done so for scores of patients. Our initial assessment will take about two hours, and you will leave our clinic with a better understanding of the processes at work, and the reasonable options you have to find relief of difficult symptoms.

“There are multiple reasons why many dentists prefer not to treat TMJ issues—most notably because the temporomandibular joint is one of the most complex joints in the human body, residing directly in front of the ear. When it is not aligned correctly, it is the source of significant stress and discomfort.

Tools of the
Healing Trade

In his exacting work, Dr. Ferzli uses an array of state-of-the-art tools to guide patients along the path of healing and relief, including:

  • CBCT X-rays: to determine alignment of the head and spine;
  • Photography: to see if ears, eyes, and posture are properly aligned;
  • Joint vibrational analysis: to help determine health of the TMJ joint when the patient opens & closes their mouth;
  • Jaw tracker: an instrument that measures and records the movement of a patient’s jaw, used to determine how fast the jaw opens and closes—and how straight the mouth is when opening and closing;
  • And a good deal more.

“In treating TMJ disorders, we use all the tools science and technology make available, including photography, X-rays, joint vibrational analysis, and a jaw tracker. Most often when TMJ issues are present, a first step is to craft a custom orthotic appliance to reposition or decompress the TMJ.

Other Key Issues

“Relying on state-of-the-art technology and training, in our Centre we also have the knowledge and experience to identify and treat conditions such as sleep apnea, upper airway resistance syndrome, and help with all kinds of headaches.

Sleep Apnea

“Often people who suffer from sleep apnea don’t know of their condition,” notes Dr. Ferzli. “They may realize that they snore, and feel over-tired or fatigued, but are unaware of the potentially serious medical problems that may exist.

“What’s more, those who know they have sleep apnea may not realize that they can be successfully treated using an oral appliance. Until a few years ago, the only treatment for sleep apnea was CPAP—short for Continuous Positive Airwave Pressure,” he says. “While CPAP involves wearing a facial mask, an oral appliance does not. The oral appliance fits in the mouth and is a similar size to a mouth guard or sports guard. I have found that many patients find that it’s much easier and more practical to wear an oral appliance, as it is more comfortable than CPAP and fits in your travel bag.”

Dr. Ferzli notes that sleep apnea is linked to a long list of medical conditions that result from a chronic lack of oxygen. These include, but are not limited to: Heart attack, stroke, diabetes, impotence,  GERD, bruxism, cardiac arrhythmia, high blood pressure, depression, severe anxiety, memory and concentration impairments, and sudden cardiac death.

“Successful management of sleep apnea greatly improves the quality and length of a patient’s life,” notes Dr. Ferzli. “And, relying on state-of-the-art technology and training, in our Centre, in addition to sleep apnea, we also have the knowledge and experience to identify and treat conditions such as upper airway resistance syndrome, and help with all kinds of headaches.”

Dr. Charles Ferzli: Bountiful Credentials

Dr. Ferzli graduated from UNC-Chapel Hill School of Dentistry in 1997. For three years prior to acquiring his own practice, he worked in a Medicaid office. He also worked in a high-end cosmetic practice, as well as a crown and bridge practice.

While taking more than 100 hours of continuing education every year for the past 20 years, Dr. Ferzli has acquired knowledge from every branch of dentistry and practices more than 40 hours a week in his Cary office. Among the various certifications he has acquired, he studied at New York University for certifications in implantology, cosmetic training from Ross Nash Institute of Cosmetics, dental sleep medicine and TMJ training from the American Academy of Craniofacial Pain (AACP), and orthodontic training from Gerry Samson Institute.

He is certified with the North Carolina State Board of Dental Examiners to provide his patients with conscious sedation. He spends time, energy and resources to be on the cutting edge of dentistry: “We have developed a state-of-the-art dental office,” he says, “with everything new dentistry has to offer. I would like prospective patients to know that all their dental needs can be met in one location, and we invest in the products and training to achieve this goal.”

Dr. Ferzli is a member of the Academy of Pain Management, the Academy of General Dentistry, the Dental Organization for Conscious Sedation, and the Academy of Dental Sleep Medicine, and he is, as well, a Fellow with the American Academy of Craniofacial Pain.

Dr. Ferzli has been married to Miriam Ferzli for 24 years. They have two Basset-Beagle mix dogs, Opie and Bailey. They enjoy ballroom dancing and have been competing nationally for over a decade. And Dr. Ferzli notes, “My very best patients bring me good chocolate.”