Posts for tag: snoring
When you awake in the morning do you still feel exhausted? Are you irritable during the day, unable to think or focus clearly? Is your loud snoring bothering your bed partner?
If you answered affirmatively to any of these questions, you may have sleep apnea. This happens when an obstruction (usually the tongue) blocks the airway during sleep, preventing you from breathing. Your brain notices the drop in oxygen and wakes you to re-open the airway. The arousal lasts only a few seconds, and you may not even notice. But because it can happen many times a night, these waking episodes can rob you of the deep sleep your body needs.
Sleep apnea is more serious than simply waking up grumpy. Over time, it could contribute to dangerous health conditions like high blood pressure or heart disease. If you’re noticing any of these signs, it’s important then that you undergo a complete examination by a physician or dentist trained in sleep-related issues.
Fortunately, there are ways to reduce sleep apnea. One of the most common is continuous airway pressure (CPAP): This method uses a small pump that pushes pressurized air through a face mask worn while the patient sleeps. The forced air keeps the airway open and reduces apnea episodes.
While it’s an effective method, it can be uncomfortable and cumbersome to use—some people can’t tolerate wearing the mask while they sleep. But if your sleep apnea symptoms are mild to moderate, your dentist may be able to provide an alternative therapy with a specially designed oral appliance.
Similar to a mouthguard or retainer, a sleep apnea appliance worn during sleep holds the lower jaw forward, which helps move the tongue away from the airway. It’s much less cumbersome (and noisy) than a CPAP machine. And your dentist can custom design and fabricate your appliance for a comfortable fit.
Not all cases of sleep apnea can benefit from such an appliance, or even from CPAP therapy. Extreme cases could require surgery to remove tissues blocking the airway. But most sleep apnea patients don’t require this invasive intervention. Getting checked by a qualified medical professional could open the door to a more convenient and effective way to a better night’s sleep.
The month of March brings the first day of spring, when nature seems to wake up after a restful winter slumber. It also brings Sleep Awareness Week, which leads us to ask: How's your sleep? For around one of every three people, the answer seems to be: Not so good! In fact, it's estimated that some 50-70 million people in the U.S. alone have sleep problems, including sleep-related breathing disorders like obstructive sleep apnea (OSA).
People who suffer from this condition seem to sleep fitfully and snore loudly—and they may actually wake up dozens of times every night without even knowing it. These "micro-arousals" make it impossible to get restful sleep, which can lead to fatigue, trouble concentrating, and behavioral issues. Children with sleep disorders like OSA are sometimes diagnosed with attention deficit/hyperactivity disorders because the symptoms are very similar.
If you suspect that you (or someone you care about) may have a serious sleep disorder, it's a good idea to get an examination from a medical professional who specializes in this area. If the diagnosis is OSA, there are a number of treatments that can be effective—one of which is an oral appliance that's available from the dental office.
Dentists are quite familiar with the anatomical structure of the mouth, which is sometimes the root cause of OSA. In many individuals, the soft tissue structures in the back of the oral cavity (including the tonsils, tongue and soft palate) can shift position when muscles relax during sleep and block the flow of air through the windpipe. The lack of sufficient air may cause a person to awaken briefly, gasp for breath, and then relax their muscles—over and over again, all night long.
After a complete exam, we can have an appliance custom-made for you that has proven successful in managing mild to moderate cases of OSA. Shaped a little like a retainer, it is worn in your mouth at night and taken out in the daytime. The appliance helps maintain an open airway by re-positioning the jaw and/or keeping the tongue out of the way.
Oral appliance therapy is one of the most conservative options available for treating OSA: It requires no major equipment or irreversible medical procedures. However, there are a number of other options, including machines that supply pressurized air through a face mask and even oral surgery. It's important to consult with a specialist in sleep disorders when you're facing this issue. If the diagnosis is OSA or a similar sleep problem, remember that help may be available here at the dental office.
If you have questions about sleep-related breathing disorders, please contact us or schedule an appointment for a consultation. You can read more in the Dear Doctor magazine articles “Oral Appliances For Sleep Apnea” and “Sleep Disorders & Dentistry.”
Your snoring isn’t just an annoyance to other members of your household — it could indicate a serious health issue. Fortunately, there are treatments, some of which your dentist might be able to provide.
Snoring is the result of soft tissue structures in the back of the throat, including the tonsils, the uvula, the tongue or fat deposits, collapsing on each either and obstructing the flow of air into your lungs. The obstructions produce a vibration that is the source of the snoring.
These obstructions could lead to a serious condition known as Obstructive Sleep Apnea (OSA). As the name implies, the obstruction causes a complete cessation of airflow for several seconds. As oxygen levels drop, the body responds by waking for one to three seconds (known as “micro-arousals”) to restore airflow. These disruptions can occur several times a night, as much as fifty times an hour. The depletion of oxygen and resulting low quality of sleep can contribute to high blood pressure, a higher risk of heart attack or stroke, and the possibility of accidents caused by lower alertness during the day.
You can help reduce the effect of OSA by losing weight and exercising. You may also be a candidate for Continuous Positive Airway Pressure (CPAP) therapy, which utilizes a device that delivers pressurized air into the airway while you sleep.
Depending on the exact cause and extent of your OSA, you might also benefit from treatments provided by your dentist. We can develop a custom-fitted oral appliance, similar to an orthodontic retainer or sports mouthguard, which you wear while you sleep. These devices work by repositioning the lower jaw forward, thereby maintaining an open airway by also moving the soft tissue of the tongue forward. For more advanced conditions, certain surgical procedures that realign the jaw or remove excess tissue, the tonsils and adenoids, or parts of the uvula or soft palate could be considered.
To know your best treatment course, you should schedule a complete oral examination to determine the exact cause of the obstruction, and possibly a polysomnogram, an overnight study performed in a sleep lab. And as your dentist, we might be able to provide the key for a better night’s sleep and a healthier tomorrow.
If you would like more information on how we can address your problems with sleep apnea, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Snoring & Sleep Apnea.”
Scientists don't know much about sleep even though it has been extensively studied. We do know that several hours of deep, restful sleep per night are essential for a healthy life.
Many people remain tired and unrefreshed, even after a full night's sleep. About a third of them are affected by sleep related breathing disorders (SRBD). Dentists can play a significant role in helping patients overcome these disorders, which range from frequent snoring to severe Obstructive Sleep Apnea (OSA). If you think you may have such a disorder, read on.
Under normal conditions, your upper airway is open, allowing air to flow from your nose, through your throat, and into your lungs. If you suffer from SRBD, you experience frequent reductions in the flow of air to your lungs during sleep. You may not be aware of it, but sometimes your breathing may even stop for brief periods. These reductions happen when your tongue and other soft tissues in the back of your throat collapse backwards and block your upper airway or windpipe. You may briefly awaken as many as 50 times per night because of these breathing lapses. These brief awakenings, called micro-arousals, keep you from reaching the deep stages of sleep your body needs.
The resulting reduced oxygen flow to your heart and to your brain can cause serious damage. You will also be tired during the day and experience a lack of energy, even if you sleep for seven or eight hours per night. This constant drowsiness puts you at greater risk for accidents.
Because dentists generally see their patients at six-month or other regular intervals, we are in a good position to screen and refer patients with suspected SRBD to physicians for diagnosis and treatment. Dentists can also treat SRBD in a number of ways.
- One of these is Oral Appliance Therapy (OAT), in which a device that looks something like an orthodontic retainer holds your lower jaw in a forward position relative to your upper jaw, preventing your tongue and soft tissue from collapsing into your airway.
- Another consists of breathing equipment called Continuous Positive Airway Pressure (CPAP). The CPAP is a mask connected to a machine that pushes air into your lungs.
- Other treatments include oral surgery or orthodontia. The goal of these techniques is to increase the volume of air passing through your upper airway by pushing your tongue forward.
Medical insurance usually covers the cost of much of these treatments.
Contact us today to schedule an appointment to discuss your questions about sleep disorders and their treatments. You can also learn more by reading the Dear Doctor magazine article “Sleep Disorders and Dentistry.”
A good night's sleep...have you been getting them lately? While everyone knows that sleep is important, did you know that we all spend about one-third of our lives asleep? And did you know that when deprived of sleep, the negative impact is detrimental on both an individual as well as at the societal level? These important facts are just some of the reasons why there has been an increased interest in studying sleep, sleep loss and sleep disorders.
If you have issues with sleep, you might have a sleep disorder — an epidemic problem that impacts approximately 50 to 70 million people in the US alone. Obstructive Sleep Apnea (“a” – without; “pnea” – breath) (OSA) is a medical condition that occurs when your tongue collapses against the back of your throat causing a significant reduction in your intake of air or even total temporary blockage. If left untreated, OSA can lead to an irregular heartbeat, heart attacks, high blood pressure, and other forms of heart disease plus strokes and even impotence.
Please note that while your responses to the questions below do not equate to a diagnosis, sharing them with our office can be extremely beneficial in helping us properly evaluate and treat issues related to poor sleeping habits.
- Do you weigh 15 pounds or more than the normal weight range for your height, sex and age?
- If you are male, is your neck measurement 17 inches or more? Or if you are female, is it 16 inches or more?
- Do sleep partners routinely tell you that you are a loud snorer and/or that during your sleep you choke, gasp for air or briefly stop breathing?
- Do you often wake up still feeling tired after 8 or more hours of sleep?
- Do you often find yourself falling asleep at work or home during periods when you should be awake?
- Do you suffer from irritability, depression, loss of memory, poor judgment and/or concentration?
The first and most important step in treating sleep apnea is to obtain a proper diagnosis. Contact us today to schedule an appointment to discuss your questions about sleep apnea. We can assist in the diagnosis and treatment of sleeping disorder along with a physician trained in this area. And rest assured that we have many treatment options we can use to help you get a great night's sleep. To learn more about sleep apnea, continue reading the Dear Doctor magazine article “If You Snore, You Must Read More!”