Sleep apnea

Sleep Apnea Treatment

Many patients suffering from snoring and sleep apnea often assume that only ear, nose, and throat (ENT) specialists can correct their condition. The good news is that professional dentists can too, and here at Hollywood Dental and Orthodontics 817-900-9335, we’re ready to help you.

Snoring is a loud, unpleasant condition occurring during sleep when the soft palate at the back of the throat relaxes too much, causing tissues to vibrate and resonate sound. Chronic snoring is potentially serious and can lead to more severe sleep-related issues like sleep apnea.

The term sleep apnea comes from a Greek word meaning ‘without breath’ and refers to brief, temporary interruptions to breathing while asleep. Sufferers repeatedly stop breathing when the soft tissue at the back of the throat collapses completely, obstructing the airway.

Each period without breath can last for 10 seconds or more – and sometimes as long as a minute. The sleeper is unaware and the process may be experienced up to hundreds of times during the night. This can be life-threatening, as sleep apnea has been linked to high blood pressure and other cardiovascular complications.

Obstructive Sleep Apnea (OSA)

The time we spend sleeping is synonymous with the amount of rest we get and the rejuvenation that comes from it. However, patients who suffer from Obstructive Sleep Apnea are deprived of the rejuvenating rest that only comes from a deep sleep.

Obstructive Sleep Apnea is a potentially dangerous sleeping disorder characterized by frequent disruptions to normal breathing as the sufferer sleeps. Apnea is a Greek word that means “without breath”. Known as OSA for short, the condition causes the patient’s airflow to either be partially or completely blocked for 10 seconds or more. This­­ occurs when the tissues around the windpipe – and surrounding muscles that keep the airway open – collapses during a state of relaxation (sleep) to such an extent that it obstructs the airway.

Although the breathing pauses only last for seconds at a time, apnea episodes can occur throughout the night, thus preventing the person from reaching the deeper stages of sleep. While most adults require 8-9 hours of sleep every day, studies indicate that at least 20% of it should be spent in deep sleep, in order for the person to be refreshed and fully functional the following day.

Obstructive sleep apnea can affect both males and females, irrespective of age. Statistics however show that middle-aged men who are overweight or consume alcohol frequently are at a higher risk of developing the condition.

Symptoms of OSA

Most people associate the sleeping disorder with its most common manifestation of loud and persistent snoring. There are in fact many signs and symptoms that accompany the OSA condition. The symptoms may be divided into two broad categories: Nighttime and Daytime. The so-called nocturnal symptoms occur as a direct result of the sufferer’s airway being obstructed during sleep, such as snoring or choking. The daytime symptoms, on the other hand, mostly occur due to the sleep deprivation caused by the OSA condition.

Sleep apnea treatment cannot begin until these signs and symptoms are identified and brought to the attention of a trained sleep physician who is qualified to carry out a proper diagnosis. Delayed OSA treatment can have serious health implications, including medical conditions like high blood pressure, heart attack, stroke, or even sudden death.

If you spot a few or most of the following symptoms – particularly if you are middle-aged and overweight – do not hesitate to make an appointment to see your medical or sleep physician for a diagnosis:

Contact our team today if you are suffering from snoring or sleep apnea.

Our practice is equipped with oral appliances to prevent airway obstructions and help remedy your condition. Our team looks forward to helping you learn more about these devices so you can enjoy safe, quality sleep and wake up feeling refreshed again.

OSA Diagnosis (Sleep Study)

If you suspect that you may be suffering from Obstructive Sleep Apnea, the best thing you can do is consult your medical or sleep doctor about your concerns. To receive an accurate diagnosis, your physician may recommend that you go for a sleep study, or what is known as a polysomnography.

Administered by a qualified sleep physician, polysomnography utilizes several physiological monitors to record your breathing patterns, brain and physical activity while you sleep. The study shows the number of arousal events that exceed preset markers, the frequency of which determines whether or not you have a sleeping disorder, and it’s level of severity. The sleep study can either be carried out at a sleep clinic or in your own home.

Risks of untreated sleep apnea and health complications

Obstructive sleep apnea (OSA) is a serious medical condition associated with several health risk factors:

CARDIOVASCULAR PROBLEMS

The cessation in breathing causes decreased oxygenation of the blood, which over time, can lead to complications like heart rhythm disturbances and heart failure.

COGNITIVE IMPAIRMENT

Studies show that people with moderate to severe OSA face memory loss, thinking, and judgment that are greater than normal age-related changes.


DIABETES

When you struggle for air in your sleep, stress hormones are being released that can raise blood glucose levels


CANCER

Studies show that people with moderate to severe OSA are 3 times more likely to die from cancer

DEATH

Studies show that people with moderate to severe OSA are 4 times more likely to die.

STROKE

Studies show that people with moderate to severe OSA are 4 times more likely to have a stroke.

Sleep Apnea Treatments

Continuous Positive Airway Pressure (CPAP)

This is the first line of treatment administered via a breathing mask as a person sleeps. Although CPAP is effective in treating OSA symptoms, many struggles to get accustomed to wearing the mask to sleep or the noise produced by the CPAP machine. It is true however that the noise generated by the CPAP is preferred over the snoring.

Surgery

Typically recommended as a last resort when patients have problems coping with CPAP therapy. Surgeries performed on an outpatient basis include Somnoplasty. Other more invasive types of surgery – usually reserved for those with severe OSA issues – include nasal and mandibular advancement surgery.

Lifestyle Changes

Examples of holistic treatments include weight loss, change of sleeping position, and limiting the intake of alcohol, tobacco, and sleeping pills.

Dental Appliances

How can the Dentist help?

A dentist who is trained in sleep medicine and the use of Oral Appliance Therapy (OAT) is able to customize a dental device that not only alleviates your immediate symptoms like – snoring or choking – but also treats your condition over time. OAT is a non-invasive, non-surgical treatment option frequently recommended for OSA patients who have problems complying with CPAP therapy.

The most commonly prescribed dental appliance is the Mandibular Advancement Splint/ Device (MAS/ MAD). The oral sleep device works by repositioning the lower jaw/ mandible (largest facial bone) such that it prevents your tongue from falling back and obstructing your airway during sleep. The dentist who specializes in OSA treatment can supply, fit and periodically adjust the oral appliance, consisting of a set of splints for your upper and lower jaws.

Working closely with your medical practitioner or sleep physician, the dentist is able to employ clinically-tested Oral Appliance Therapy (OAT) methods to recondition your breathing habit and restore your health in a safe and effective way.

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