A Restful Night's Sleep is Priceless!
WARNING SIGNS OF SLEEP APNEA:
- SNORING(#1 association of OSA)
- Repeating patterns of "snore, pause,gasp"
- Breathing stops and starts
- Waking up frequently
- Sleepiness during the day
- Falling asleep while at work or driving
- Workspace accidents or motor accidents
- Concentration difficulties
- Lost productivity
- Mood or behavioral changes
- More frequent illnesses
- Morning headaches
What is Sleep Apnea?
Sleep Apnea is a sleep disorder in which breathing stops and then restarts again repeatedly during sleep. Obstructive sleep apnea (OSA) occurs when the airway temporarily collapses during sleep, preventing or restricting breathing. Breathing pauses can be a minimum of 10 seconds and up to 90 seconds or more. OSA patients commonly suffer from low oxegen levels in the blood. This results in poor sleep quality that makes you tired during the day.
Treatment of Sleep Apnea:
Good sleep habits, weight loss, and excersise are some helpful techniques you can do on your own to reduce the severity or help treat obstructive sleep apnea. Medical and Dental treatments include Continuous Positive Airway Pressure (CPAP), Oral Appliance Therapy, Combination Therapy (CPAP in conjuction with Oral Appliance), and Surgery.
Do you suffer from excessive sleepiness?
**Call or email the office and they can score your assesment
to see if your a candidate for a Home Sleep Study (HST)**
Snoring and obstructive sleep apnea are both breathing disorders that occur during sleep due to narrowing or total closure of the airway. Snoring is a noise created by the partial closure of the airway and may often be no more problematic than the noise itself. However, consistent, loud, heavy snoring has been linked to medical disorders such as high blood pressure. Obstructive sleep apnea is a serious condition; the airway totally closes many times during the night and can significantly reduce oxygen levels in the body and disrupt sleep. In varying degrees, this can result in excessive daytime sleepiness, irregular heartbeat, high blood pressure, reflux, depression, and occasionally heart attack and stroke.
Because any sleep disordered breathing may potentially represent a health risk, all individuals will be tested by an overnight sleep recorder (home sleep study) in their home or by a polysomnogram in a sleep laboratory.
Oral Appliances can be helpful in the treatment of snoring, upper airway resistance syndrome (UARS), and sleep apnea. Oral appliances are designed to assist breathing by keeping the jaw and tongue forward, thereby opening the airway space in the throat. While documented evidence exists that oral appliances have substantially reduced snoring and sleep apnea for many people, there are no guarantees this therapy will be successful for every individual. Several factors contribute to the snoring/apnea condition including nasal obstruction, narrow airway space in the throat and excess weight. Because each person is different and presents with unique circumstances, oral appliances will not reduce snoring and/or apnea for everyone. Post testing will be done to assure effective treatment.
Oral Appliance Therapy (OAT):
Diagnosis for mild to moderate sleep apnea can be treated with a custom fabricated oral appliance as well as those that are dianosed with severe sleep apnea and are CPAP intollerant.
OAT is often a viable alternate to CPAP therapy. Oral appliances are custom fabricated to re-position the lower jaw and tongue during sleep. The oral appliance creates support for the airway that tends to collapse during sleep. This treatment can be highly effective therapy for both sleep apnea and snoring. The American Academy of Sleep Medicine (AASM) recommends OAT as first-line of treatment for those who have been diagnosed with mild to moderate OSA. For severe OSA patients the CPAP is the standard of care. However, if intolerable, an oral appliance can be prescribed by your physician. There are several different types of FDA approved oral appliances used to treat obsrtuctive sleep apnea. They are comfortable and easy to wear and most people find it only takes a couple weeks to become acclimated to wearing the device to sleep. People like to use these oral appliances because they are compact, easy to travel with, and quiet, unlike the CPAP. Oral appliances can be used alone or in conjunction with other therapies. Oral appliance therapy involves selecting an appropriate design to fit the patients needs that's why Dr. Evans will do a comprehensive examination to determine which appliance will be successful for you.
This is anacrylic custom fabricated appliance. The Moses appliance supports the lower jaw in a forward position of low muscle activity and it prevents collapse of the tongue on the pharynx.It increases the volume of space for the tongue in the mouth and dilates pharyngeal muscles which lifts the soft palate. The Moses raises the position of the hyoid bone relative to cranial base and lowers the elevator muscle activity which will reduce clenching and/or decrease or prevents bruxism.
The Dream TAP is a custom adjustable oral appliance that is worn while sleeping. The appliance holds the lower jaw forward, preventing the tongue and soft tissue of the throat from collapsing into the airway and maintains a clear airway to reduce snoring and improve breathing.
When you breathe normally, air passes through the nose and past the flexible structures in the back of the throat such as the soft palate, uvula and tongue. While you are awake muscles hold your airway open. When you fall asleep these muscles relax but normally the airway stays open.
The Uvula is the fleshy extension of the soft palate that vibrates and causes snoring.
Snoring is the sound of obstructed breathing during sleep in which the soft tissues at the back of the throat lose muscle tone, it then flops back and vibrates. While snoring can be harmless (benign snoring), it can also be the sign of a more serious medical condition which progresses from upper airway resistance syndrome (UARS) to obstructive sleep apnea (OSA).Snoring and sleepiness affects over 40% of the adult population, often causing significant health and quality of life problems.Snoring can greatly disrupt the quality of sleep, resulting in excessive daytime sleepiness. Snoring can also disturb the sleep of those nearby, causing great frustration and placing a strain on relationships.Snoring has been identified as a possible risk factor for hypertension, heart disease and stroke and can be a symptom of a more serious medical condition called obstructive sleep apnea (OSA).Since snoring is associated with OSA, a sleep study would be necessary to elimanate OSA for a snore guard to be fabricated.
Did you know that you can take a sleep test in your own home?
Home Sleep Testing (HST) are becoming the standard for diognosing OSA. This is available to you at Stratford Dental and is a convenient and comfortable self administered sleep test that was designed specifically for the diagnosis of OSA. This technology allows you to take a sleep test in your own home and in your own bed. The cost is much less than an in lab sleep study.
The Apnea Risk Evaluation System (ARES™) integrates physiological data acquired in-home with clinical history and anthropomorphic data to determine the presence and severity of Obstructive Sleep Apnea (OSA). ARES™ has been cleared for use by the United States Food and Drug Administration (FDA).
A sleep-wearable wireless physiological recorder worn on the forehead that acquires and stores up to 3 nights of nocturnal data. ARES™ measures blood oxygen saturation (SpO2) and pulse rate (reflectance pulse oximetry), airflow (by nasal cannula connected to a pressure transducer), snoring levels (calibrated acoustic microphone), head movement and head position (accelerometers). When worn in the home, the ARES™ provides a better profile of the patient's breathing during sleep in his/her normal environment. Audio and visual indicators notify the user when the ARES™ requires adjustment, thus increasing reliability of the device in the home. The small size of ARES™ allows it to be comfortably worn in all sleep positions.
Untreated sleep apnea can cause or worsen the following:
- Risk for stroke
- Risk for heart attack
- Acid reflux
- Brain and cognitive changes
- Depression and anxiety
- Loss of memory and concentration
- Job imparment
- Accidents at the workplace
- Motor vehicle accidents
- Mood swings
- Marital and other personal relationships
- Weight gain
CPAP is pressurized air from a bedside machine. The air is delivered through a tube that connects to a mask , covering the nose. The air forces and maintains the airway open while you sleep. There are several different mask designs for people to try, however many people find these masks uncomfortable and cumbersome to wear. The noise created from the machine can keep a spouse up and these machines can be difficult to travel with. It is for these reasons that many find they are intolerant of a CPAP machine.
All patients must participate in a sleep study (HST or PSG) to diagnose the level of severity of obstructive sleep apnea.
Generally, surgery is indicated when conservative therapies have been unsuccessful or intolerable.
Uvulopalatopharyngoplasty (UPPP) is a procedure that removes excess tissue in the throat to make the airway wider. This sometimes can allow air to move through the throat more easily when you breathe, reducing the severity of obstructive sleep apnea (OSA). The tissues that are removed may include:
- The soft finger-shaped tissue that hangs down from the back of the roof of the mouth into the throat (uvula).
- Part of the roof of the mouth (soft palate).
- Excess throat tissue, tonsils, and adenoids .
**It is necesary to work with and ENT in addition to the sleep physysian to determine if the surgical procedure is necesary.**