Stop Snoring!

Posted by drgracesun on May 28, 2010 under General Dental Knowledge, Information, Sleep Apnea | Be the First to Comment

Snoring is common – most people snore occasionally – but is not a welcomed physical phenomenon. Snoring is noisy, disturbing, can affect the quality of your sleep and prevents your bedroom partner from having a peaceful night! So what are the causes and treatments of snoring? Technically speaking, snoring is defined as the vibration of respiratory structures and the resulting sound, due to obstructed air movement during breathing while sleeping. In some cases the sound may be soft, but in most cases, rather unpleasant.

Generally speaking, the structures involved during vibration (creating subsequent noise) are the uvula and soft palate; the irregular airflow can be caused by any part of airway. Blockage of these passages can be due to inflamed, enlarged glands or ‘floppy’ soft tissues, a large or set back tongue, a small or receded lower jaw or an obstruction of the nasal passageway. These physical attributes can be hereditary or from environmental influences like smoking, alcohol, medications, allergy, asthma and upper respiratory infection.

Snoring can also be a symptom of sleep apnea, an unhealthy condition. While snoring is caused by a narrow airway, sleep apnea is a true breathing obstruction, which awakens the sleeper to begin breathing again. It can occur frequently and can lead to sleep deprivation with further health repercussions. Snoring is a common symptom of sleep apnea, but snoring by itself does not involve the cessation of breathing.

Besides diagnosing what causes snoring,  non-invasive and self-regulatory approaches to control snoring can be a good start: losing weight (decreasing fatty tissues which restrict the airway), sleeping with one’s head elevated and sleeping on one’s side (preventing the gravitational collapse of the airway), limiting alcohol consumption, smoking and medication intake (to prevent dilated, dehydrated, inflamed or floppy tissues), and clearing of the nasal passage (a stuffy nose can make inhalation difficult, creating a vacuum in your throat drawing movements the soft tissues). Nasal decongestants or nasal strips can also be effective in opening up the nasal passage; when combined with a snore guard under a health professional’s care, this can be very effective in treating mild to moderate snoring.

There are several designs of snore guards to aid in suppressing snoring, from a simple diagnostic bite plate to a fixed or adjustable double jaw device which repositions your lower jaw and/or tongue forward and downward (opening the airway at your throat). Ask your dentist whether he or she can help you with fitting a snore guard.If you suffer from severe snoring combined with sleep apnea, a continuous positive airway pressure (CPAP) machine is often used.

In most severe cases, a surgical approach might be advised. Surgical treatments like UPPP (Uvulopalatopharyngoplaty) and TAP (Thermal Ablation Palatoplasty) can relieve physical blockages to the breathing pathway. A pillar procedure (palatal implantation) can stiffen and cease vibration of the soft palate to stop snoring.

One solution that might surprise you? Sing and playing musical instruments  that tone up your throat muscle and soft tissues of one’s airway can help. Even playing the didgeridoo may help snorers! A 2005 study in the British Medical Journal found that learning and practicing the didgeridoo helped reduce snoring and sleep apnea (!) as well as daytime sleepiness. This appears to work by strengthening throat muscles , thus reducing their tendency to collapse during sleep.

At last, I wish everyone a quiet, peaceful and healthy night’s sleep every night – be well rested and ready to carry on a productive and happy tomorrow!

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What Can Be Done For Sleep Apnea?

Posted by drgracesun on May 12, 2010 under Function, General Dental Knowledge, Healthy Smile, Information | Be the First to Comment

Do you suffer from Sleep apnea? Do you snore at night? Sleep apnea, a sleep disorder characterized by pauses in breathing during sleep, lasts long enough so that one or more breaths are missed, and such episodes occur repeatedly throughout sleep. Common signs and symptoms include gasping, choking  or silences during sleep, sudden awakening during sleep, loud snoring and daytime sleepiness. Not only can sleep apnea affect your energy levels throughout your day, but chronic sleep apnea carries potentially dangerous health affects. Thankfully, your dental professional can help!

Sleep apnea (a lack of oxygen) carries heightened risk of cardiovascular disease, stroke, high blood pressure, arrhythmias, diabetes, and sleep deprived driving accidents. Stroke is associated with obstructive sleep apnea as well, as sufferers have a 30% higher risk of heart attack or premature death than those unaffected. Risk factors can often be managed easily without major medical intervention. Being overweight or obese, nasal congestion or blockage and relaxed tongue/throat muscles often contribute to sleep apnea. Avoiding intake relaxants like alcohol or sedatives can play an important role in reducing the occurrence of sleep apnea.

There are three basic types of sleep apnea. Obstructive Sleep Apnea (OSA) is the only type of sleep apnea that can be treated by your dentist. Central Sleep Apnea is when a person’s brain “forgets” to signal the chest muscles to breathe during sleep. This variation of sleep apnea requires medication prescribed by your physician. Mixed Sleep Apnea is a combination of the preceding two types, and is the most difficult type of sleep apnea to diagnose and treat.

What can be done about sleep apnea – and how can your dentist play a role? The first step is diagnosis View definition in a new window. Sleep apnea is diagnosed with a “sleep study”. An individual with sleep apnea is rarely aware of having difficulty breathing, even upon awakening, and is recognized as a problem by others witnessing the individual during episodes or is suspected because of its effects on the body. Symptoms may be present for years without identification, during which time the sufferer may become conditioned to the daytime sleepiness and fatigue associated with significant levels of sleep disturbance.

Once a breathing problem during sleep has been established, there are two main routes of therapy for mild or moderate sleep apnea. The first is Oral Appliance Therapy, to reposition your lower jaw into a forward and downward position, opening up your throat, typically given by your dental care professional or physician. There are several designs from a simple diagnostic one to more sophisticate double jaw design. Your treating health professional will help to determine which would fit you better.

Oral appliance designed to keep the airway open during sleep.

For more severe cases, the use of a continuous positive airway pressure (CPAP) device can help, which ’splints’ the patient’s airway open during sleep by means of forcing pressurized air into the throat. The CPAP machine assists only inhaling, whereas a BiPAP machine assists with both inhaling and exhaling and is used in more severe cases. Home remedies to treat sleep apnea include loose weight, treating allergy to decrease the volume of inflamed soft tissue of the airway, using a humidifier (in conjunction with the CPAP machine), trying a saline nasal spray before sleep.

If you have been diagnosed with OSA and think your dentist can help, be sure to bring your concerns to his or her attention.

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