Sleep apnea is a potentially life-threatening sleep disorder characterized by repeated pauses in breathing during sleep. The term sleep apnea is derived from the Greek etymology meaning “without breath”. Breathing pauses can last anywhere from several seconds to minutes, and happen as often as 30 times or more per hour. Ongoing disrupted breathing causes an imbalance between the carbon dioxide and oxygen levels in the bloodstream, as not enough carbon dioxide is exiting and not enough oxygen is entering the body.
Sensing this imbalance, the brain sends a message to the body, telling it to wake up to restart the breathing process. People with sleep apnea will partially awake as they struggle to breathe, and this is often accompanied by loud snoring or choking sensations. Because people with sleep apnea don’t always completely awake during the episodes, they are often unaware they have a sleeping disorder and it can remain undiagnosed.
There are two main types of this disorder; central sleep apnea which occurs when the brain fails to send important signals to the breathing muscles, and obstructive sleep apnea which occurs when air cannot flow through the nose or mouth even though the body is still trying to breathe. Obstructive sleep apnea is far more prevalent and easily treatable by a Qualified Dentist, such as Dr. Landry.
Common signs of obstructive sleep apnea can include severe early morning headaches, sleepiness in the daytime, and insomnia. Fortunately, Dr. Landry is equipped with the necessary technology and expertise to treat sleep apnea in several different ways.
Reason for Treating Sleep Apnea
It is very important to seek medical attention if sleep apnea is suspected. A sufferer can completely stop breathing numerous times per hour, and this can quickly turn into a deadly situation. Obstructive sleep apnea occurs when the soft tissue lying at the back of the patient’s throat collapses into the airway. The tongue then falls towards the back of the throat, which tightens the blockage and prevents oxygen from entering the lungs.
The problem worsens when the chest region, diaphragm, and abdomen fight for air. The efforts they make to obtain vital oxygen only cause a further tightening of the blockage. The patient must arouse from deep sleep to tense the tongue and remove the soft tissue from the airway.
Because sleep apnea causes carbon dioxide levels to skyrocket in the blood and oxygen levels to decrease, the heart has to pump harder and faster to compensate for the lack of oxygen. Sleep apnea patients can technically “die” many times each night. Sleep apnea has been linked to a series of serious heart-related conditions, and should be investigated by a qualified dentist, such as Dr. Landry at the earliest opportunity.
What does sleep apnea treatment involve?
Initially, Dr. Landry will want to conduct tests in order to investigate, order an “At-Home” Sleep study, collaborate with a sleep physician and pinpoint a suitable treatment. Dr. Landry can offer many different treatment options that depend largely on the exact diagnosis and the health of the patient. Dr. Landry may advise the patient to halt some life-style habits that aggravate sleep apnea such as smoking, alcohol consumption, and or tranquilizer use.
Sleeping masks, such as CPAP masks, were traditionally used to keep the patient’s airways open while they slept, but nowadays there are some less intrusive options. Dental devices that gently tease the lower jaw forward are very effective in preventing the tongue from blocking the main air passage. These dental devices are gentle, easy to wear, and often help patients avoid unwanted surgeries.
If you feel you may benefit from sleep apnea treatment or an assessment, contact our practice today.
Sleep Apnea Appliances
Sleep apnea is a serious, sometimes fatal medical disorder that affects around 25% of American men over the age of 40, and 9-24% of American women of the same age. Sleep apnea sufferers completely stop breathing during sleep, sometimes hundreds of times in a single night. Normal breathing ceases because the airway becomes obstructed, causing a serious reduction of airflow to the lungs.
There are a number of dental devices that can be used to alleviate this condition. The goal of most of these devices is to separate the jaws and push them forward slightly. This slight repositioning opens up the airway, and allows oxygen to flow freely again. Wearers of sleep apnea dental devices report that they stop loud snoring, feel more rested in the daytime, and are much more comfortable going to sleep. Sleep apnea appliances work best on patients who are not significantly overweight. They offer a viable alternative to Continuous Positive Airway Pressure (CPAP).
Sleep apnea appliances fall into two categories: fixed and adjustable. Here are brief descriptions of some commonly used sleep apnea dental appliances:
ProSumnus IA Devices use a series of upper and lower arches designed to move the jaw forward step by step until you have adjusted to the ideal position. Your jaw will have plenty of time to adapt to the advancement. In the morning, simply brush your oral appliance with a gentle cleanser - no toothpaste please - and store it away. It is so small and discreet that is can be stored in your medicine cabinet or bedside table.
The ProSomnus Sleep Apnea and Snore Devices are the smallest and most comfortable made oral appliances available today.
Here's why - the ProSomnus Sleep Apnea and Snore Devices are custom-made with CAD/CAM technology to uniquely fit the individual it is fabricated for.
And unlike other bulky appliances, it offers plenty of space in your mouth in which your tongue can rest completely while you sleep. In addition, you can open and close your mouth, so you don't feel trapped in your appliance the way you might in some others. The ProSomnus Sleep Apnea and Snore Devices come in two parts. One arch fits over the upper teeth and one over the lower teeth. These two parts work together to hold your jaw in the ideal position to help you stop snoring.
DREAM TAP (Thornton Adjustable Positioner)
The DREAM TAP is the smallest, most comfortable member of the TAP family. It is a two-part custom-created sleep apnea appliance that fits over the teeth in much the same way as a sports mouthguard. The DREAM TAP projects the jaw forward to prevent the tongue and soft tissues from impeding the airway. The lower jaw positioner is adjustable, which means that it can be altered to suit the comfort level of the wearer. The DREAM TAP appliance can accommodate the three main types of malocclusion, and usually allows the lips to fully close.
Adjustable Herbst Appliance
The Herbst appliance is held in the mouth by clasps and friction grips. It is made of acrylic, and contains adjustable metal wiring. The advantage of this appliance is that the wearer is able to move vertically and laterally without dislodging the appliance. The Herbst appliance is usually used in mild and moderate cases of sleep apnea, and can also alleviate loud snoring effectively.
Originally designed as a nighttime TMD (Temporomandibular Disorder) splint, the Dorsal Appliance has evolved into one of the most popular choices for snoring and obstructive sleep apnea. The two piece construction allows for patient comfort and lateral jaw movement. The Dorsal fins on the lower appliance interface with inclines built into the outside of the upper appliance to dictate a specific lower jaw position. The appliance is traditionally fabricated with adjustable screws in the upper appliance to allow for further lower jaw advancement. This appliance can be fabricated in a variety of materials including acrylic, dual laminate or thermal splint material.
Please let Dr. Landry know if you have questions or concerns about sleep apnea appliances.