What is snoring and Sleep apnea?
Snoring is a sign of an obstructed airway, typically caused by poor muscle tone in the throat & tongue, bulky throat tissue (due to excess weight, large tonsils and/or adenoids), a long soft palate and/or uvula, or blocked nasal airway. The snoring noise is caused by the vibration of the obstructing tissue.
Sleep apnea is a common chronic disorder in which you have one or more pauses in breathing or shallow breaths while you sleep. This often moves you out of deep sleep into light sleep.
45% of the population snore and up to 75% of habitual snorers have obstructive sleep apnea.
Signs of Sleep Apnea
- Heavy Snoring
- Fatigue + Daytime Sleepiness
- Morning Headaches
- Allergy: Nasal Obstructions
- Excessive Weight
- Narrow Dental Arches
- Large Tonsil & Adenoids (common in children)
Normal vs. Blocked Airway
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. During sleep the muscles relax but, normally, the airway stays open. And, Snoring is created by the vibration of the pharyngeal soft tissues as air passes through an airway that is too small to allow for smooth unimpeded flow.
Obstructed Sleep Apnea is more common in males than females and progressively worsens with age and increasing weight.
Non-Surgical Management of Snoring & OSA
Snoring research has also shown that custom fabricated dental devices or Oral Appliance Therapy worn at night that move the lower jaw into a forward position, increase the three dimensional space in the airway tube which reduces air velocity and soft tissue vibration.* Other non-surgical options are:
- Avoidance of Risk Factors / Behavior Modification
- Pharmacologic Agents
- Positive Airway Pressure (CPAP)
*Schmidt-Nowara W, Lowe A et al, Oral Appliances for treatment of snoring and obstructive sleep apnea: a review. Sleep 18(6): pp. 501-10, 1995.
Oral Appliances for the Management of Snoring and Obstructive Sleep Apnea
- Mandibular Repositioning Appliances
- Tongue Retaining Appliances
- Combination Oral Appliances and CPAP
Somnodent / Olmos Open Air-Sleep / Oasys
Diagnosis of OSA
The diagnosis of OSA is made by an overnight sleep study called a polysomnogramy (PSG). The PSG takes place in a hospital or sleep laboratory is the gold standard of sleep tests. To begin the study multiple electrodes are attached to the pateint by a sleep technician. Another option is to use one of a variety of home diagnostic systems. Home sleep studies can range from simple approaches such as oximetry to more complex devices that measure everything that the sleep laboratory study can do.
Obstructive Sleep Apnea (OSA) is a life-threatening medical disorder. Dentists are not medically qualified nor legally permitted to diagnose sleep disorders. Diagnosis must be made by a physician. Dentists can screen and provide a physician referral as well as provide and monitor oral appliance therapy as part of treatment team with physician.
How can we help!
Here at Impression Dental Care, our teams of experts are able to formulate a personalized option to treat sleep apnea and snoring. Our treatments include:
- Advanced Home Sleep Studies
- Orthodontic Treatment
- Intraoral Appliances
– Mandibular Advancement Device (MAD)
– Anti-Snoring Device
- Work with Sleep Physicians and other health care professionals in providing comprehensive personalized care
Our process is as follows:
- Complete a sleep questionnaire online
2. Dr. Ahn reviews your questionnaire
3. Schedule a sleep apnea screening appointment
4. Take an at home sleep study
5. Your results are reviewed by a physician and sleep technician to determine
6. Schedule a Review of Findings appointment with Dr. Ahn
7. Proceed to recommended treatment
Click here to download Sleep Screening Questionnaire Form >> (will provide document)
Please email or fax the completed form to: firstname.lastname@example.org send via fax # 714 – 230 – 2411