Snoring and Sleep Apnea
If you’re a loud snorer, choke in your sleep, or feel restless even after a full night’s sleep, you may suffer from a condition called Sleep Apnea. But what exactly is it?
Sleep apnea is potentially serious sleep disorder in which you exhibit pauses in breathing while asleep (the word “apnea” means “without breath” in Greek). Pauses in breathing can last a few seconds up to a minute or even longer. Detecting an abnormality, the brain then tells the body to wake up to resume normal breathing, resulting in interrupted sleep and restlessness throughout the day.
There are three types of sleep apnea: 1) Obstructive (more common, more easily treatable), 2) Central (less common, more difficult to treat) and 3) Mixed, which is a mixture of both Obstructive and Central. Obstructive sleep apnea is caused by a blockage in the airway, most commonly when the tissue in the back of the throat collapses and closes while the subject is asleep. On the other hand, in Central sleep apnea, airways are clear but the brain still does not signal the muscles to breathe. Oral appliances effectively manage obstructive sleep apnea.
Detection and Risks
Because sleep apnea shows its most obvious warning signs during sleep and does not lend itself to detection through more common methods (such as blood tests or routine checkups), it can go undetected for years. Until properly treated, sleep apnea increases the risk of high blood pressure, heart attack, heart arrhythmias, stroke, obesity, diabetes, and cancer, not to mention increasing the risk of accidents during the daytime due to drowsiness.
In order to find the proper course of action in treating sleep apnea, your dentist will conduct various diagnostic tests, as well as recommend that the patient discontinue drinking and smoking.
In patients with mild to moderate sleep apnea, your dentist may recommend Oral Appliance Therapy. Your dentist will custom-fit an oral sleep appliance that will bring the jaw forward to keep the upper airway free of blockages. Much like a mouthguard or a retainer, oral sleep appliances are comfortable and can help avoid more permanent measures, such as surgery.
In special cases, your dentist may recommend surgery of the jaw, which will help pull forward the bone holding the tongue. While this surgery is known to be effective, it is still considered a last resort in the event that more conservative measures proved to be ineffective.
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