ANTI SNORE DEVICES/SLEEP APNEA

OBSTRUCTIVE SLEEP APNEA/ANTI SNORE:

Anti Snore:

Apnea is defined as a temporary suspension of breathing, so Sleep Apnea is the suspension of breathing during sleep. It is normally classified as obstructed breathing (snoring) with periods of silence, which is actually the absence or near absence of breathing. Breathing is obstructed due to a constricted airway, from one or more of the following factors, which a sleep apnea dentist can help you evaluate.

  • When you sleep your soft palate (posterior portion of the roof of your mouth), throat muscles, and uvula all relax which contributes to a narrowed airway
  • Enlarged
  • Deviated septum or enlarged/hypertrophied nasal turbinates
  • Overweight
  • Alcohol intake relaxes throat muscles causing the airway to constrict

It is important to remember that oxygen is the most vital component to life, so those who suffer from sleep apnea actually stop breathing multiple times during the course of a night. Even if they only stop for a few seconds at a time, that can add up to dozens of minutes each night. Think about that. Do you really think it is healthy for someone to stop breathing for say, 15 minutes each night? If that was your loved one, wouldn't you be concerned?

If airway constriction prevents adequate oxygen intake, your body is signaled to wake up in order to breathe. People who suffer from sleep apnea often wake up gasping for air several times during the night.

Causes of Snoring:

When someone's airway is obstructed, noise is heard when air is being forced through a contricted opening, oxygen is the most important substance for life, so your body will do whatever it needs to force the air in and out, even if the airway is constricted. Vibrations of the air going through your airway causes snoring. The louder the snoring, the more the airway is constricted, which requires more force to get air through.

Risks of Obstructive Sleep Apnea(OSA):

Since sleep apnea restricts your airway, there are a variety of health risks that can follow, such as the following.

  • People with OSA are 4x more likely to have a heart attack
  • 40%-80% of stroke victims also suffer from OSA
  • If you have OSA, you are 2x as likely to die in your sleep and 7x more likely to have a motor vehicle accident
  • OSA patients are 40% more likely to suffer from depression
  • Individuals with OSA are more likely to have sexual impotence and develop diabetes



Anti Snore Benefits:

  • Improve your quality of life
  • Get a better nights sleep
  • Your mate can sleep easier
  • Wake up with more energy
  • A better nights sleep, makes it easier to get up in the morning
  • More rest makes happier people



 



Non Surgical Cures for Sleep Apnea:

Even if you have anatomical issues which contribute to your sleep apnea, you can take steps to reduce it and help your anti snore cause. The next section discusses anti snore devices in more detail, since anti snore devices have proven to be very successful in helping to cure sleep apnea.

  • Lose weight
  • Restrict alcohol consumption prior to sleeping
  • Anti Snore Devices, mandibular advancing devices



Anti Snore Devices:

Most antisnoring devices, such as PureSleep involve advancing your mandible (lower jaw) forward, called a mandibular repositioning device. As practiced in CPR (cardiopulmonary resuscitation), advancing the mandible forward opens the airway and allows easier passage of air, which helps as a non surgical cure for sleep apnea. Because the lower jaw is held in a particular position relative to your upper jaw, anti snore devices may not be indicated for everyone. Make sure you see a sleep apnea dentist prior to using any anti snore device.

The one below is a custom made appliance, as opposed to the ones that can be made at home.


PureSleep is a device that you can mold to your teeth at home in a matter of minutes, and can use it immediately. It has been 80-90% effective in decreasing snoring and helping with sleep apnea.



How Devices Like PureSleep Can Help:

  • Provides immediate results
  • An affordable solution even without insurance
  • Can be used as a training device for a custom fit device
  • An alternative solution for travel or while custom devices are being replaced or repaired



Somnomed:

Somnomed makes a more long term mandibular advancement splint (MAS) in 3 different types. These devices are used as more of a long term solution than the Puresleep device shown above.

  • Permits normal mouth opening
  • Allows speech and drinking
  • Full lip seal when mouth closed
  • Unrestricted tongue space
  • Easily adjustable
  • Safe and effective
  • Clinically validated
  • Custom fit

Somnomed Models:

  • Flex, Preferred where crown and bridge work present
  • Acrylic, Standard model
  • Edentulous, Designed for patients with no upper teeth

Continuous Positive Airway Pressure:

CPAP devices are also used to treat obstructive sleep apnea. They are a bit more cumbersome as they have a mask and related unit which people can wear at night. Some people may find it a bit cumbersome to use, but it is very effective.



If you have any of the following conditions, you may not be a good candidate for an antisnoring device.

  • Chronic asthma, emphysema, or other respiratory disorder
  • Loose teeth, abscesses, or severe periodontal/gum disease
  • Under 18 years of age
  • Dental implants placed within the past 12 months
  • TMD issues
  • Full dentures
  • Ongoing orthodontic treatment

Side Effects:

As with any new device, and especially one in your mouth, most antisnoring devices will take some time to get used to. If this is the case, you can try wearing it for 5-10 minutes before you go to sleep, then take it out and go to sleep. The next night, maybe wear it for 30 minutes before going to sleep, take it out and go to sleep. Eventually you should get used to wearing it, then you will probably be comfortable enough to sleep in it. Also, because they are holding your jaws in a different relationship than they are used to, when you wake up in the morning you may have some tightness in your jaw or feel like your bite has changed. Your bite has in essence been temporarily reprogrammed, so it may be a little difficult to eat immediately, but after you loosen up and your teeth find their way back to where they normally sit, you should be able to eat fine. This is normally not a long term concern.

Other side effects include:

  • Change in Occlusion
  • Excessive Salivation
  • Increased Temporomandibular Disorder (TMD)
  • Temporary Soreness of Teeth and or Gums
  • Modest Temporomandibular Joint (TMJ) Discomfort which normally will alleviate after about a week of consistent use



Surgical Cures For Sleep Apnea:

In some cases, surgery may be necessary to alleviate the the anti snore problem. As discussed previously, there are many anatomical features that can obstruct a person's airway and cause sleep apnea.

Some of the surgical remedies may include the following.

  • Airway obstruction in children is usually from enlarged tonsils or adenoids, so they may need to be removed
  • Tonsils and adenoids may also need to be removed in adults
  • Deviated Septums may need to be repaired
  • Enlarged/hypertrophied turbinates (often from chronic inflammation) may need to be reduced
Reminnder: Seek a sleep apnea dentist to evaluate what would be the best course of treatment for you!




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