Faces and Smiles Dental


Silent Night!! Snoring and Sleep Apnoea

29th June 2012

It’s time to address Snoring and Sleep Apnoea


Oral appliance therapy is becoming a well-known treatment for obstructive sleep apnoea (OSA). An increasing number of trained dentists are providing oral appliances at their practices. Dentists learn how to select, fit, fabricate and adjust appliances for the best results. They learn how other sleep disorders can affect oral appliance therapy (OAT), and they learn how to address side effects.

Oral appliance therapy involves the fitting and adjustment of OAs, which look like mouth guards and are worn at night. These devices reposition the lower jaw and tongue forward to keep an open airway.

There are many types of oral appliances. One device may work for one patient, but not for another patient. Success of a device depends on each patient’s individual anatomy and apnoea severity. So the Academy teaches dentists which appliance will work best for different types of patients and levels of apnoea

The American Academy of Sleep Medicine recommends the use of OAs for mild to moderate apnoea patients if they prefer the appliance to CPAP, cannot tolerate CPAP, or cannot use positional therapy or weight loss to control their apnoea. Oral appliances is also recommended for in some severe cases if patients they are unable to tolerate CPAP.

OSA occurs when the tongue and soft tissue in the back of the throat collapse, blocking the airway. People with OSA can stop breathing for 10 to 30 seconds, sometimes for one minute or longer. This pause in breathing can happen hundreds of times a night.

8 Reasons to treat Snoring and Sleep Apnoea

Many people get tested for sleep apnoea because their spouse complains about their loud snoring. While snoring can be aggravating, there are several less obvious reasons to get assessed and treated for this serious medical condition.

SleepEducation.com has useful list of reasons to keep in mind. They are:

1. High blood pressure- OSA can cause high blood pressure, or hypertension. More severe OSA produces greater increases in blood pressure. Even children with OSA can experience rises in blood pressure.

2. Heart disease- OSA increases your risk for an irregular heartbeat, coronary artery disease, heart attack and congestive heart failure. Heart disease is the leading cause of death in the U.S.

3. Stroke- OSA increases your risk for stroke, a leading cause of death in the U.S. A stroke occurs when blood flow to the brain is interrupted because of a blood clot that blocks an artery or a broken blood vessel.

4. Brain damage- Damage from OSA affects brain structures that help control functions such as memory, mood and blood pressure.

5. Depression-Research shows that depression is common in people suffering from all levels of OSA.

6. Diabetes-Research suggests that OSA can contribute to the onset of type 2 diabetes, a leading cause of death in the U.S., which occurs when the body fails to use insulin effectively.

7. Obesity-Obesity is a key risk factor for OSA. Some studies show that OSA may also promote weight gain. OSA can fragment sleep, reducing daytime energy and physical activity. It also can disrupt metabolism.

8. Mortality-Several studies show that people with sleep apnoea have a higher risk of death than people without sleep apnoea, especially if left untreated. The risk is greater for people whose sleep apnoea is more severe.

Courtesy of the American Academy of Dental Sleep Medicine

Author: Dr. Denver Fester -

More about this author...


Recent Blog Postings

» View all postings to this blog