29.12.2015
Sleep apnea is a condition characterized by episodes of choking or not breathing during sleep. For reasons that are still unclear, in deep sleep, breathing can stop for a period of time (often more than 10 seconds).
Older obese men seem to be at higher risk, though as many as 40% of people with obstructive sleep apnea are not obese.
The classic picture of obstructive sleep apnea includes episodes of heavy snoring that begin soon after falling asleep.
Forty million Americans suffer from some sort of chronic, long term sleep disorder, and 20 million suffer occasional sleeping problems. Medical doctors receive very little sleep training in school, but this is still more than most dental students receive.
The CPAP machine is the gold standard of the sleep industry, yet more than 50% of the patients receiving CPAPs will not use them. While it can be a problem for people who have a healthy lifestyle and diet, the number one cause of sleep apnea is obesity. Avoiding sleeping pills and consuming alcohol, both contributing factors to sleep apnea, will help to ensure a natural breathing cycle while you are sleeping. The nicotine in cigarette smoking is an irritant which causes the upper airway to swell and increase the fluid retention in the throat contributing to sleep apnea.  Smokers are three times more likely to develop sleep apnea than non-smokers.
Other suggestions for fixing sleep apnea quickly include: eliminating noise and lighting in the bedroom and avoid working out before you go to bed. In severe cases, the best solution can be wearing an orthodontic appliance during sleep called a SomnoMed. In normal conditions, the muscles of the upper part of the throat keep this passage open to allow air to flow into the lungs. Nasal obstruction, a large tongue, a narrow airway and certain shapes of the palate and jaw seem to increase the risk as are persons who have had extraction orthodontics. The snoring proceeds at a regular pace for a period of time, often becoming louder, but is then interrupted by a long silent period during which no breathing is taking place (apnea).
People with sleep apnea have an eight times greater chance of auto accident, and it is estimated that forty percent of truckers have sleep apnea. When a person suffers from sleep apnea, their airway can become constricted or collapsed during sleep, causing the person to actually stop breathing.
An excess of fatty tissue, particularly around the neck, can cause pressure on the internal diameter of the throat and make the airway much more likely to collapse when an obese person is sleeping on their back.


Both sleeping pills and drinking alcohol relax the muscles, and since sleep apnea happens because the musculature of the throat is too relaxed, they both can make the problem worse.
Most people lay flat on their back to sleep, which causes the tongue and soft palate to collapse onto the back of their throat and cut off the airway. The bedroom should only be used to sleep in, so always avoid eating, watching television, or reading in bed. This orthodontic helps to gently reposition the jaw and prevent the airway from collapsing. These muscles usually relax during sleep, but the passage remains open enough to permit the flow of air. The apnea is then interrupted by a loud snort and gasp and the snoring returns to its regular pace. If the condition is severe enough, pulmonary hypertension may develop leading to right-sided heart failure or cor pulmonale. He has spent the last eighteen months studying the dental and orthodontic roles for this menacing disorder and is  now incorporating treatment into his practice.  He has attended over 100 hours of post graduate training and visited offices in Dallas, Denver, West Virginia and Milwaukee that limit their practice to sleep apnea and snoring.
When this happens, a sufferer will wake himself or herself up just long enough to re-open their airway and restore the flow of oxygen. Studies have found if an individual has a 10% weight gain, they increase the apnea-hypopnea index by 30%.
Even a person who does not usually snore is likely to do so after taking sleeping pills or having a few drinks. Individuals have found practicing physical and mental relaxation before bed can help you sleep better. The SomnoMed effectively treats sleep apnea with out the cost and noise of the traditional CPAP machine. Some individuals have a narrower passage, and during sleep, relaxation of these muscles causes the passage to close, and air cannot get into the lungs. The result is fragmented sleep that is not restful, leading to excessive daytime drowsiness. Therefore mild sleep apnea patients have twice the risk of heart attack as a smoker, the next likeliest victim. A polysomnograph is a test of sleep cycles and stages through the use of continuous recordings of brain waves (EEG), electrical activity of muscles, eye movement (electrooculogram), breathing rate, blood pressure, blood oxygen saturation, and heart rhythm and direct observation of the person during sleep.
This event can happen so quickly that a person suffering from sleep apnea may not ever even remember waking up during the night.


Likewise, if they have a 10% weight loss, they will decrease the apnea-hypopnea index by 25%. Think of the money and research that goes into the treatment of hypertension yet sleep apnea is three times more likely to promote a heart attack than hypertension.
You typically spend the night in a sleep center with dozens of electrodes attached to various and sensitive parts of the body.
Those wishing to use their insurance should seek dual treatment with my office and a sleep lab with a medical doctor.
However, this happening frequently, partially awakening multiple times throughout the night can greatly decrease the quality of sleep and lead to increased tiredness the following day as well as have an overall negative impact on quality of life. Living a healthy lifestyle with a well-balanced diet will decrease your chance with experiencing sleep apnea. If you can’t sleep sitting up, try using a fully size body pillow to prop yourself up in order to sleep on your side. If during the study you test positive for sleep apnea, they will wake you and fit you with a CPAP machine.
The point is that your therapy will differ based on the professional you seek treatment from.
There is not a doctor that treats sleep trained through a residency based program like a surgeon.
I can fabricate a mouthpiece that is recommended by the Academies for snoring and mild to moderate OSA (sleep apnea). The mask does not breathe for you; the flow of air creates enough pressure when you inhale to keep your airway open much like blowing up a baloon.
CPAP is considered the most effective non-surgical treatment for the alleviation of snoring and obstructive sleep apnea. The Academy of Sleep Medicine and The Academy of Dental Sleep Medicine have tried to standardize the industry.
The appliance I make holds the lower jaw forward during sleep which keeps the airway more patent and lowers the number of apneas, or choking experiences, one has during the night.



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