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admin | Depression Insomnia | 06.01.2016
There may soon be several new treatments for sleep apnea patients to choose from.  None involve the annoying face mask from a CPAP machine.
The major therapy for sleep apnea, a condition in which people stop breathing during sleep, is CPAP, or continuous positive airway pressure. The new treatments include nasal attachments, devices that suck the tongue forward and surgical implants that deliver stimulation to a nerve near the base of the tongue. For many patients with obstructive sleep apnea, during sleep the soft palate and the tongue relax back into the airway, closing it off. Debbie Hart was diagnosed with sleep apnea six years ago and her doctor prescribed her a CPAP machine to treat it.
Winx, which was approved by the Food and Drug Administration in March 2012, uses negative pressure to pull the soft palate and tongue forward, which opens the airway.
The company plans to unveil a new version in 2014 targeted at a wider population of apnea patients, says Matt Vaska, founder, chairman and chief technology officer of ApniCure. Only a handful of insurance companies now cover Winx, which costs about $1,000, and the device is only available in limited markets, including Columbus, Ohio, and Syracuse, N.Y. Some sleep therapists say they are intrigued by a new therapy that is also the most invasive. Small, initial studies have shown that Inspire’s device is most effective for a subset of patients who have a certain type of soft-palate collapse and are not significantly obese. Some doctors expect that the implantable devices will only be appropriate for patients with severe apnea who can’t tolerate CPAP. About 18 million Americans have sleep apnea, according to the National Sleep Foundation, a nonprofit research and advocacy group. A growing body of research shows that sleep apnea markedly raises the risk of heart disease and stroke. About 90 percent of those who have trouble sleeping are totally unaware that sleep apnea may be a cause. Those affected by sleep apnea often snore, choke, or gasp during sleep but have no recollection of it when they wake up. Schedule a visit with your dentist if you’ve been experiencing symptoms related to sleep apnea, or if you have been diagnosed with sleep apnea and would like to see if an alternative treatment method is best for you.
Sleep apnea is a potentially serious sleep disorder in which breathing repeatedly stops and starts.
The CPAP machine was originally designed to treat sleep apnea, it is also used to treat patients with neuromuscular diseases and respiratory problems.


Inspiratory Positive Airway Pressure (IPAP) is a high level of pressure, applied when the patient inhales. OSA is a condition in which a person stops breathing repeatedly during sleep through the night.
Breathing stops because the throat or upper airway collapses and prevents air from getting into the lungs.
Sleep patterns are disrupted, resulting in excessive sleepiness or fatigue during the day. Most commonly, positive airway pressure (PAP) therapy is the treatment of choice for OSA. Any treatment plan should include weight loss if needed, exercise, and avoidance of alcohol, sedatives, and hypnotics. CPAP (Continuous Positive Airway Pressure) treats OSA by providing a gentle flow of positive-pressure air through a facial mask to keep the airway open during sleep. Most patients begin to feel better within the first week of use, though for some people it may take a little longer. Because masks are disposable, periodic replacement is needed when the mask shows signs of wear and tear.
Try sleeping with your head elevated or try using a chin strap to prevent mouth breathing. Hart saw a different sleep medicine specialist who was participating in a clinical trial of the Winx sleep therapy system, manufactured by ApniCure Inc., a medical device company based in Redwood City, Calif. At least two companies are testing implantable devices that keep the airway open during sleep by stimulating the hypoglossal nerve, which runs just beneath the base of the tongue. Patients use a remote control to turn the device on when they’re ready to sleep and off after waking up. There’s also some concern about potential long-term side effects of continuously stimulating the hypoglossal nerve. Provent, which was approved by the FDA in 2008 and requires a prescription, sticks onto the nostrils. Theravent has also unveiled a similar device, though with a lower level of resistance, for snoring. People with the condition are also more likely to suffer from depression and be in car accidents. Sleep apnea is considered potentially life threatening due to episodes of shallow or infrequent breathing during sleep.


Treatment involving clearing the airway or providing a regular flow of air to the patient’s lungs via a CPAP (continuous positive airway pressure) machine will help the patient breathe normally during sleep and prevent dangerous periods of nonbreathing. Your dentist knows when you’ve been grinding your teeth in your sleep, which is a major indicator that you are struggling to keep your airway open at night.
Minor snoring problems that lead to sleep apnea can often be treated using a removable dental appliance that is worn at night while sleeping. You may have sleep apnea if you snore loudly and you feel tired even after a full night's sleep. Also, if you are having surgery, it is important to tell the surgeon and the anesthesiologist that you are using CPAP at home. The person is momentarily jolted awake, what’s called a partial arousal, and breathing is restored.
Losing sleep during the night leaves you vulnerable to increased irritability and stress, as well as difficulty concentrating during the day.
It can lead to high blood pressure, increased risk of cardiovascular disease, and impaired concentration due to poor sleep (or lack thereof). Although sleep apnea is a medical condition with medical solutions, it can also be treated with dental procedures and appliances that aren’t as invasive or noisy as CPAP machines. Some patients also can’t use a CPAP for a variety of reasons, for example, it’s hard for them to use a breathing mask and still get quality sleep. This appliance retains the tongue and repositions the jaw, correcting obstruction in the mouth or throat and allowing for better airflow.
One lead extends to the middle of the chest and another extends up to the neck and encircles the hypoglossal nerve.
Safwan Badr, professor and chief of the division of pulmonary, critical care and sleep medicine at Wayne State University School of Medicine, and president of the American Academy of Sleep Medicine.
Severe cases of sleep apnea that require more aggressive management may mean that a CPAP machine or surgery is needed to correct the issue.
Thus, air pressure prevents obstructive sleep apnea, which occurs as a result of narrowing of the air passage due to the relaxation of upper respiratory tract muscles while the patient sleeps. If you regularly have difficulty staying asleep, are lethargic, have morning headaches, or wake up with a dry mouth or sore throat, you may want to get tested for sleep apnea.



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