Chronic Snoring Treatment Scottsdale, AZ
What is Sleep Apnea?
Sleep apnea is a sleep disorder where the patient’s breathing is interrupted many times during the night. These sleep interruptions occur when the patient’s upper airway is blocked, and the corresponding lack of air makes the person awaken. These interruptions can happen dozens of times per hour all night. Most cases are caused due to structural problems with the tissues in the breathing passages, although they can, in rare instances, be due to the brain not sending messages to breathe. Millions of Americans have sleep apnea, but most don’t do anything about it.
Snoring, in many cases, is a slightly annoying condition. However, there is a danger in assuming that chronic snoring is nothing more than that. If you snore on a nightly basis, you could benefit from learning more about common sleep disorders like sleep apnea. Visit us in Scottsdale, AZ to discuss sleep apnea with our experts.
Causes Of Sleep Apnea
Chronic sleep apnea can have a variety of causes:
- Throat and tongue muscles that are abnormally relaxed
- Enlarged tonsils or adenoids
- Cardiovascular problems
- Nasal congestion
- Family History
Obstructive sleep apnea occurs when the muscles in the back of your throat relax. Because these muscles support the surrounding tissues such as the tonsils and the side walls of the throat, when they relax, the airway narrows or closes. Your brain senses this inability to breath and briefly wakes you from sleep to reopen the airway. These lapses in sleep can be so brief you don’t even remember them. These actions can involve a snorting, choking, or gasping sound and the pattern can repeat up to 30 times per hour all night.
In central sleep apnea, your brain doesn’t tell your breathing muscles to do their job. Consequently, you make no effort to breathe for a short period of time. You then awaken with shortness of breath or have difficulty even falling asleep.
Common Sleep Disorders
Of the most common sleep disorders, which include narcolepsy, restless leg syndrome, sleep apnea, and insomnia, sleep apnea affects millions of people around the world. This condition can be challenging not because it is difficult to treat, but because it so closely resembles snoring that many people do not obtain the care they need to restore health.
Sleep Apnea Vs. Snoring
When you snore, air has slight difficulty passing through the airway. When breathing occurs, forced air causes vibrations in the soft tissues in the throat and beyond. The sounds that are made indicate that air is moving. People with sleep apnea do more than snore; they stop breathing. When pauses in breath occur, the brain jumps into action to regain its supply of oxygen. The body is jolted with adrenaline, which speeds the heart and rouses sleep just enough to restart breathing.
Symptoms Of Sleep Apnea
Snoring by itself doesn’t mean you have sleep apnea. Your snoring is usually due to a decreased level of airflow through the airway, but not complete blockage, as in sleep apnea. These are the common symptoms if you have sleep apnea:
- Loud snoring (more prominent with obstructive sleep apnea)
- Abrupt awakenings from sleep
- Awakening with shortness of breath (central sleep apnea)
- Episodes of breathing cessation witnessed by another person
- Waking up with a headache in the morning
- Excessive daytime sleepiness
- Waking up with a dry mouth or sore throat
- Difficulty staying asleep
- Attention problems
Types Of Sleep Apnea
Obstructive sleep apnea is the most common form of the condition, but there are other forms. They are defined by the causes.
- Obstructive sleep apnea (OSA) — This is the most common form, occurring when muscles in the throat relax, blocking airflow.
- Central sleep apnea (CSA) — This is caused when the brain doesn’t send proper signals to the muscles that control breathing.
- Upper airway resistance syndrome (UARS) — This syndrome differs from OSA in that there aren’t pauses in breathing or decreases in breathing. Patients with UARS simply require greater effort in breathing to get past obstructions.
- Complex sleep apnea syndrome — This sleep apnea is categorized as a person having both OSA and CSA.
Why Sleep is Important to Your Health
Most people benefit the most from 7 to 8 hours of sleep every night. After just a few nights of poor sleep, unhealthy symptoms develop. Data from multiple research studies demonstrates that a lack of sleep increases the risk of automobile crashes, poor decision-making, and several serious health conditions. Individuals whose quality of sleep is poor have a greater risk of heart disease and stroke, as well as Type II diabetes. Sleep is necessary to regulate mood and to keep the immune system functioning at optimal levels.
Sleep apnea can shorten your life! In one 18-year study, the risk of death was 3.2 times higher for participants whose severe sleep apnea was not treated.
Risk Factors For Developing Sleep Apnea
Certain factors are considered during the diagnosis of sleep apnea such as:
- Menopause – Post-menopausal women are at an increased risk.
- Obesity – People who are obese have four times the risk of sleep apnea. Fat deposits around the upper airway can add to obstruction.
- Excessive neck circumference – People with thicker necks often have narrower airways (men 17 inches and larger, women 15 inches and larger).
- Men – Men are twice as likely to have sleep apnea.
- Age – Sleep apnea is more common in older adults.
- Narrowed airway – Some people simply have a naturally narrow throat, or have enlarged tonsils or adenoids.
- Family history – Sleep apnea runs in families.
- Smoking – Smokers are three times more likely to have sleep apnea.
- Alcohol or sedatives – These substances relax the throat muscles.
Health Conditions Caused By Sleep Apnea:
- Daytime sleepiness
- High blood pressure
- Headaches (especially in the am)
- Teeth grinding
- Memory problems
- Sexual dysfunction
- Acid reflux
Sleep Apnea Treatment Options
Dr. Wiitala has avariety of treatments to help his sleep apnea patients. He starts with lifestyle changes such as losing weight, limiting alcohol consumption, or smoking cessation. If those treatments don’t have an affect, we progress to breathing systems such as CPAP or the design of an oral appliance.
CPAP – The most effective treatment for sleep apnea is continuous positive airway pressure (CPAP). This is a breathing system that uses air pressure to keep the upper airway passages open. With CPAP, the patient wears a mask over the nose and mouth during sleep. It is attached to tubes that deliver air at a slightly higher pressure than the air in the bedroom. This pressure difference keeps the airways open.
The problem with CPAP is compliance. Patients, and often their partners, don’t like wearing the mask and the tubes attached to the pressurization system. Every year nearly 900,000 patients don’t use their prescribed CPAP systems, which wastes money and, more importantly, keeps the patient from treating his or her sleep apnea.
Oral Appliance Therapy – Dr. Wiitala offers an alternative to CPAP: oral appliance therapy. Oral appliance therapy is effective for patients with mild to moderate sleep apnea. It uses what is akin to a sports mouth guard or an orthodontic retainer. Worn only during sleep, the oral appliance supports the jaw in a forward position to help maintain an open upper airway. Dr. Wiitala has a extensive experience with a variety of these appliances — there are over 100 FDA-approved oral appliances — and can help you find the one that works best for you. Compared with the mask and tubes required with CPAP, oral appliance therapy is far easier to tolerate.
Surgery – Surgery is usually only an option if a patient has severe sleep apnea and it is endangering his or her life.
What If I Think My Partner Or I Have Sleep Apnea?
When diagnosing sleep apnea, Dr. Wiitala looks at your medical and family health histories, performs a physical exam, and conducts a sleep study. The polysomnogram (PSG) is the most common sleep study. This study records brain activity, eye movements, heart rate, and blood pressure as you sleep. It also records the amount of oxygen in your blood, air movement through your nose while you breath, snoring, and chest movements. The test is performed at a sleep center and is painless. There is also a home-based monitor that may be used for your sleep test.
How is sleep apnea treated?
Sleep apnea is usually treated with a CPAP or a mandibular advancement device. It is important that a dentist works with your doctor to determine what is the best option for sleep apnea patients. Often times a simple mandibular advancement device (mouthpiece) will correct and help many people with sleep apnea. It will also eliminate or greatly reduce snoring.
Sleep Apnea is Potentially Deadly. Don’t Leave it Untreated.
Are you interested in learning more about sleep apnea or CPAP alternatives? Visit dentist Dr. Eric Wiitala in Scottsdale today and see how you can be on your way to a better nights sleep. Dr. Wiitala is a proud member of the American Academy of Dental Sleep Medicine, and the American Academy of Sleep Medicine. He wants you to get the sleep you need. Contact Eric Wiitala, DDS for more information on oral appliance therapy for obstructive sleep apnea.
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