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Sleep Apnea

Cross Dentistry » Services » Sleep Apnea

Sleep Apnea

Sleep apnea is a dangerous breathing disorder which, left untreated, can lead to severe health complications, heart attack, mental health issues, and even death. However, many people don’t even realize they have this life-threatening condition. We’re here to help you understand what sleep apnea is, the symptoms you should watch for, the causes and risk factors of sleep apnea, the health risks, and finally, treatments for sleep apnea.

Being aware and informed will help you ensure that you and your loved ones are safe from this potentially devastating health condition.

What Are the Types of Sleep Apnea?

All types of sleep apnea have the same basic impact on the body. When asleep, breathing pauses multiple times per night. This results in decreased oxygen levels which greatly impact your health.

The difference between the types of sleep apnea is found in what causes the episodes. The three types include:

  • Obstructive Sleep Apnea
  • Central Sleep Apnea
  • Mixed Sleep Apnea

With Obstructive Sleep Apnea or OSA, apnea episodes occur when the airway is obstructed. Central Sleep Apnea, or CSA, indicates that the cessation of breathing is directly related to a problem with the brain that results in slower, more shallow breathing with extended pauses. While Mixed Sleep Apnea, also known as complex sleep apnea, is a blend of the two other types.

How Common is Sleep Apnea?

OSA is believed to affect up to 9% of adults in the United States. However, a vast number of cases are believed to be undiagnosed. Studies suggest that the actual number of individuals suffering from OSA is far greater. People of all ages can suffer from OSA, but it generally tends to impact adults more frequently.

As far as CSA goes, it is much less common, affecting about 1% of adults in the United States. Typically, people who suffer from CSA tend to be men over the age of 40. However, it does also present in women fairly often.

In general, when you hear people mention that they have sleep apnea, it’s likely that they’re referring to OSA.

What Are the Symptoms of Sleep Apnea?

All of the sleep apnea types share several symptoms. Some of these are only observable by a partner or family member as the person who suffers from OSA or CSA isn’t always aware. This includes disrupted breathing during sleep. People report that their spouse or family member will have labored breathing, loud snoring with pauses in breathing, or they may even gasp for air from time to time. The sufferer doesn’t typically know they’re experiencing these symptoms as they will sleep through them or forget if they wake.

However, there are many other symptoms of sleep apnea you may see in yourself if you experience one of these sleep disorders. These symptoms include:

  • Extreme daytime tiredness
  • Headaches in the morning
  • Limited attention span
  • Difficulty focusing
  • Brain fog
  • Sore throat and dry mouth in the mornings
  • Waking frequently to urinate
  • Dry mouth
  • Restless leg syndrome
  • Daytime sleepiness

The absolute most common symptom is chronic loud snoring. However, not everyone who snores has sleep apnea. It’s also typically only a common symptom for OSA rather than CSA.

What are the sleep apnea causes?

There are a number of things that are believed to contribute to severe sleep apnea. Genetic factors and family histories can contribute to the likelihood that you may develop the condition. This includes anatomical characteristics such as the size of a person’s neck and tongue as well as the positioning of their jaw and tonsils. If you have a family history of OSA or CSA, then there’s a good chance you may develop the condition as well, if you haven’t already.

Being overweight is another big risk factor when it comes to OSA. This is because obesity tends to narrow the airway and lead to a greater chance of obstruction. A mere 10% increase in weight has been shown to increase the risk of developing OSA by six-fold.

Other contributing factors include the use of sedatives, alcohol, and cigarettes. Even hormonal conditions such as hypothyroidism and acromegaly are known to contribute to OSA. Even sleeping position plays a part as those who sleep on their back may experience more obstruction occurrences than those who don’t.

CSA is caused by different factors than OSA. This is because the problem is not with obstruction but with the brain’s ability to communicate with the muscles in the body that control breathing. Typically, the brain stem fails to detect dangerous levels of carbon dioxide, which results in slower, more shallow breathing. CSA is more common in people who have underlying medical conditions such as stroke, brain infection, or a brain tumor. Certain medications can also interfere with the relationship between the brain and respiratory muscles.

What Are the Health Risks of Sleep Apnea?

While sleep apnea itself is dangerous, the consequences of suffering from untreated OSA or CSA are far worse. On a day-to-day basis, cessations in breathing during sleep lead directly to sleep deprivation. This poses a threat to those who drive daily or who operate heavy machinery at work. Not only do these conditions cause excessive tiredness, but they also affect your mood, emotions, response time, and much more.

Long term, the health risks can be severe. Ongoing untreated OSA or CSA can lead to problems with your blood pressure, increase your risk of lung diseases, heart disease, heart failure, and poor sleep health. It can also greatly increase the chance of you suffering from heart disease, heart attack, stroke, or even death. Studies are also showing that the decreased oxygen levels caused by CSA and OSA can impair other bodily organs.

What are the sleep apnea treatments?

As scary as sleep apnea sounds, many of the effects reverse or completely go away with proper treatment. There are a variety of treatments available for those who suffer from OSA and CSA. The most important thing is to consult with your doctor to find out which treatment options are right for you. Keep in mind that the best treatment is one that you will follow through with on a daily basis.

There are a number of lifestyle changes that may reduce or eliminate your OSA, including weight loss, reducing the use of sedatives and alcohol, quitting smoking, and sleeping on your side rather than your back. However, one of the most common treatment options for sleep apnea is the use of a device called a CPAP or continuous positive airway pressure machine. This machine provides a steady flow of oxygen as you sleep.

Unfortunately, many people don’t tolerate CPAP well and turn to other methods. One great way to help reduce or eliminate your sleep apnea is with the use of an oral appliance. This is a mouthpiece that repositions the tongue and jaw in an effort to prevent the obstruction of your airway.

If you think that you or a loved one may be suffering from one of these types of sleep apnea, please reach out to a medical professional. They’ll evaluate the symptoms and decide if a sleep study is necessary. The sleep study will help them evaluate the severity of any sleep apnea symptoms to determine the best course of action.

If you’d like to learn more about untreated sleep apnea, diagnosis and tests, potential treatments for sleep apnea, oral appliances as a treatment option for sleep apnea, reach out to the kind and caring sleep specialist at Cross Dentistry.

For Sleep Apnea patients only, please download the forms below, fill them out, and email them back to Dr. Cross at crossdentistry@verizon.net :

Notice of Privacy Practices

Notice of Privacy Practices

Download

Informed Patient Consent

Informed Patient Consent

Download

Medical Records Release Form

Medical Records Release Form

Download

Epworth Sleepiness Scale

Epworth Sleepiness Scale

Download

Comprehensive Health History Questionnaire

Comprehensive Health History Questionnaire

Download

CPAP Intolerance Affidavit

CPAP Intolerance Affidavit

Download

How Do I Correct It?

Early diagnosis and treatment is crucial to preventing this common condition from impacting your long term overall health. At the Frederick, MD dental practice of Jeffrey Cross, DDS, FAGD we have extensive experience in correcting sleep disorders such as sleep apnea. Our approach to alleviating this widely prevalent and commonly undiagnosed condition is to begin with a comprehensive exam. During this assessment, Dr. Cross looks for a number of potential sleep apnea risk factors, such as the patient’s age and weight, anatomy of the back of the throat, and the presence of fat pads around their neck. Patients then undergo a sleep study at home, using specialized equipment that monitors and records your breathing patterns while sleeping. The results are then evaluated by a specially trained sleep physician to determine whether or not you exhibit signs of sleep apnea. If a diagnosis of sleep apnea is made, Dr. Cross will then recommend the use of a corrective oral appliance which the patient wears while sleeping. Of course, the recommendation for this appliance is determined by many factors related to the patients overall health which could impact their likelihood of being a suitable candidate for this corrective measure. Just a couple of the considerations made with regard to recommending an oral appliance includes whether the patient has enough stable teeth to support the appliance and no problems with the jaw joint. Our Frederick, MD practice is able to provide sleep apnea patients with corrective appliances in as little as three weeks from the date of diagnosis. We make sure that the device fits properly and that patients are confident about the proper use of the device.

Contact Us Today

If your sleeping partner has been complaining about your snoring, or if you have noticed that you are especially tired it may be that you are one of millions of Americans who are impacted by this disorder. If so, make an appointment with Jeffrey Cross, DDS, FAGD at our Frederick office for a sleep assessment today.

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