My Blog

Posts for: September, 2013

By Ronald L. Schoepflin, D.D.S.
September 23, 2013
Category: Oral Health
Tags: sleep apnea   snoring  
FiveThingsYouShouldKnowAboutSleepApnea

Sleep apnea, a form of sleep-related breathing disorders that is estimated to affect some 22 million Americans, is sometimes thought of as the “quiet culprit” lurking behind many other maladies. But ask anyone who sleeps alongside a sufferer, and you'll get a different response: It isn't quiet at all! Instead, it's often marked by loud snoring and scary episodes where breathing seems to stop. If you've ever worried that you or someone you care about may have this condition, here are five facts you should know.

1) Sleep apnea is a potentially deadly disease

For one thing, it leads to chronic fatigue that can make accidents far more likely — a special concern in potentially dangerous situations, like operating machinery or driving a vehicle. It also appears to be related to heart conditions such as high blood pressure, irregular heartbeat, coronary artery disease, and even stroke. Plus, it can lead to weight gain, depression and mood disorders.

2) People with sleep apnea may wake hundreds of times every night

These “micro-arousals” may occur 50 or more times per hour, and may keep a person from getting any relaxing sleep — even though they retain no memory of the episodes. That's why people who suffer from sleep apnea often go through their days on the verge of exhaustion. And they aren't the only ones who suffer: Their bed partners may also be kept up throughout the night, becoming anxious and irritable.

3) Persistent snoring can be a symptom of sleep apnea

Snoring is caused when breath being drawn into the lungs is obstructed by soft tissue structures in the upper airway. Most everyone snores sometimes… but chronic loud snoring is a common symptom of obstructive sleep apnea (OSA) — and the louder and more frequent the snoring, the greater the likelihood of OSA. To confirm a diagnosis of sleep apnea, a sleep study using special monitors may be conducted in a clinical setting, or an at-home test may be used.

4) Your dentist may be able to help diagnose and treat sleep apnea

What does dentistry have to do with sleep apnea? For one thing, sleep apnea is a disease that involves structures in the oral cavity — an area dentists are quite familiar with. Sometimes, fatigued folks who suffer from OSA begin snoring when they recline in the dental chair, showing their symptoms firsthand. But even if their patients don't fall asleep, dentists with proper training are recognized by the American Academy of Sleep Medicine (AASM) as being able to provide first line therapy for mild to moderate sleep disorders.

5) An oral appliance is a good step to try before more invasive treatments

If it's appropriate in your situation, your dentist can custom-fabricate an oral appliance that may alleviate sleep-related breathing disorders. This device, worn while you're sleeping, helps to maintain an open airway in the throat and to reduce breathing problems. With a success rate of around 80%, in many cases it's comparable to the more complex CPAP (continuous positive air pressure) machines, but people often find it easier to wear. Plus, it's a non-invasive treatment that can be explored before deciding on a more involved treatment, such as surgery.

If you would like more information about dentistry and sleep problems, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Sleep Disorders and Dentistry” and “Sleep Apnea FAQs.”


ActressFlorenceHendersonSharesHerSecretsforKeepingYourNaturalTeethasYouAge

Florence Henderson is a multi-talented actress most recognized for her role as Carol Brady on The Brady Brunch, one of the longest-running situational comedies. In fact, this role earned her the title of America's Favorite TV Mom and her first TV Land Pop Culture Icon award, which is on permanent display in the National Museum of American History.

During an interview with Dear Doctor magazine, Henderson discussed her oral health as well as her role as spokesperson for Polident (denture cleanser) — even though she does not have dentures. Henderson attributes her beautiful, natural smile to prevention. “Flossing, brushing and regular dental checkups are vital if you want to keep your teeth,” she said, adding, “I always have mouthwash, dental floss, toothpaste and a toothbrush on the set.”

Similar to the great advice “Carol Brady” shared on television, Henderson's advice on oral hygiene is spot-on. We agree that an effective educational approach to oral hygiene and diet is essential to keeping teeth for a lifetime.

The first step is to ensure you have a proper brushing and flossing technique. We can go over these during your next office visit. Our goal is to ensure that you are applying the ideal amount of pressure and motion because gum tissues are soft and can easily be damaged. And you should never use a hard-bristled toothbrush or saw at your gums and teeth when brushing. The best technique is a modified, gentle scrub where you hold a well-designed, multi-tufted toothbrush at a 45-degree angle to the gum line to gently wiggle/scrub your teeth clean.

As for flossing, you should do it at least once daily to remove the plaque buildup that occurs in the protected areas between teeth where your toothbrush can't reach and where periodontal (gum) disease and dental caries (cavities) start and progress. Many people are shocked to learn that over 50% of the accumulation of plaque occurs in these areas.

To learn more about proper oral hygiene, you can continue reading the Dear Doctor magazine article “Oral Hygiene Behavior.” Or you can contact us today to schedule an appointment so that we can conduct a thorough examination and discuss what treatment options will be best for you. And to read the entire interview with Florence Henderson, please see the article “Florence Henderson.”