Sleep apnea is a potentially life-threatening sleep
disorder characterized by repeated pauses in breathing during sleep. The term
sleep apnea is derived from the Greek etymology meaning “without breath."
Breathing pauses can last anywhere from several seconds to minutes, and happen
as often as 30 times or more per hour. Ongoing disrupted breathing causes an
imbalance between the carbon dioxide and oxygen levels in the bloodstream, as
not enough carbon dioxide is exiting and not enough oxygen is entering the
body.
Sensing this imbalance, the brain sends a message to the
body, telling it to wake up to restart breathing the process. People with sleep
apnea will partially awake as they struggle to breathe, and this is often
accompanied by loud snoring or choking sensations. Because people with sleep
apnea don’t always completely awake during the episodes, they are often unaware
they have a sleeping disorder and it can remain undiagnosed.
There are two main types of this disorder; central
sleep apnea, which
occurs when the brain fails to send important signals to the breathing muscles,
and obstructive sleep apnea, which occurs when air cannot flow through the nose or mouth,
even though the body is still trying to breathe. Obstructive sleep apnea is far
more prevalent and easily treatable by the dentist.
Common signs of obstructive sleep apnea can include severe
early morning headaches, sleepiness in the daytime, and insomnia. Fortunately,
the dentist is equipped with the necessary technology and expertise to treat
sleep apnea in several different ways.
Reason for treating sleep apnea
It is very important to seek medical attention if sleep
apnea is suspected. A sufferer can completely stop numerous times per hour, and
this can quickly turn into a deadly situation. Obstructive sleep apnea occurs
when the soft tissue lying at the back of the patient’s throat collapses into
the airway. The tongue then falls towards the back of the throat, which
tightens the blockage and prevents oxygen from entering the lungs.
The problem worsens when the chest region, diaphragm, and
abdomen fight for air. The efforts they make to obtain vital oxygen only cause
a further tightening of the blockage. The patient must arouse from deep sleep
to tense the tongue and remove the soft tissue from the airway.
Because sleep apnea causes carbon dioxide levels to
skyrocket in the blood and oxygen levels to decrease, the heart has to pump
harder and faster to compensate for the lack of oxygen. Sleep apnea patients
can technically “die” many times each night. Sleep apnea has been linked to a
series of serious heart-related conditions, and should be investigated by the
dentist at the earliest opportunity.
What does sleep apnea treatment
involve?
Initially, the dentist will want to conduct tests in order
to investigate, diagnose, and pinpoint a suitable treatment. The dentist can
offer many different treatment options, which depend largely on the exact
diagnosis and the health of the patient. The dentist may advise the patient to
halt some habits that aggravate sleep apnea, such as smoking, alcohol
consumption, and tranquilizer use.
Sleeping masks were traditionally used to keep the
patient’s airways open while they slept, but nowadays there are some less
intrusive options. Dental devices that gently tease the lower jaw forward are
very effective in preventing the tongue from blocking the main air
passage. These dental devices are gentle, easy to wear, and often help
patients avoid unwanted surgeries.
A more permanent solution is to have surgery that sections
the lower jaw and helps pull the bone holding the tongue forward slightly. This
surgery has an impressive success rate and is simple for the dentist or oral
surgeon to perform. The dentist needs to formally make a diagnosis of each
individual case before recommending the best course of action.