The Facts
We can survive 3 weeks without food, 3 days without water and 3 minutes without oxygen. The CDC reports that 22 million Americans suffer from some form of sleep apnea (breathing that stops during sleep), potentially causing airway collapse and starving the brain of oxygen1. Our body responds by repeatedly waking us up to breathe, depriving us of our recommended 7 hours of sleep2. The CDC lists sleep as 1 of 5 necessary health behaviors to prevent chronic disease.
Effects in Men, Women and Children
Snoring can be a sign of sleep apnea. While we might associate snoring with men, studies show this may be due to under-reporting by women4. Women might more readily report other symptoms such as Restless Leg Syndrome, depression, anxiety, and headache to name few. The “cute” snore of a child sleeping might actually be sounding the alarm to an underlying condition, as sleep apnea also affects 1-4% of children, particularly among 2-8 year olds1. For a child, this can manifest as nightmares, swollen tonsils/adenoids, bed wetting, mouth breathing, chronic allergies, behavioral problems and more.
Specific to Dentistry
In 98% of patients with OSAS (obstructive sleep associated syndrome) the condition is due to abnormal anatomical features of the soft tissues or the structures of the upper and lower jaw that compromise the airway3. In other words, underdevelopment in the upper or lower jaw can disrupt normal breathing. This is seen in dentistry as swollen tonsils, crowded teeth, overbite (deep bite), overjet (bucked teeth), tongue and lip tie, no space for the tongue and even a narrow pharynx (air tube).
Available Treatment
Available options have their pros and cons. One can surgically advance the jaw forward and/or open the airway tube to create needed breathing space. CPAP machines can also be used to manage certain cases. However, patients tend to be non-compliant with CPAP machines. Mandibular Advancement Devices (MADs) are an alternative option to CPAP, which functions by holding the lower jaw forward — preventing airway collapse by creating more room in a space-deficient mouth. After years of use, MADs can produce occlusion (bite) issues further exacerbating the condition. CPAP and MAD’s have to be worn every night and may become less effective with time. Orthodontic palatal expansion may help to prevent sleep apnea; however, it is typically done rapidly with healing of the bone suture as scar tissue that has the potential for relapse. Often patients with underdeveloped jaws have multiple teeth extracted for orthodontic purposes; however, this usually does not address the restricted airspace and may exacerbate the sleep disorder.
Pneumopedics®
Pneumopedics® VIVOS device uses a biomimetic (mimics the body’s normal growth patterns) oral appliance to non-surgically remodel the airway space in adults and children. VIVOS appliance inventor Dr. David Singh (DDSc PhD DMD) says “This procedure relies on an epigenetic response, which means you harness a patient’s own genetic potential for correction.” He goes on to say that the facial bone and upper airway volume increases, improving facial appearance and tooth alignment “but most importantly, we have found an elimination of the signs and symptoms of OSA (obstructive sleep apnea).”
We’ve all had someone tell us an ailment was “all in your head.” With the underdevelopment of the jaw and airway being at the core of sleep apnea, it may very well be “all in your head.” For patients suffering from sleep apnea, using Pneumopedics® with a Vivos oral appliance offers a non-surgical, non-pharmaceutical solution. To learn more, attend one of our FREE bi-weekly online presentation: Many Problems, One Solution.
References
1.American Sleep Apnea Association. (2020). Sleep Apnea Information for Clinicians. Retrieved April 2, 2020, from https://www.sleepapnea.org/learn/sleep-apnea-information-clinicians/
2. CDC. (2018, February 22). Sleep and Sleep Disorders. Retrieved April 2, 2020, from https://www.cdc.gov/sleep
3. Hickey, A. (2016, July 15). Beyond Oral Appliances – The Future of Sleep Medicine? Retrieved April 2, 2020, from https://asba.net/beyond-oral-appliances-the-future-of-sleep-medicine/
4. Wimms, A., Woehrle, H., Ketheeswaran, S., Ramanan, D., & Armitstead, J. (2016). Obstructive Sleep Apnea in Women: Specific Issues and Interventions. Retrieved April 2, 2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5028797/