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Is there such a thing a sleep apnea dental appliance? Have you been struggling with restless nights? Not getting a full night’s sleep? Talk to your dentist they may be able to help with a sleep apnea dental appliance. Snoring and disturbances of sleep are often a sign of Obstructive Sleep Apnea (OSA), and your dental health could be the reason. A dentist can often be the first person to diagnose obstructive sleep apnea and give you relief with a sleep apnea dental appliance.

Can A Sleep Apnea Dental Appliance Help?

Sleep apnea is a common but potentially serious condition in which breathing stops and starts up again for periods of 10-20 seconds while you sleep (this can go on 100’s times each night). Even though sleep apnea is very treatable, it very often goes undiagnosed by medical doctors. Sleep Apnea affects approximately 18 million people in the United States alone and not even 10% ever get diagnosed properly. It is believed if sleep apnea is left untreated, it can take about 8-10 years off a person’s life span. A simple sleep apnea dental appliance can add years back to you life. Obstructive sleep apnea (OSA) is the most common type of sleep apnea. This type of sleep apnea occurs when the soft tissue in the back of your throat relaxes during sleep, causing a Marielaina Perrone DDS Sleep Apnea Dental Appliance Las Vegasblockage of the airway. This in turn blocks the airflow into the lungs causing a cessation of breathing momentarily. Obstructive sleep apnea is defined as five or more episodes of apnea (temporary absence of breathing) or hypopnea (diminished depth and rate of breathing) per hour of sleep (called apnea-hypopnea index or AHI) in individuals who have excessive daytime sleepiness. Patients with 15 or more episodes of apnea or hypopnea per hour of sleep are considered to have moderate sleep apnea. If left undiagnosed and untreated sleep apnea prevents you ever gaining  a restful sleep necessary for your health. The recurring pauses in breathing shocks your body out of its natural sleep rhythms over and over again. This results in you tending to spend more time in light sleep and less time in the deep, restorative sleep you need to be full of energy, mentally sharp, and productive the following day. Sleep apnea can be difficult to diagnose without medical help. This is because most sleep apnea symptoms occur during sleep. Help is needed so ask a bed partner or record yourself during sleep. A common misconception is that everyone who snores has sleep apnea. This is not a hard and true fact. Some recent clinical studies have also found that if you have snoring and grind your teeth than you likely have some form of apnea, so you should get checked by a medical doctor. So how do you tell the difference between common snoring and a more serious case of sleep apnea? The biggest marker is how you feel during the day. The quality of your sleep is unaffected by “normal” snoring as much as sleep apnea does. So you would be less likely to suffer from sleepiness and fatigue during the day. Obviously, we will all have some restful nights. This would be more of a long term feeling day after day.

How Can Your Dentist Help With A Sleep Apnea Dental Appliance?

An official sleep apnea diagnosis is needed and must come from a medical doctor with the possibility of a visit to a sleep center. A dentist can fabricate a sleep apnea dental appliance which are used to reposition the tongue and lower jaw forward during sleep to maintain the open airway. Usually a sleep apnea dental appliance is recommended for mild to moderate obstructive sleep apnea patients. A sleep apnea dental appliance can also be utilized in severe obstructive sleep apnea patients who cannot tolerate the use of a CPAP machines. The standard medical treatment right now is use of a CPAP (called a Continuous Positive Airway Pressure). Approximately 25%-50% of sleep apnea patients do not regularly use or tolerate CPAP machines. Some recent clinical studies have shown the use of a sleep apnea dental appliance to be the most effective in treating snoring and mild to moderate obstructive sleep apnea.

Types Of Sleep Apnea Dental Appliance

Mandibular advancement device (also called MAD). This is the most popular sleep apnea dental appliance prescribed for obstructive sleep apnea patients. This sleep apnea dental device is very similar in appearance to an athletic mouthguard. There is a hinge between the upper and lower part of the sleep apnea dental appliance allowing the lower jaw to be eased forward. The Thornton Adjustable Positioner (TAP) is a sleep apnea dental appliance that allows further adjustments than most. This TAP sleep apnea dental appliance gives control over the degree of lower jaw advancement for even more comfort and control of obstructive sleep apnea. –Tongue Retaining Device (TRD). Not as popular as the sleep apnea dental appliance above. This device works by holding the tongue in place which ends up keeping the airway open. Ask your dentist which sleep apnea dental appliance is right for your particular case of obstructive sleep apnea.

Sleep Apnea Dental Appliance Conclusion

The best course of treatment for obstructive sleep apnea depends on many factors. These factors include the severity of your obstructive sleep apnea, the physical anatomical structure of your upper airway, other medical issues you may have, as well as a patient’s personal preferences. Choosing the right sleep apnea dental appliance is a very personalized decision. Speak to your dentist about which sleep apnea dental appliance is right for you. There are proven scientific links between a lack of a good night’s sleep and a host of problematic symptoms including depression, memory loss, hypertension and weight gain. With the help of your dentist and a sleep apnea dental appliance, you can improve your sleep and your overall health!

Teething – The eruption and cutting of teeth especially the primary teeth.

Teething can be a very difficult time for parents and child. The child will experience some level of discomfort and most parents cannot bear to see their children hurting at all. Not to mention the possible loss of sleep for baby and parents.

Signs and Symptoms of Teething

By age 2 and 1/2 most children have all 20 of their primary teeth. During the process of teeth erupting into the mouth, your child may experience some signs and symptoms. These can include the following:

-Excessive Drooling. Many babies drool so much during the teething process that it is hard to even begin to keep them dry. Teething stimulates drooling and it begins for most babies at about 10 weeks of age.

 –Rash on cheeks or chin. The rash development is linked to excessive drooling. If your baby is drooling excessively, they may develop a dry skin rash around the mouth, and on their chin due to contact with the excessive saliva. Drying the skin around the mouth frequently will help prevent the rash. Use of a gentle skin cream will help moisturize the rash, helping it to heal faster.

 –Coughing. Sometimes the drool will make babies cough for no apparent reason. The baby is actually gagging a little on the excessive drool. The baby should be monitored if this persists and also check to ensure there are no other signs or symptoms of cold, allergies, or flu present.

-Chewing or Biting. As the teeth begin to push through the gums it can cause some discomfort for the baby. Babies learn very quickly that counter pressure will sooth that discomfort. That is why they enjoy chewing on things, especially cold, around this time. This can also be a tough time for mom if she is breast feeding.

-Discomfort or Pain. Every baby will be affected differently. Some experience terrible pain and others barely anything. The first teeth to erupt usually cause the most pain or discomfort. Most babies eventually get used to the pain or discomfort and it is not as severe after the initial tooth eruptions.

 –Irritability. Babies will become irritable during this time as their sleep is affected by chronic discomforts. The same could be said for some parents!

 –Refusing to Feed or Eat. The suction of feeding can cause babies discomfort during this time. Teething babies sometimes become fussy about feedings and become even angrier when they get hungrier and hungrier. Talk to your pediatrician about possibly offering solid foods to baby during this time if they are not already on them. The chewing will relieve some of the discomfort.

 -Development of Diarrhea. This has caused some division among pediatricians but some parents report the development of diarrhea during the teething process. Either way it is important to keep your baby hydrated during the teething process. Speak to your pediatrician if the diarrhea persists.

-Development of a Low grade fever. The fever is believed to be due to the inflammatory process in the body. As the teeth erupt, the babies gum tissue becomes inflamed and this inflammation can sometimes produce a low grade fever (less than 101 degrees F). Treat as you would any other low grade fever but if it persists call your doctor.

-Poor Sleeping Habits. The teething process does not only happen during the day, it can spill over into the evenings. The teething discomfort can disrupt nap time as well as night time sleeping.

-Gum Hematoma. Teething can cause bleeding under the gum tissue, which looks like a bluish lump. It is not anything to be worried about and can heal faster with the help of a cold compress.

-Ear pulling; cheek rubbing. Teething babies may tug on their ears or rub their cheeks or chin. The reason for this is that these areas all share the same nerve pathways. Discomfort in the mouth can travel to other areas in and around the face. Be on the lookout for an ear infection as well. Babies who have ear infections have similar symptoms.

Relief From Teething

There are some things parents can do to make their babies feel better. They include:

-Chewing. As mentioned earlier, chewing soothes teething babies. Some good choices might be rubber teething rings and rattles for them to chew on. Another good option is a frozen, wet washcloth to let them chew on. Our babies liked cold, peeled carrots, they are large,  impossible to swallow or chew, but taste good and are not too hard. The cold will relieve the discomfort.

-Rubbing. Your finger rubbed firmly on baby’s gums, or a wet washcloth, can provide the same soothing counter pressure. Your baby may not like it at first because it might initially hurt, but the counter pressure will bring relief.

Pain relief. If all of the above do not work to relieve the teething discomfort you may want to turn to some sort of pain relief. Acetominophen (Tylenol) is an excellent choice, but as always, check with your pediatrician before using any medications. Some people like to use topical numbing agents, like Anbesol, but babies tend to get very upset with the feeling it gives.

Conclusion on Teething

Teething can be a difficult time for both parents and baby, but armed with good educational information, you can get through it as easily as possible. Follow the tips above to keep you and your baby happy and comfortable.

 



Snoring is usually not something we are very concerned about, unless our sleep mate is causing a disruption to your sleep. But, did you know that frequent, loud snoring may be a sign of something more serious than keeping your partner up during the night. This could be a sign of sleep apnea (also known as obstructive sleep apnea – OSA). Sleep apnea is a common but potentially serious condition in which breathing stops and starts up again for periods of 10-20 seconds while you sleep (this can occur hundreds of times a night). Even though sleep apnea is treatable, it often goes undiagnosed. Sleep Apnea affects more than 18 million people in the United States alone and less than 10% ever get diagnosed. If left untreated, sleep apnea can take 8-10 years off a person’s life.

Obstructive sleep apnea (OSA) is actually the most common type of sleep apnea. It occurs when the soft tissue in the back of your throat relaxes during sleep, causing a blockage of the airway (along with loud snoring). In turn this blocks the airflow into the lungs. Obstructive sleep apnea is defined as five or more episodes of apnea (temporary absence of breathing) or hypopnea (diminished depth and rate of breathing)  per hour of sleep (called apnea-hypopnea index or AHI) in individuals who have excessive daytime sleepiness. Patients with 15 or more episodes of apnea or hypopnea per hour of sleep are considered to have moderate sleep apnea

Untreated sleep apnea prevents you from getting a good night’s sleep. The pausing of breathing literally shocks your body out of its natural sleep rhythms. As a result, you tend to spend more time in light sleep and less time in the deep, restorative sleep you need to be full of energy, mentally sharp, and productive the following day.

It can be difficult to diagnose sleep apnea without help, since most symptoms only occur when you are sleeping. So it’s advisable to ask a bed partner or record yourself while sleeping. Not everyone who snores has sleep apnea and vice versa. Some recent studies have also found that if you have snoring and grind your teeth than you likely have some form of apnea, so you should get checked by a physician. So how do you tell the difference between common snoring and a more serious case of sleep apnea? The biggest sign is how you feel during the day. The quality of your sleep is unaffected by “normal” snoring as much as sleep apnea does. So you would be less likely to suffer from sleepiness and fatigue during the day.

So where does the dentist come in? An official diagnosis of sleep apnea must come from a physician with the possibility of sleep center visit. A dentist can fabricate an Oral appliance which are used to reposition the tongue and lower jaw forward during sleep to maintain the open airway. Usually, oral appliances are recommended for mild to moderate Sleep Apnea patients, but can be used in severe sleep apnea patients who cannot tolerate CPAP machines (The standard treatment right now is use of a CPAP (Continuous Positive Airway Pressure) machine, but 25%-50% of sleep apnea patients do not follow thru with or tolerate CPAP machines). Some recent studies have shown these oral appliances to be the most effective in treating snoring and mild to moderate obstructive sleep apnea.

At Dr. Perrone‘s office, we use an oral appliance called a TAP appliance (Thornton Adjustable Positioner). The TAP holds the lower jaw in a forward position so that it does not fall open during the night and cause the airway to collapse. It is able to maintain a clear airway to reduce snoring and improve breathing. We feel this gives the patient the best option for success.

The unique design allows the patient to fine-tune his/her treatment at home and work with the dentist to achieve the best possible results. Patients are empowered to manage the degree of lower jaw protrusion over as many nights as it takes to achieve the optimal treatment position. The TAP has a single point of central adjustment, which prevents uneven bilateral adjustment that can create an irregular bite and discomfort.

The TAP has over a 95% success rate. It is the key to a snore-free, restful night of sleep. This appliance also treats sleep apnea without the need for surgery, a mask, or medication. The TAP is recognized as the market leader in oral appliances for snoring and sleep apnea and is currently prescribed by over 7,000 dentists worldwide to treat snoring and sleep apnea. In addition, it is the most researched oral appliances on the market with over 30 independent peer reviewed published studies. A simple dental examination is necessary to know if the patient will be able to use an oral appliance. So, schedule one today for you and your loved ones!