Doctor insights on:
Best Sleep Apnea Mouthpiece
Sleep apnea has two causes. It may be 'central' or 'obstructive'. Central apnea occurs as a disorder in the way the brain controls breathing. Obstructive sleep apnea is much more common and involves an anatomical blockage of the airway. Usually, the tongue blocks the airway, preventing the passage of air between the a sleep study is needed to diagnose particular ...Read more
I don't have sleep apnea, am not overweight, sleep on side, don't drink, but still snore when breathing through my mouth. What aids should I try? Mouthpiece keeping jaw forward? Strap to close mouth?
Several ways: CPAP (or one of its cousins); dental appliance to reposition the tongue/lower jaw; oral surgery to shift the jaw/s forward; weight loss; exercise; proper nutrition. Have a proper sleep study performed to determine what method is right for you. (the photo is me wearing a somnodent mandibular advancement splint to control my moderate to severe apnea--for the past 7 years.). ...Read moreSee 3 more doctor answers
Some helpful hints: There are things that can be done to help lessen symptoms and depending on severity, may eliminate them. Weight loss, avoidance of sedating chemicals or medications, avoiding supine sleep can help. There is an oral device that a dentist can make and some medical therapies from an ENT that can help. Pap therapy is still the gold standard treatment and splints the airways open. ...Read moreSee 5 more doctor answers
Whatever works. : My thought on this would be to choose what works. You can get the most expensive equipment, but it may not fit right or may not create a tight seal or may simply be too uncomfortable to use every night. Get what's comfortable and what helps, be it nasal or full-face. ...Read more
No best: My practice is limited to dental sleep medicine and I have found there is no best appliance. Each has advantages and disadvantages. The best thing to do is to work with a dentist with lots of experience in this field and have them work with you to select an appliance that best fits your mouth. Many, but not all of those dentists are certified by the american board of dental sleep medicine. ...Read moreSee 1 more doctor answer
One for both: Research has shown that a device that positions the lower jaw forward while sleeping as is used for snoring and sleep apnea, also reduces sleep bruxism episodes. This is the only type of oral device that will actually reduce the number of bruxism events. Other dvices for bruxsim will protect the teeth and in some instances, decrease the intensity of the muscle contractions seen in bruxism. ...Read moreSee 5 more doctor answers
Is there any probably relation between ssris or beta blockers and sleep apnea?.I had snoring +nightmare and now drowsiness.Best regards to all drs.
Associations Below: Selective serotonin reuptake inhibitors were associated with a lower percentage of rapid eye movement sleep and lower sleep efficiency values in patients with osa, compared with those not taking any medications. The use of ß-adrenergic receptor-blocking agents had no consistent associations with the indexes of sleep architecture. www.aasmnet.org/jcsm/articles/020208.pdf?. ...Read more
I have grade 4 enlarged tonsils causing mild to moderate sleep apnea (AHI 10, nadir SpO2 88%). One dr said tonsillectomy other said CPAP. What's best?
Both: unless you were born with extra tonsils you have 2 adult tonsils and adenoidal tissue. Either tonsillectomy/adenoidectomy plus C-PAP will be beneficial. ...Read more
Gasping for air: Sleep apnea is defined as complete (apnea) or partial obstruction (hypopnia) of the airway during sleep. Typical signs and symptoms are snoring, wake up gasping for air, and excessive daytime sleepiness. Diagnosis is made by a sleep study (polysomnogram) and the main parameter of diagnosis is ahi (apnea-hypopnea index). Mild sleep apnea ranges from 5-10 ahi. ...Read moreSee 3 more doctor answers
OSA: Obstructive sleep apnea occurs when breathing stops (apnea) during sleep usually as a result of a temporary obstruction such as a narrowing and closing in the oropharynx. When the brain detects that breathing has stopped, an alarm goes up that wakes the person so that he starts breathing again. Often the person does not know why he has woken. An observer may note snoring or gasping in the night. ...Read moreSee 3 more doctor answers
Sleep apnea.: The only way to tell if you truly have sleep apnea is by doing a sleep study. If you have suspected sleep apnea, it is a good idea to try to lose weight if you are heavy to see if that solves the problem. If it does not, then a sleep study may be necessary. If that confirms sleep apnea, wearing a mask with continuous positive airway pressure (CPAP) while sleeping usually helps. Good luck. ...Read moreSee 1 more doctor answer
Tape yourself : The easiest way to determine whether you have sleep apnea is to take a tape recorder and tape your sleep at night. The next day rewind and listen to see if you snore and have your irregular respirations. If there is a pause and you hear some gasping that is sleep apnea. At that point you should have sleep study which will confirm the diagnosis. Good luck and well wishes. ...Read moreSee 5 more doctor answers
Yes: Sleep apnea can result from anatomic obstruction in the nose (deviated septum, swollen turbinates, sinusitis, etc) or over relaxation of the smooth muscles that line the trachea (wind pipe). It's true that sleep apnea was classically though to be found only in elderly overweight men, but that's been found to not be true. Children can have osa from enlarged tonsils or adenoids. Consult a sleep doc. ...Read moreSee 3 more doctor answers
This is the cessation of breathing for 10 seconds or more. Most apnea is obstructive being caused by collapse or obstruction of the airway leading to lack of air flow. However, it can be a central process, where the respiratory center of the brain fails to signal the respiratory respiratory system to initiate a breath. Lastly, some apnea is mixed central ...Read more
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