Sleep Apnea

People with obstructive sleep apnea (OSA) have disrupted sleep and low blood oxygen levels. When obstructive sleep apnea occurs, the tongue is sucked against the back of the throat. This blocks the upper airway and airflow stops. When the oxygen level in the brain becomes low enough, the sleeper partially awakens, the obstruction in the throat clears, and the flow of air starts again, usually with a loud gasp.

Repeated cycles of decreased oxygenation lead to very serious cardiovascular problems. Additionally, these individuals suffer from excessive daytime sleepiness, depression, and loss of concentration.

Some patients have obstructions that are less severe called Upper Airway Resistance Syndrome (UARS). In either case, the individuals suffer many of the same symptoms.

Sleep Apnea Treatment

The first step in treatment for sleep apnea resides in recognition of the symptoms and seeking appropriate consultation.

In addition to a detailed history, the doctors will assess the anatomic relationships in the maxillofacial region. To confirm the amount of cardiovascular compromise and decreased oxygenation levels, a sleep study may be recommended to monitor an individual overnight.

Treatment Options for Sleep Apnea

There are several treatment options available. An initial treatment may consist of using a nasal CPAP machine that delivers pressurized oxygen through a nasal mask to limit obstruction at night. 

Oral Sleep Applainces

At our office, we offer custom appliances that are made to fit your teeth.  Several appliances are available, but the overall goal of the appliance is to advance the lower jaw forward and open the bite to increase available airway space.  The increased airway space helps minimize obstructions and reduce harmful effects of obstructive sleep apnea. 

Several other surgical options are available that may be performed by an Oral Surgeon or ENT specialist.  In more complex cases, the bones of the upper and lower jaw may be repositioned to increase the size of the airway (orthognathic surgery). This procedure is done in the hospital under general anesthesia and requires a one to two day overnight stay in the hospital.

OSA is a very serious condition that needs careful attention and treatment. Most major medical plans offer coverage for diagnosis and treatment.

Since Dr. McDaniel and Dr. Donahoe are experts on the oral cavity, they can provide you with an appropriate referral or determine whether you would benefit from an oral sleep appliance.  Several options are available, so feel free to schedule a consult or ask information on dental sleep medicine at your next appointment.