What causes snoring?
Snoring can be the result of several factors. Typically, snoring is caused by the relaxing of the muscles and soft tissues in the throat and mouth, making the air passage smaller. The decrease in space through the airway makes it harder for each breath to get through, and when it does get through, it moves over the soft tissues in the mouth and throat and causes a vibration that results in the snoring sound. Other causes of snoring may include:
- Excess body weight
- Alcohol consumption
- Certain sleep aides or sedatives
- Obstructive Sleep Apnea (OSA)
Mandibular Advancement Device (MAD)
If you snore at night, then a mandibular advancement device (MAD) may represent a solution and a better night's sleep! The MAD is a specially designed dental device that gently helps keep the lower jaw, or mandible, in a forward position, increasing the space between the airway passage and helping you breathe better so you can get a full, quiet night's sleep.
Some devices also stop the tongue from falling back over your windpipe. Your dentist will fit these special appliances to meet your individual condition.
Is a MAD comfortable?
The answer is simple — YES! A mandibular advancement device is made to be comfortable, so that you can sleep without even noticing you're wearing it. It does not prevent you from breathing with your mouth open and will even eliminate snoring for patients with sinus congestion or allergies. You may experience some slight stiffness of the jaw for the first few mornings after wearing the device, but this feeling is only temporary, and will go away after you wake up and remove the device.
Sleep Apnea
Sleep apnea is a condition in which your breathing stops periodically during sleep, as many as 20-30 times per hour. Each time you stop breathing in your sleep, the resulting lack of oxygen alerts your brain, which temporarily wakes you up to restart proper breathing. Since the time spent awake is so brief, most people with sleep apnea don't remember it, and many believe they are getting a good night's sleep when, in fact, they are not. The constant wake-sleep, wake-sleep cycle prevents those with sleep apnea from achieving deep sleep, resulting in a constant drowsy feeling during the day.
What are the signs of sleep apnea?
The following symptoms can indicate the presence of sleep apnea. If you notice one or more of these, contact our practice.
- Insomnia or difficulty sleeping
- Loud snoring at night
- Waking up at night short of breath
- Snorting or choking sounds during the night (indicating a restart of breathing)
- Headaches upon waking in the morning
- Falling asleep unintentionally during the day
- Extreme drowsiness throughout the day
Is sleep apnea dangerous?
Sleep apnea is considered a serious medical problem and if left untreated it can lead to high blood pressure, increasing the risk of heart failure and stroke. The ongoing state of fatigue caused by sleep apnea can lead to problems at work or school, as well as danger when driving or operating heavy machinery. Sleep apnea can also cause complications with medication or surgery; sedation by anesthesia can be risky, as can lying flat in bed after an operation. If you know or suspect you suffer from sleep apnea, let your family doctor know before taking prescribed medication or having surgery.
How is sleep apnea treated?
Treatments for sleep apnea depend on the severity of each individual case, and the type of apnea. Basic treatment can be behavioral — for instance, patients are instructed to lose weight, stop smoking, or sleep on their sides instead of on their backs. Beyond that, oral devices can be used to position the mouth in such a way that prevents throat blockage. In more severe cases, surgery may be the best option.
Bruxism
Teeth grinding, or bruxism, refers to excessive grinding of the teeth and/or excessive clenching of the jaw, usually occurring when one sleeps. If you wake up with jaw pain, tension headaches, or facial pain, you may be suffering from bruxism. Some people aren’t even aware they are grinding or clenching their teeth at night, until a visit to us reveals significant tooth enamel loss or damage to restorations.
Tension, stress, and anxiety experienced during the daytime can carry over to an individual’s sleep, and lead the person to grind his or her teeth together or clench the teeth unknowingly. Regardless of the cause, however, frequent clenching and grinding wears down the chewing surfaces of the teeth, reduces tooth enamel, and can result in a cracked or chipped tooth, crown, or filling.
Treatment Options
Fortunately, there is a non-invasive and effective solution for teeth grinding, and the tooth enamel damage it can cause, in custom-fabricated nightguards. Nightguards are created through a non-invasive process that includes taking an impression of the bottom and top rows of teeth. The result is a nightguard that is flexible, comfortable, and personalized to your mouth.
Although it’s important to wear your nightguard faithfully if you grind your teeth at night, you can also follow a few self-care tips to help to prevent your teeth grinding from worsening.
- Reduce tension and stress. Whether you take a warm bath before bed, listen to soothing music, or exercise, practicing stress-relieving activities can help alleviate stress and tension.
- Avoid alcohol and caffeine. In some patients, alcohol and caffeine can increase teeth-grinding tendencies.
- Focus on relaxing jaw muscles. Make a conscious effort to keep your jaw relaxed. A warm washcloth against your cheek, sticking your tongue between your teeth, and avoiding chewing pencils, pens, and gum are all ways to train the muscles of your jaw to stay relaxed. Remember: lips together, teeth apart!