Snoring and Obstructive Sleep Apnoea
Snoring and Obstructive Sleep Apnoea is a serious medical issue as it leads to broken sleep for snorers and their partners. It can have a profound impact on their quality of life as well as be embarrassing and disrupt relationships.
Day Time Sleepiness – Less effectiveness at work and increased risk of accidents at work.
Reduced Energy – Leading to poor motivation to exercise hence weight gain.
Hypertension – Patients who snore and have obstructive sleep apnoea have an elevated risk of high blood pressure.
Obstructive Sleep Apnoea is the term used when a person stops breathing while asleep and then breathes again accompanied by a gasp, snort or a choke sound. Breathing interruptions, known as ‘sleep apnoea’, reduce oxygen levels in the blood. During sleep the brain reacts quickly and releases adrenalin which causes a partial wakening. This cycle can occur many times per hour thereby interrupting sleep, leading to daytime tiredness.
Screening & Diagnosis
The NHS will not treat simple snores due to financial constraints and only 50% of sleep centres provide a comprehensive treatment service for obstructive sleep apnoea
Home Sleep Study
Obstructive Sleep Apnoea is a more serious and often undiagnosed condition, which contributes to day time sleepiness, hypertension, diabetes and ultimately heart disease. The only way to determine if your patient has obstructive sleep apnoea is to have a sleep study. The S4S home sleep study process is simple…
- Can be booked on-line: www.s4sdental.com, or by calling 01142 500 176
- The Home Sleep Study recorder is dispatched by S4S to the patient’s home
- The Home Sleep Study is undertaken by a recorder, which is small, lightweight and easy to wear. It enables the patient to have a sleep study from the comfort of their own home and at their own convenience
- The Home Sleep Study recorder will be collected and the data assessed by a sleep physician
- Diagnosis and recommended treatment will be provided within 15 working days from the receipt of the equipment and completed questionnaire
Medibular Advancement Splinit therapy (MAS Therapy) offers effective treatment for simple snoring and mild/moderate obstructive sleep apnoea
What is Mandibular Advancement Splint (MAS therapy)
This is a collective name for mouthpieces which are designed to prevent the lower jaw from dropping back during sleep which in turn reduce the risk of the airway narrowing. The narrowing of the airway causes the soft tissue to vibrate which in turn causes the sound of snoring. THe role of mandibular advancement splints in the management of snoring is widely recognised (SIGN guidelines, 2003). The most clinically proven and end effective mandibular advancement splint is Sleepwell available from S4S trained dentists. Lower cost self diagnosis treatments are called Snoresolve and Snoreshield.
Snoring results from a partial closure of the airway during sleep and most commonly occurs in isolation (simple snoring) or less commonly takes place as part of a more serious condition (obstructive sleep apnoea), which can be potentially life-threatening. This screening questionnaire helps to identify the degree of risk that you may suffer from OSA. To identify the severity of or to exclude OSA an overnight sleep study would be required.
Dental appliances have been shown to play an effective role in the management of patients with snoring and/or obstructive sleep apnoea. The appliance will not cure the disorder but works by temporarily repositioning the lower jaw forwards. The tongue and soft palate are moved forwards, alleviating airway obstruction. In order to be effective and remain so, the appliance must be worn each night. If use of the appliance is discontinued the symptoms will recur.
There is no guarantee that an appliance will be effective in every patient due to individual variation in response. A high standard of oral hygiene is important for a successful outcome as is the care and use of the device as per supplied instructions.
If you are later diagnosed with Sever OSA you will be provided with a CPAP on a trial basis and may be asked to discontinue using Sleepwell.
It is important that you return for assessment after fitting of your splint. You will be asked to complete a simple questionnaire designed to assess your response to treatment and gain feedback from your partner.
For patients with obstructive sleep apnoea this post-treatment assessment provides valuable information. A follow-up sleep study with Sleepwell in place overnight is the only way to know if breathing disruptions have been eliminated sufficiently for you to continue using Sleepwell alone.
After wearing the appliance all night, a variety of sensations may be experienced on awakening. Most patients report either dry mouth sensation on awakening or an excessive amount of saliva. These are short –term effects and lessen with time. On awakening some patients feel that their teeth do not come together properly and/or their jaw joints or muscles at the side of the face feel tender. These symptoms usually only last a few hours. There is a risk that persistent long-term use can result in a degree of movement of your teeth, particularly if you do not maintain the health of your gums. In addition, the splint may require replacement as a result of wear or breakage.
Sleepwell is a most cost effective and long term snoring treatment on the market to help quit snoring, and prevents the lower jaw from dropping back during sleep thereby preventing the closure of your airways during sleep – an effective stop snoring remedy. Sleepwell is a custom made mouth piece produced within our laboratory to fit your teeth. Sleepwell has some unique features including a soft inner lining, allows side to side movement of the lower jaw and most importantly allows the patient to adjust it to maximize effectiveness. High levels of patient comfort meant that during clinical trials over 98% of patients found Sleepwell an acceptable snoring remedy.