Sleep Apnea Mouth Guard. Sleep apnea is a serious respiratory disorder that occurs during sleep in which the airways are blocked due to the loosening and narrowing of the throat wall. When we sleep, the throat muscles can relax and weaken. Under normal circumstances, this condition does not interfere with breathing. But in people with sleep apnea, the muscles become too weak, causing narrowing or obstruction of the airways that interfere with breathing.
There are two kinds of respiratory disorders in sleep apnea patients, namely hypopnea and apnea. Hypopnea occurs when the airways shrink to more than 50 percent and cause short and slow breath. Hypnonea usually occurs for about 10 seconds. While apnea occurs when all airways are blocked for about 10 seconds. When apnea, oxygen levels in the blood drops so the brain tells us to wake up and try to breathe again. Throughout the night, sleep apnea sufferers may experience apnea and hypoponea repeatedly.
The severity of sleep apnea can be measured through the apnea-hypoponea index by measuring the frequency of respiratory distress during sleep within 1 hour. For mild levels, respiratory disorders occur 5-14 times within an hour. For moderate levels, respiratory distress occurs as much as 15 to 30 times per hour. Whereas in severe cases, respiratory distress may occur more than 30 times within an hour.
Sleep apnea is divided into three types, namely obstructive sleep apnea, central, and complex. Obstructive sleep apnea is the most common type, where the throat muscles relax. While central sleep apnea occurs when the brain does not send signals well to the muscles that regulate breathing. Meanwhile, sleep apnea complex is a combination of central and obstructive sleep apnea.
Symptoms of sleep apnea can be experienced at any age, although generally suffered This condition is often not realized by the sufferer that his disruption disrupted during sleep. This repetitive sleep disorder can cause the body to become tired and drowsy during the day.
Symptoms of Sleep Apnea
Here are some of the symptoms experienced by sleep apnea sufferers:
- Snoring loudly.
- Often stopping breathing and then gasping for breath.
- Breathe heavy and noisy.
- Difficulty sleeping well at night or insomnia.
- Wake up with dry mouth or a hoarse throat.
- Dizziness in the morning.
- Drowsy in the morning.
- Excessive sweating at night.
- Often waking up at night to urinate.
- Easy to get angry.
- Decreased sexual arousal or erectile dysfunction in men.
It is advisable to see a doctor immediately if a person experiences some of the above symptoms, especially if the symptoms are already interfere with daily routine.
Causes of Sleep Apnea
When sleeping, the muscles behind the throat that support the soft tissues from the ceiling (uvula), the tonsils, the throat side wall and the tongue, relax. This causes the airways to narrow or close as we inhale so that we do not get enough oxygen supply.
The situation is felt by the brain that reacts to wake us up to open airways. These obstactive sleep disorders usually last very briefly and recur in an hour. While other sleep disorders or sleep apnea central make us unable to breathe a moment when the brain does not send signals to the respiratory muscles. As a result, we find it difficult to continue to sleep soundly or wake with shortness of breath.
Some conditions that may aggravate the narrowing of the airway at night at bedtime include:
Several factors may increase your risk for sleep apnea:
- Gender. Sleep apnea is more likely to occur in men.
- Has a big neck. The size of the neck larger than 43 cm is more at risk of sleep apnea.
- Obesity or excessive weight. The presence of excessive fat in the soft tissues of the neck and stomach can disturb you in breathing.
- Taking a sedative. This drug can make the throat slack, for example drugs and sleeping pills.
- 40 years or older. Sleep apnea is more common in people of this age, although it can also occur at any age.
- Abnormalities in the inner neck structure. For example large tonsils, small respiratory tract, small lower jaw, and large adenoid.
- Nasal congestion. People suffering from nasal blockages are more at risk for sleep apnea, for example because of polyps and structural abnormalities of the nasal bone.
- Family history. If your family has sleep apnea, your risk of suffering will also increase.
- Smoke. Smoking may increase the risk of inflammation and fluid buildup in the upper respiratory tract.
- Eating liquor. This habit if done before bed will worsen sleep apnea and also snoring you.
- Menopause in women. Hormonal changes during menopause can make the throat more relaxed than usual so that the risk of sleep apnea increases.
- Medical condition. People suffering from heart problems and stroke are at risk of central sleep apnea.
Diagnosis of Sleep Apnea
The diagnosis of sleep apnea can be started by asking for symptoms experienced by the patient, physical examination, including blood pressure, measuring height, weight and neck, and blood tests.
If the cause of sleep apnea remains unclear, doctors can observe the patient’s nighttime sleep through a test called polysomnography. In this observation, the pattern of breathing, heart rate and body oxygen levels, levels of absorption and other body parts will be closely monitored. Polysomnography consists of a combination of several tests, namely:
- Electromyography (EMG), to examine and record muscle signal activity.
- Electroencephalography (EEG) to observe brain waves.
- Electrocardiography (ECG) to observe the heart.
- Records of chest and abdominal muscles.
- Record airflow through the mouth and nose.
- Heartbeat recording and oxygen levels in the blood (pulse oximetry).
- Voice and video recording.
In addition to sleep observation in the clinic, this observation can also be done at home with a tape recorder to observe sleeping patients at home. It records blood oxygen levels, heart rate, breathing patterns, and airflow. If the patient has sleep apnea, the test results show low oxygen levels during apnea, but again increases when awake.
Sleep Apnea Complications
Here are some complications that may occur, especially in patients with symptoms of sleep apnea that can not be controlled. The complications are:
- Hypertension or high blood pressure. These complications do not cause specific symptoms, but increase the risk of sufferers to experience heart attacks and strokes. Hypertension can be overcome by living a healthy lifestyle through regular exercise and healthy food consumption.
- Type 2 diabetes. Sleep apnea sufferers tend to experience insulin resistance and eventually develop type 2 diabetes.
- Liver disorders. The results of day function tests often show abnormal conditions in sleep apnea sufferers.
- Metabolic syndrome. This complication is triggered by risk factors associated with heart disease, such as abnormal cholesterol levels, high blood sugar levels, and high blood pressure.
- Accident. People with severe sleep apnea are at risk of accidents during daytime activities due to drowsiness due to disruption of sleep at night. This can especially happen to people who have to drive vehicles and operate heavy equipment.
Sleep Apnea Treatment
Treatment of sleep apnea is done based on the condition and severity experienced. For mild sleep apnea, the recommended treatment is to change lifestyles such as:
- Avoid sedative drugs and sleeping pills.
- Lose weight if you are overweight.
- Avoid sleeping on your back. Try to sleep with a sloping position.
- Stop smoking for those who have a habit of smoking.
- Limit consumption of alcohol or liquor, especially at bedtime.
If the method has not been able to overcome the symptoms or it turns out that sleep apnea experienced is a moderate to severe level, then the therapy required by using several tools, including:
CPAP (Continuous Positive Airway Pressure)
CPAP is a device for blowing positive pressure air into the nose only or into the nose and mouth. This positive pressure air will prevent the throat closing and relieve the symptoms that arise from sleep apnea. Some of the side effects of this treatment technique include:
- Nasal congestion.
- A runny nose or irritation.
- Abdominal pain and flatulence.
- Discomfort due to mask use.
BiPAP (bilevel positive airway pressure)
This tool makes the air pressure when breathing becomes higher, then the pressure is lowered when the breath is removed. The goal is to help central sleep apnea sufferers with weak breathing patterns.
ASV (adaptive servio-ventrilation)
This computerized device records the breathing pattern and can make breathing normal when sleeping by putting pressure on the airways.
Use Of Supplemental Oxygen
Various tools that can deliver oxygen to the lungs are widely available. Use of this tool can help sleep apnea sufferers, especially sleep apnea central.
A number of therapies for medical conditions associated with sleep apnea can also be performed, for example for heart failure or neuromuscular disorders. By treating the medical disorder, then sleep apnea is expected to be lost.
If therapy with the apparatus does not also help overcome the symptoms of sleep apnea or if these conditions are at risk of causing serious complications, then surgery can be performed in accordance with the conditions that cause. The usual operating actions are:
- Bariatric surgery, Stomach size reduction surgery performed for obese people.
- Tracheostomy, which is surgery by inserting a pipe into the throat through the neck for the patient to breathe easily, even though the airways are blocked.
- Tonsillectomy, the surgical removal of the tonsils when the tonsils are too large and blocking the respiratory tract while sleeping.
- Implantation of the soft palate, ie surgery performed by installing artificial soft palate to reduce vibration and disturbance in breathing during sleep.
- Adenoidectomy, the adenoid removal surgery when the adenoid is too large and prevents the respiratory tract while sleeping.
- Uvulopalatopharyngoplasty, ie surgical removal of tissue behind the mouth and upper throat, including tonsils and adenoids. This operation is performed to eliminate snoring caused by the vibration of the throat structure. Actually this operation is rarely done. To remove the tissue in the back of the throat, radio-frequency ablation can be performed, especially for sleep apnea sufferers who can not use CPAP or other tools installed on the teeth.
- Jaw reposition procedure. In this operation, the jaw bone is positioned more forward than the facial bone, to expand the space behind the tongue and soft palate.
- Other procedures to remove snoring, for example through surgical removal of the tonsils or nasal polyps.
MAD (Mandibular Advancement Device)
Sleep apnea appliance or Mandibular Advancement Device (MAD) is designed to hold the jaw and tongue to prevent constriction of the respiratory tract that causes a person to snore. This tool is worn over the teeth when the patient is sleeping. This tool can be used for people who can not use CPAP tools, although not recommended for severe sleep apnea.
Snore guard or , these sleep apnea devices are custom made by dentists by using a plastic-like mold to form to the specific form of the patients teeth and mouth. Not only do they work against sleep apnea, they are also effective to stop snoring.
How Exactly Does The Sleep Apnea Mouth Guard Work?
Sleep apnea mouth guard work by moving the jaw ahead, which enhances the size of the upper airway, thus reducing the air opposition that brings about sleep apnea and snoring.
Mouth guard for sleep apnea are often used as a substitute for CPAP or sleep apnea oral surgery. It is often used in association with weight loss if the individual is over weight. Sleep apnea mouth guards are anti-snoring devices. They reduce airway turbulence and stop snoring.
These custom sleep apnea mouthpieces, often called by the general public, ‘sleep apnea oral cavity guards’, are often most effective in sleep apnea patients who have mild or moderate sleep apnea.
Sleeping physicians recommend a sleep study before a snoring mouthpiece is recommended (to determine the diagnosis), and after the oral appliance is utilized (to determine if it is effective).
Benefits Of Sleep Apnea Mouth Guard For Sleep Apnea:
- Improved complying of remedy compared to other treatments for rest apnea
- Compact and lightweight – device can fit in a pocket
- Discreet – device is not obvious to bed spouse when mouth is shut
- Immediate response – most patients see improvement on the first night
- Vitality conservation – the device does not use any electricity. You don’t have to plug the device into a wall to function.
Which is the Best Sleep Apnea Mouth Guard?
|Model||Device Classification||Materials||Government Approval|
||Mandibular Advancement Device||DuPont thermoplastic, USA-sourced BPA-free Latex-free||FDA Cleared|
|zQuiet Mouth Guard
||Mandibular Advancement Device with a hinge.||BPA-free Latex-free, FDA-compliant thermoplastic elastomer.||FDA Class II Medical Device designation.|
|Your mouth can move with this model – great for mouth breathers.|
|Good Morning Snore Solution
||Tongue Retaining Device||FDA-compliant BPA-free. Latex-free medical grade resin.||FDA cleared, Health Canada, European Commission and Australian Therapeutic Goods Administration Approval.|
|Sleep Tight Mouth Guard
||Boil and bite adjustable Mandibular Advancement Device. Simple and effective.||BPA-free Latex-free, FDA-compliant thermoplastic elastomer.||FDA Class II Medical Device designation.|