Obstructive sleep apnea affects around 20 million Americans and can lead to hypertension, heart attack, stroke, depression, muscle pain, fibromyalgia, morning headaches, and excessive daytime sleepiness.
Sunday, November 15, 2015
How Sleep Apnea and Orthodontics are related. Contraction vs Expansion Orthodontics
Orthodontics vs Orthopedics
I am putting on my blog a letter to a patient from the Real Self Website
The link has photos.
I already have them removed but did I even need to? I am now regretting my decision from reading that it causes TMJ and ages your face and changes your face profile. Later on in life it will affect my face and just age my face I'm very sad now and don't know what to do please help did I make a good decision or not?
Extraction of Bicuspids: Good or bad idea?
Expansion vs Contraction Orthodontics
Cranio, 2007 Apr;25(2):77-8.
The National Heart, Lung, and Blood Institute considers the cardiac and sleep consequences of temporomandibular disorders.
I also discussed this issue in my guest editorial celebrating the Journal of Cranio-Mandibular Practice adding Sleep to its name, now the Journal of Craniomandibular and Sleep Practice.
Volume 31, Issue 1 (January 2013), pp. 1-2
TMJ Alias, The Great Imposter, Has a Co-Conspirator: Poor SleepIra L Shapira DDS, D,ABDSM, D,AAPM, FICCMO
Chair, American Alliance of TMD Organization
Diplomate, American Board of Dental Sleep Medicine
Diplomat, American Academy of Pain Management
Regent & Fellow, International College of CranioMandibular Orthopedics
Former Assistant Professor Rush Medical School Sleep Center
Lifetime member American Dental Association
American Academy of CranioFacial Pain
American Academy of Sleep Medicine
American Academy of Dental Sleep Medicine
Charter member Dental Organization for Sleep Apnea (DOSA)
Founding Credentialed member Sleep Disorder Dental Society (Became American Academy of Dental Sleep Medicine)
American Equilibration Society
posted by Dr Shapira at 8:51 AM
Wednesday, May 27, 2015
Getting Used to Your Sleep Apnea Appliance
- Better, sound sleep that helps you wake refreshed and ready to tackle your day
- Improved mental state without the fog of sleep apnea
- Better overall health with reduced risks of high blood pressure and stroke
- Improvement or elimination of snoring
posted by Admin at 9:00 AM
Tuesday, May 19, 2015
Summer Allergens to Keep Out of Your Bedroom
Steps you can take to reduce allergens in the bedroom include:
- Remove unnecessary items: Things like stuffed animals, magazine racks, unused furniture and even rugs can collect dust and allergens. A minimalist approach to your bedroom décor can provide a serene feeling while reducing allergies.
- Keep it Clean: Thorough and regular cleaning is the best thing you can do to rid your bedroom of allergens. Hardwood floors are ideal, but if you have carpet, be sure to vacuum thoroughly with a HEPA certified vacuum. Be sure to launder your bedding once a week.
- Keep Pets Out: Even if you are not allergic to your pets, keeping your bedroom a pet free zone can help reduce the allergens they can bring in from outside and reduce the presence of dust mites.
- Use Anti-Allergen Bedding Covers: Mattress covers and zippered pillow covers that are designed to keep dust mites out can greatly reduce allergy symptoms and offer a snoring solution.
posted by Admin at 6:00 PM
Tuesday, May 12, 2015
How to Change Your Sleep Position
Changing your sleep position may seem like an impossible feat, but with practice and relaxation it can be done. For most people it only takes about two weeks, and the benefits are worth the effort.
Some sleep positions may provide a snoring remedy and improve your sleep apnea, while others can make it worse:
- Side: Side sleeping is the best position for increasing blood flow and oxygen flow caused by sleep apnea. Adding a pillow between your legs can alleviate tension on your spine that can lead to lower back pain. Be sure to use a pillow with plenty of loft to keep your head in line with your spine.
- Stomach: Stomach sleeping can also help keep your airways more open and provide a remedy to your snoring, but it can put a lot of pressure on your spine, neck, face, breasts, and joints.
- Back: While back sleeping offers many benefits to those suffering from back problems or acid reflux, it is the worst for snoring, and can exacerbate sleep apnea symptoms and asthma.
posted by Admin at 5:00 PM
Monday, May 4, 2015
How Does Sleep Apnea Affect Blood Pressure?
Sudden drops in blood oxygen (hypoxia) which take place during sleep apnea cause increased blood pressure (hypertension) that puts a strain on the cardiovascular system. Individuals with obstructive sleep apnea have an increased risk of high blood pressure. The more severe the sleep apnea, the higher that risk.
There are many health risks associated with sleep apnea. For example, sleep apnea increases the risk of stroke, even when it does not elevate blood pressure, but high blood pressure is also linked to higher stroke risk. Hypoxia from obstructive sleep apnea can also lead to sudden death due to a cardiac event if an underlying heart disease is present.
Over 1,000 deaths each day are caused at least in part by hypertension. Treating your obstructive sleep apnea is an important step to getting your high blood pressure under control. Other steps you can take to lower your blood pressure include:
- Maintaining a healthy weight
- Being a non-smoker
- Exercising for 30 minutes several times a week
- Eating a healthy diet with plenty of fruits and vegetables
- Managing stress
- Limiting alcohol intake
posted by Admin at 5:00 PM
Monday, April 27, 2015
CPAP Can Help Heart Rate, But Is There an Alternative?
- Positional therapy
- Behavior modification, including weight loss, better sleep hygiene, and avoiding alcohol, tobacco, and sleeping pills
- Oral appliance therapy
- A combination of these treatments
posted by Admin at 3:00 PM
Monday, April 20, 2015
Does Snoring Increase Dementia Risk?
- Difficulty concentrating
- Changes in mood
- Trouble with decision making and planning
posted by Admin at 12:00 PM
Monday, April 13, 2015
Sleep Apnea and Your Child’s Development
- Odd position while sleeping
- Sleep walking
posted by Admin at 8:36 AM
Monday, April 6, 2015
Can a Smartphone Catch Sleep Apnea Symptoms?
- Sudden stops and starts to breathing
- Tossing and turning
- Starting awake and gasping for breath
- Irritability and other mood changes
posted by Admin at 8:01 AM
Saturday, April 4, 2015
Oral Appliances and Bite Changes: Why a Neyuromuscular Dentist may be the best Doctor to Treat Sleep Apnea
Sleep apnea is vastly underdiagnosed and currently it is thought that well over 90% of patients with sleep apnea remain undiagnosed.
The guidelines for treatment of mild to moderate sleep apnea include oral appliance therapy and CPAP as first line therapies. Severe sleep apnea guidelines still recommend CPAP as first line treatment and oral appliances as an alternative when patients can't or won't tolerate CPAP.
These guidelines are expected to change after long-term studies (88 months) have shown equal outcomes for severe sleep apnea treated with oral appliances or CPAP.
Studies have long shown CPAP to be extremely effective however on 25% of patients utilize all night on a regular basis. Over 90% of patients offered a choice prefer oral appliance therapy over CPAP.
Oral Appliance therapy can cause tooth movement or bite changes over time.
These changes appear to be self limiting and are not sufficiently problematic for most patients to discontinue treatment. The nature of the changes are apparently healing of the stomatognathic musculature and TMJoints.
Evaluation of the end point of these changes in my office show that patients tested frequently heal to their neuromuscular trajectory. Even though the bites appear to be malocclusion patients rarely experience long-term issues.
The neuromuscular trajectory is the physiologic closing path of the mandible from rest position to first tooth contact. Because this appearantly is a natural position to heal it may be ideal to restore bites to this position. Some patients can have minor equilibration or coronoplasty to equalize the bite while others can be restored prosthetically or orthodontically. Epigenetic (DNA Appliance) orthodontics is an excellent method of correcting the bite on a long term basis.
There is no specialty in TMJ or occlusal positioning but Neuromuscular Dentists understand the concepts of neuromuscular trajectory. Finding a neuromucular dentist can be difficult.
The best place to locate a neuromuscular dentist is thru ICCMO, the International College of CranioMandibular Orthopedics at their website www.ICCMO.org or http://www.OcclusalAuthority.com.
More information on Sleep Apnea and TMJ disorders are available from the NIH at http://www.nhlbi.nih.gov/files/docs/workshops/tmj_wksp.pdf which contains an excellent report "CARDIOVASCULAR AND SLEEP-RELATED CONSEQUENCES OF TEMPOROMANDIBULAR DISORDERS"
More information is available at http://www.thinkbetterlife.com and at http://tmjtherapycentre.com/tmj-disorders-are-more-frequent-migraine-episodic-tension-type-headaches-and-chronic-daily-headache-
posted by Dr Shapira at 1:52 PM
Monday, March 30, 2015
Is Seasonal Snoring Disturbing Your Sleep?
- Laundering your pillowcase and other bedding to remove dust particles and other allergens
- Irrigating your nasal passages with a salt water solution
- Antihistamines, decongestants, and other allergy medication
- Open your airway by taking a hot shower just prior to bedtime
posted by Admin at 7:55 AM
Tuesday, March 24, 2015
What Is the Cost of Sleep Apnea?
- Combination therapy with an oral appliance and other treatment options
- Interceptive orthodontics
posted by Admin at 10:08 AM
Sunday, March 15, 2015
Sleep Well Illinois: Promoting Universal Sleep Apnea Screening inCariology and Internal Medice Practices
Labels: clap alternative, home sleep studies, oral appliance sleep apnea, screening cardiology patients for sleep apnea, Sleep Well Chicago, Sleep Well Highland Park, Sleep Well Illinois, universal sleep screening
posted by Dr Shapira at 7:10 AM
Wednesday, March 11, 2015
Does Sleep Apnea Make Fatty Liver Disease Worse?
- Pain in and around the abdomen where the liver is located (upper middle and/or upper right)
- Weakness and fatigue
- Loss of appetite
- Weight loss
- Dark patches on the skin
posted by Admin at 10:21 AM
Wednesday, March 4, 2015
Making Sleep a Priority a Painless Choice
- Higher stress levels, including anxiety about the impact lack of sleep might have on their health
- Greater tendency to wake up during the night (sleep sensitivity)
- Sleeplessness due to environmental factors
- Interference in their emotional state and personal and professional activities
posted by Admin at 8:56 AM
Wednesday, February 25, 2015
Hold Your Position, Stop Sleep Apnea
By wearing Zzoma on the upper body during sleep, patients are prevented from lying on their backs. The airway is often more open when sleeping on your side, which can reduce snoring and sleep apnea symptoms. Some patients only experience interruptions to breathing when they sleep in a particular position.
If your sleep apnea is positional, there are multiple options for keeping your body in the optimal position. Specially designed devices like Zzoma are available, as well as home care solutions.
Positional therapy options for sleep apnea might include:
- Propping yourself up with extra pillows
- Attaching a tennis ball or other object to the back of your pajama top to keep from rolling over
- A vibro-tactile device that alerts your body to change positions if you lie on your back
For more information about sleep apnea devices and other treatment options, please call a sleep specialist in your area at 1 (866) 727-6275 (1-8-NO-PAP-MASK) today.
posted by Admin at 9:20 AM
Wednesday, February 18, 2015
Heart Failure Patients With Sleep Apnea Face Higher Risk of Death
posted by Admin at 1:31 PM
Wednesday, February 11, 2015
Snoring Treatment Critical to Reduce Heart Disease Risk
- Heart failure
- Heart attack
- Irregular heartbeat
posted by Admin at 11:51 AM
Wednesday, February 4, 2015
Assessing Your Sleep Quality
posted by Admin at 7:50 AM
Tuesday, January 27, 2015
Know the Signs of Child Snoring
- Choking or gasping for breath during sleep
- Sleeping in unusual positions
- Fatigue during the day
- Trouble in school
- ADHD and other behavioral issues
- Stunted growth
posted by Admin at 10:56 AM