Dental Sleep Medicine is promoted by I HATE CPAP.com

Sleep Medicine and Dental Sleep Medicine have received wide coverage due to I HATE CPAP.com

This site has probably referred more patients for CPAP therapy than any other dental site in America. Because the majority of patients do not tolerate CPAP and these patients proclaim "I HATE CPAP!' they are drawn to this site.

I do not HATE CPAP but consider it a valuable and successful treatment for sleep apnea. The problem is that the majority of patients prescribed CPAP hate it.

the I HATE CPAP! website was actually named by the patients who have told me this for over 30 years.

For many years oral appliance therapy was considered by many sleep physicians to be a joke. That is no longer the case. When compliance and effectiveness are both considered oral appliances are far more effective than CPAP for many patients.

Many patients who are "successfully" treated with CPAP do not improve subjectively with CPAP treatment. In fact, many feel worse with CPAP than with no treatment. This is in spite of CPAP effectively trreating their apnea. Patients who utilize oral appliance frequently feel dramatic improvement in quality of life compared to CPAP treatment even though objective measurement shows resolution of apnea with CPAP.

CPAP can disrupt a patient's sleep even as it successfully treats their sleep apnea. Oral appliances frequently produce dramatic increases in QOL or quality of life even when apnea is not completely eliminated.

Successful treatment of sleep apnea requires both subjective and objective success. CPAP is often lacking when "feeling better" is considered important.

Learn more about comfortable oral appliance as an alternative to CPAP.

Better sleep caan lead to a better quality of life. Contact us today for information on Dental Sleep Medicine, oral appliances and improving the quality of your life.

Sleep Apnea Treatment in Children improves Performance and Behavior. Treacher-Collins syndrome is discussed in Cleft Palate Journal

I recently came across an older article on sleep apnea and Treacher-Collins syndrome. The article describes improvements in Behavior and performance after correction of micrognathia. What is startling is that the article was published almost 30 years ago long before most physicians worried about pediatric sleep apnea. We now know that 80% of ADD and ADHD children have sleep apnea. Scalloped tongues are indicative (80% predictive) of sleep apnea.

We now know that all snoring and even the mildest sleep apnea can never be ignored in children. It is a shame how many years were wasted with children waiting to outgrow tonsils or adenoids. If you read the story of my son on the main website I had to fight to have his airway corrected. Even seeking a sleep study was considered for Billy was considered crazy. Now it appears the literature supported treating airway obstructions in children several years prior to my experiences.

I have to wonder what other advances are being ignored or just unknown despite published literature.

I know that headache and pain treatment is currently grossly undertreated by neuromuscular dentistry despite the research and case studies. See http://www.ihateheadaches.org


Cleft Palate J. 1981 Jan;18(1):39-44.
Obstructive sleep apnea in Treacher-Collins syndrome.
Johnston C, Taussig LM, Koopmann C, Smith P, Bjelland J.

Abstract
Studies of the Treacher-Collins syndrome have emphasized hearing and surgical considerations. Although craniofacial anomalies have been associated with respiratory disorders in infancy, the presence of such problems in older children has not been emphasized. An eight-year-old with Treacher-Collins syndrome presented a history of recent behavioral problems at home, poor attention span and performance in school, daytime somnolence, and sleep apnea with relatively long periods of chest movement but no airflow. He also had abnormal sleep behavior consisting of rocking to and fro on his hands and knees, often to such an extent that his nose became abraded. ICU monitoring with observation and recording of sleep patterns and sounds, and fluoroscopy of his upper airway utilizing cineradiography while asleep confirmed the diagnosis of obstructive sleep apnea. The patient subsequently underwent an orthognathic surgery consisting of insertion of rib bone grafts after anterior advancement of his mandible. This procedure resulted in disappearance of the obstructive sleep apnea and associated symptoms. Because of micrognathia, patients with Treacher-Collins syndrome are at high risk for developing obstructive sleep apnea. Surgical correction of their deformities can result in improvement in cosmetic appearance as well as in resolution of the obstructive episodes with improvement in performance and behavior.

SNORING IS NO LONGER A PROBLEM! ORAL APPLIANCES CAN CHANGE YOR LIFE!

If loud snoring is keeping your girlfriend or spouse awake I Hate CPAP has the answers you are looking for. Snoring can be cured with a comfortable oral appliance. The TAP 1 appliance has a volume control for your bedmate.

Ending your snoring may not spice up your sex life butit will stop you from riving your special someone out of the bedroom.

You can't blame someone for not wanting to sleep with ungodly noise. Would you want to sleep with a sub-woofer?

Find out more about how a comfortable oral appliance can end your snoring. Soring is certainly not a sexy attribute.

RAPID MAXILLARY EXPANSION TO TREAT SLEEP APNEA IN CHILDREN

wHEN SLEEP APNEA OCCURS IN YOUNG CHILDREN REMOVAL OF TONSILS AND ADENOIDS IS THAT BLOCK THE AIRWAY IS USUALLY THE FIRST LINE OF TREATMENT.

a SECOND APPROACH IS RAPID MAXILLARY EXPANSION TO INCREASE NASAL AIRWAY AND AND TONGUE SPACE IN THE MOUTH. a PAPER PRESENTED AT THE AMERICAN ACADEMY OF DENTAL SLEEP MEDICINE SUGGESTED THAT rem SHOULD PROCEED SURGICAL INTERVENTION TO REDUCE POST-OPERATIVE RISKS.

3% OF CHILDREN SUFFER FROM SLEEP APNEA AND OVER 10% SNORE. THIS MAY PARTIALLY DUE TO THE FACT THAT FEWER TONSILLECTOMIES ARE BEING DONE. iDEALLY WITH PROPER MANAGEMENT EARLY TREATMENT OF SLEEP APNEA MAY PROVIDE A LIFETIME CURE OF THE PROBLEM. tHIS IS IMPORTANT BECAUSE UP TO 60% OF PATIENTS REFUSE CPAP.

SOME OF THE PROBLEMS ASSOCIATES WITH SLEEP APNEA IN CHILDREN INCLUDE POOR SCHOOL PERFORMANCE, DAYTIME SLEEPINSS, HYPERACTIVITY AND INNATEN5TIVENESS IN SCHOOL AS WELL AS BEHAVIORAL DISORDERS. hYPERACTIVITY AND ADHD CAN BE PREDICTED WITH UP TO 70% ACCURACY BASED ON SLEEP PATTERNS ALONE.

cLUES TO PROBLEMS WITH SLEEP APNEA IN CHILDREN INCLUDE SNORING, MOUTHBREATHING,ENURESIS, ENLARGED TONSILS AND/OR ADENOIDS, LARGE TOUNGUES, DROOLING AND A SMALL JAW OR RETROGNATHIA.

Snoring Cure: When You are Tired of Sleeping with a SubWoofer

Oral Appliances are an excellent method, if not the best method for treating Snoring. The appliances are approved for treating sleep apnea but loud snoring is a serious problem that can destroy intimate relationships and adversly affect the health of your loved ones. According to a study at Mayo Clinic the spouses of snorers lose 15% of their sleep.

Heavy snorers have up to a six-fold increase in carotid artery atherosclerosis even when there is no sleep apnea. If you are tired of snoring ruining your life and interfering with intimacy consider an oral appliance to silence snoring.

It is amazing what a positive effect eliminating snoring can have on relationships. There is significant literature on sleep apnea and snoring that shows these problems increase the percentage of marriages ending in divorce.

Snoring should always be consided an emergency early warning system of possible sleep apnea. Do not ignore this important and life saving warning. Oral appliances are excellent for treating snoring, as well as mild to moderate sleep apnea.

Secret Weight Loss Hormone Now Available for Free. Leptin Can Be Your Answer! Lose Weight /Cure Sleep Apnea

Sleep Apnea and weight(BMI)have long been linked. Leptin and ghrelin are two hormones that are intimately linked to sleep and weight loss or weight gain. Leptin is the hormone that helps suppress your appetite and increase your metabolism. Increases in Leptin will make it easier to lose wieght because the cravings and nervous eating are decreased by this powerful appetite suppressant. It is not available at pharmacies and not covered by insurance but you can start to receive free doses immediately.

People who sleep less hours produce less leptin and tend to have lower blood levels of leptin. Low levels of this important hormone that helps suppress your appetite and increase your metabolism causes weight gain. Poor sleep,as seen with untreated sleep apnea will aslo decrease leptin production. Sleep loss also tends to increase your level of the hormone ghrelin. Grehlin stimulates your appetite which makes trying to diet a difficult ordeal. As a result of these two hormones people who sleep less may crave more and eat more. They especially may crave and eat more foods that are unhealthy. Patients in studies with sleep restriction have been shown to crave sweets, starch and salty snacks as a result of that sleep restriction.

TO RECEIVE YOUR FREE LEPTIN: SEVEN AND ONE HALF HOURS OF GOOD SLEEP IS THE ANSWER. iF YOU HAVE SLEEP APNEA MAKE SURE IT IS TREATED ALL NIGHT/ EVERY NIGHT.

Dieters have stuggled for years with every conceivable type of diet to produce weight loss. Sleeping better may be the easy answer to solving your weight issues.

There are several cycles in sleep and control of thyroid hormone and insulin hormone as well as cortisol the stress hormone are also affected by poor sleep. Disrupted sleep seen with sleep apnea can exacerbate all of these issues. With better sleep we are more active during the day which also increases our metabolism. With sleep apnea our oxygen levels are lower and our physiology slows down. The first period of Delta Sleep is where our body produces the majority of Growth Hormone. If that is disrupted by sleep apnea we are more likely to build up fat in our bodies at the expense of lean muscles according to a Universit of Chicago study.

The "Sleep Diet" may be the answer you have been looking for and a part of solving our national health crisis. Obesity in the U.S. is rising at an alarming pace among all age groups and all races and both sexes. The majority of Americans are overweight or obese with estimates of 60-75% of the population falling in these categories. The weight alone increases risks of high blood pressure,cancer and cardiovacular diseases including atherosclerosis, heart attack and stroke.

Research has shown many intriguing links between sleep quality, sleep quantity and BMI. Sleeping fewer hours tends increse the BMI to higher levels than people who sleep longer. Numerous studies have linked sleep to some of the hormones that help control body weight and appetite. There is no question about the link of sleep to insulin resistance and sugar metabolism. Obstructive sleep apnea probably repesents the single biggest risk of obesity because apnea is resposible fer massive in several health risks. Even mild sleep apnea and/or snoring related arousals can disrupt sleep patterns sufficienty to destroy normal sleep patterns and hormonal controls.

While good sleep may not be a total answer for obesity there is no doubt that improving the quality and quantity of healthy sleep will make weight loss easier both emotionally and physically on patients.

DEVELOPMENTAL CHANGES IN CHILDREN WITH SLEEP APNEA MUST BE ADDRESSED AFTER REMOVAL OF TONSILS AND ADENOIDS

A recent study in the International Journal of Pediatric Otorhinolaryngology looked at arch Maxillary (upper jaw) development in children with snoring and sleep apnea and evaluated changes after adenotonsillar surgery. The physical changes did not correct after surgery and these children were left with residual problems that could plague the for their entire life. The authors concluded " Dento-facial development in snoring children is not changed by adenotonsillar surgery regardless of symptom relief. If snoring persists or relapses orthodontic maxillar widening and/or functional training should be considered. Collaboration between otorhinolaryngologist, orthodontists and speech and language pathologists is strongly recommended."

It is essential that the pediatric and dental communities recognize that children do not grow and eliminate the problems of enlarged tonsils and adenoids but rather they experience distorted growth that must be corrected. Early diagnosis and treatment of airway is essential for proper dento-facial growth. The NHLBI considers sleep apnea to be a TMJ Disorder. Sleep Apnea, Snoring, Migraines, Tension Headaches, Chronic Daily Headaches and TMJ disorders all begin in a common developmental pathway.

Dental Sleep Meicine and Neuromuscular Dentistry are key in improving the quality of live of these patients as adults. Early intervention may greatly reduce the number of patients who develop these problems.

nt J Pediatr Otorhinolaryngol. 2009 Nov 23. [Epub ahead of print]
Development of craniofacial and dental arch morphology in relation to sleep disordered breathing from 4 to 12 years. Effects of adenotonsillar surgery.
Löfstrand-Tideström B, Hultcrantz E.

Department of Surgical Sciences, Division of Otorhinolaryngology, University of Uppsala, SE - 751 85 Uppsala, Sweden.
OBJECTIVES: To study the development of craniofacial and dental arch morphology in children with sleep disordered breathing in relation to adenotonsillar surgery. SUBJECTS AND METHODS: From a community-based cohort of 644 children, 393 answered questionnaires at age 4, 6 and 12 years. Out of this group, 25 children who were snoring regularly at age 4 could be followed up to age 12 together with 24 controls not snoring at age 4, 6 and 12 years. Study casts were obtained from cases and controls and lateral cephalograms from the cases. Analysis regarding facial features and dento-alveolar development was performed. RESULTS: Children snoring regularly at age 4 showed reduced transversal width of the maxilla and more frequently had anterior open bite and lateral cross-bite than the controls. These conditions persisted for most cases at age 6, by which time 18/25 had been operated for snoring. In most of the cases, surgery cured the snoring temporarily, but their width of the maxilla was still smaller by age 12-even when nasal breathing was attained. At age 12, the frequency of lateral cross-bite was much reduced and anterior open bite was resolved, both in cases and controls. The children who snored regularly at age 12 operated or not operated, showed a long face anatomy and were oral breathers (this applied even to those who were operated). The seven cases who were not operated and the five who were still snoring in spite of surgery at age 12, did not have reduced maxillary width as compared to the controls. CONCLUSION: Dento-facial development in snoring children is not changed by adenotonsillar surgery regardless of symptom relief. If snoring persists or relapses orthodontic maxillar widening and/or functional training should be considered. Collaboration between otorhinolaryngologist, orthodontists and speech and language pathologists is strongly recommended.

PMID: 19939470 [PubMed - as supplied by publisher]