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October 2022

Is your CPAP machine hurting your teeth?
https://www.eosdentalsleep.com/ October 15, 2022

If you have sleep apnea, there are many reasons why you shouldn’t just ignore it. However, for many people who use a CPAP machine for their sleep apnea, they find that the treatment is as bad as the problem. There can be many disadvantages to using a CPAP machine, and one of these is that your machine could be doing damage to your teeth.


How your CPAP machine could affect your oral health

Sleep apnea is a serious condition in which your airway narrows while you sleep, preventing enough oxygen from getting into your system. This can happen several times throughout the night, and your brain reacts to this by waking you up every time it happens (although you may not even realize it) to make sure you are getting enough air. The result is that you may be tired and irritable all the time, and you may have morning headaches and dry mouth, but all of these symptoms are just the beginning – sleep apnea that is left untreated can result in serious health problems, such as depression, high blood pressure, and heart disease.


Your doctor may recommend a CPAP (a continuous positive airway pressure) machine for your sleep apnea, but many people find that a CPAP comes with its own set of problems, from difficulty keeping it clean, to difficulty traveling with it, to feeling claustrophobic when wearing it. Another problem is that it may be causing damage to your teeth. As the machine forces air into your mouth, it is possible that this pressure is causing your teeth to move, which can lead to tooth and jaw problems and a misaligned bite. You may start to notice pain in your teeth, and in the worst case scenario you may eventually end up with tooth decay, loose teeth, jaw pain, and gum disease.


There are many possible problems that a CPAP machine can cause, and many reasons why you may not be happy with your CPAP. But there are other options! An oral appliance, which fits comfortably over the teeth, may be the answer to both your CPAP problems and your sleep apnea.

Contact the full Breath Center in Beverly Hills, CA for an appointment today, at 310-435-7939.



The different types of sleep apnea: Obstructive, Central and Mixed


By Kevin Asp, CRT, RPSGT - October 1, 2022


The word
apnea means "no breath" and implies that, for whatever reason, your ability to breathe has been compromised. Apnea is a temporary cessation of breathing, however: if you decide to hold your breath, you are essentially giving yourself an episode of apnea. Eventually, you resume breathing because your brain won't let you hold your breath forever. Breathing is critical to all body functions, after all, and respiratory failure is not an option.


Your brain generally regulates your breathing during waking periods; you also have the option to voluntarily take a deep breath now and again, such as while yawning or in response to an increase in physical activity, like running for the bus. Once you take those breaths, your bloodstream will self correct for any imbalances in oxygen or carbon dioxide; this "gas exchange" is one of primary purposes of breathing.


However, periods of involuntary apnea can also happen. Sleep apnea refers to these pauses in breathing which occur while you sleep. The main difference between apnea and sleep apnea relates not only to the time of day, but to "who's in charge" of breathing.


During the day, you may enjoy having the conscious choice to take a breath at any time. However, once you're asleep, you do not consciously control your breathing: it is only the brain regulating your breathing at this time.


When you have an episode of sleep apnea, the brain takes note of the changes in oxygen and carbon dioxide in the bloodstream caused by the temporary pause in breathing, just like it does during the day. But since you are asleep, it will now either wake you up or send stress hormones into your bloodstream to inspire breathing in order to fix the problem.


Even though you technically fix your problems by breathing again, it's important to note that, following any form of apnea, you have less oxygen to begin with in your system. This means it will require more work from your heart, your diaphragm, your muscles of breathing, your vascular system, and other organs to bring the oxygen levels in your bloodstream back to normal.


An apnea here or there is not a problem; it's the regular episodes of long-lasting pauses, night after night, and all night long, which lead to negative long-range results from untreated sleep apnea.


Ultimately, sleep for someone suffering from sleep apnea is extremely fragmented and of poor quality, which leads to serious consequences, including excessive daytime sleepiness, high probability of developing other chronic disease, and increased risk for motor vehicle accidents.


The Three Types of Sleep Apnea


Clinically, the term sleep apnea actually applies to three different types of sleep apnea.


Obstructive Sleep Apnea (OSA)


The most common form of sleep apnea is OSA. The word obstructive is key here: something has happened to the upper airway during sleep to obstruct the process of inhaling and/or exhaling. This an issue of mechanics and it can be caused by a number of things:

  • Relaxed tissues and muscles in the upper airway. The lining of your upper airway is flexible and pliable. During the day, while you are upright, it remains firm or patent, allowing good clearance for breathing. At night, however, these same tissues and muscles naturally relax; tissues and muscles can collapse, either partially, or completely, as you sleep, leading to episodes of OSA.

  • Medications: Tissue relaxation, leading to partial or complete collapse in the upper airway, can come from the use of certain medications, bedtime alcoholic "nightcaps," smoking, or the use of other recreational substances.

  • Age: Even something as simple as aging can make us more susceptible to obstructive apnea; we lose tissue and muscle tone, the older we get.

  • Sleeping position. If you sleep supine (or on your back), you are more likely to experience the partial or complete obstruction of your upper airway than you are if you sleep on either your left or right side.

  • The presence of fatty tissue in the throat area. The added weight of "fat pads" in and around the neck can contribute to any measurable collapse of upper airway tissue as you sleep. People who are overweight or obese generally carry more fatty tissue around their necks than do thin people.

  • General problems with fluid retention. Most people only notice swelling (also called edema) in their lower extremities, which is basically gravity pulling the retained fluid toward their feet. However, when they recline to sleep, that fluid redistributes itself across the fat layers in the body (fat deposits are where most retained fluid hides). Any fat around the neck region will collect additional fluids; like the fat pads themselves, this can add weight to the area, forcing potential collapse of tissues there during sleep.

  • Congenital issues with the structure of the jaw, the throat, or the nasal passages. Sometimes we are born with distinctive shapes to our cranial structure: a "soft" jaw, narrow cartilage in the nasal areas, broad cheeks, short necks... some of this architecture can influence breathing ability during sleep and contribute to obstructions.

  • The presence of excess tissue in the upper airway (oversized tongue, uvula, adenoids/tonsils). Any organs or tissue in the upper airway which are oversized can take up too much space, making it difficult to breathe deeply as you sleep. The tongue may slide into the soft palate at the back of the mouth and block the airway, or the tonsils may swell and take up too much space.


An episode of OSA typically consists of a partial or complete pause in airflow for at least ten seconds while you are asleep. During this time, your body continues to try to breathe; the diaphragm at the base of the lungs is still moving up and down per instructions from the brain in a process called respiratory effort. But the blockage in the upper airway won't permit the flow of air until the brain finally recognizes significant changes to the oxygen levels in your bloodstream. Then it sounds the alarm and you wake up choking, coughing, or gasping as you struggle to reclaim your lost breath.

One or two of these episodes a night is not worrisome, but repeated and lengthy pauses in breathing caused by OSA can have a dangerous long-term impact on the body if they are not addressed.


Central Sleep Apnea (CA)


The difference between CA and OSA is simple: the body simply stops breathing. The brain fails to signal to the diaphragm to keep working with the lungs and the muscles of breathing to inhale and exhale. The upper airway could be completely obstacle free, but with a central apnea (called central because it originates in the central nervous system of the brain, in the respiratory center), there is no measurable attempt at respiratory effort.


CAs are temporary, and like obstructive apneas, they also last for long periods of time (from ten seconds to over a minute) and contribute to dangerously low levels of oxygen in the bloodstream.

If you experience an episode of central apnea, you will eventually start to breathe again in a state of "recovery" until you have replenished your blood's supply of oxygen. However, unlike obstructive apneas, central apneas may or may not wake you up in the process.

In addition, some people with CA may actually never stop breathing; instead, they breathe in a very shallow cycle that alternates with episodes of exaggerated deep breathing in a unique pattern identified as Cheyne-Stokes respiration.


Why would your brain fail to signal your diaphragm to manage breathing while you sleep?


  • Age. The brain, like all other organs, can lose its ability to regulate the systems in the body.

  • Neurological problems. If you have a preexisting nervous system disorder, prior brainstem injury, or ongoing problems with the upper spinal column, these can interfere with your brain's ability to regulate respiration as you sleep.

  • Other serious medical problems. Chronic heart failure, chronic kidney failure, and degenerative diseases like severe arthritis can lead to CA.

  • Medications. Certain medications are known to depress or dampen the communication between the brain and the respiratory system.

  • Altitude. The air is "thinner" at higher altitudes, which can make it hard for the brain to appropriately regulate breathing function during sleep.


Mixed Sleep Apnea (MA)


As the name suggests, some people experience both OSA and CA at the same time. When this happens, it is called a mixed apnea. The only way to recognize when a patient has mixed apnea, rather than one or the other, is through an attended overnight sleep study where these events can be recorded and identified.


MA is also sometimes referred to as Complex Sleep Apnea (CompSA). However, MA generally describes the mixture of both OSA and CA events in a patient during a test, whereas CompSA is used as a diagnostic term to indicate a distinct disease separate from OSA or CA. CompSA is diagnosed after OSA is successfully treated with CPAP, only to discover that CA suddenly begins to occur, or continues to occur, even after therapy has cleared up obstructions.


A word about snoring


Snoring by itself is not the same thing as sleep apnea. Snoring does not result in a partial or complete obstruction of the upper airway; it occurs because the tissues in the airway are creating upper airway resistance, which results in the loud vibrational or whistling sounds produced by people who snore.


However, snoring is a major marker for OSA, and if someone has a long history of loud snoring, their chances of having undiagnosed obstructive sleep apnea are pretty high. If you or a loved one has a problem with snoring, it is worthwhile to look into whether the snoring is actually a symptom of undiagnosed OSA. Snoring may also eventually progress into OSA over time, so it's better not to wait until then to look into treatment options.


Contact the full Breath Center in Beverly Hills, CA for an appointment today, at 310-435-7939.



September 2022

9 Sleep Apnea Statistics You Should Know in 2022

Written By: Merritt Wakefield


Around 35% of all American adults report sleeping less than seven hours per night on average, and people with certain medical conditions like sleep apnea—especially when undiagnosed—have a harder time getting enough shut-eye each night. When you read sleep apnea statistics, it’s easy to see why so many people are missing quality sleep and why seeking treatment for sleep apnea is so important.

We’re exploring sleep apnea facts and statistics to help you learn who is impacted by sleep apnea, how it affects the body, and why it’s critical to diagnose and treat this common sleep disorder.

Take a Look: Sleep Apnea Statistics

There’s a lot of information out there about sleep apnea. We want to share some of the most frequently asked questions about sleep apnea statistics, so consider this your sleep apnea fact sheet!

What Is Sleep Apnea?

Sleep apnea is sleep-disordered breathing characterized by a number of involuntary breathing events during a single night of sleep. There are two main types of sleep apnea: obstructive sleep apnea and central sleep apnea. Obstructive sleep apnea is the most common form of sleep apnea. Sleep apnea is classified by an apnea-hypopnea index (AHI), which reflects the severity of sleep apnea and is calculated by the number of apneas or hypopneas per hour of sleep. AHI ranges from 0 to > 30, which is severe sleep apnea.

What Are the Signs and Symptoms of Sleep Apnea?

The symptoms of sleep apnea can be subtle (and mild sleep apnea can present in numerous unpredictable ways), so it’s alarming but not surprising that 75% of sleep-disordered breathing cases remain undiagnosed. Some signs and symptoms to look for include:

  • Morning Headaches

  • Excessive Daytime Sleepiness

  • Lack of Energy

  • Irregular Breathing During Sleep

  • Snoring

  • Nighttime Gasping, Choking, or Coughing

  • Frequent Nocturnal Urination

  • Depression

  • Gastroesophageal Reflux

  • Large Neck Size

Keep in mind that having one or more of these signs or symptoms does not necessarily mean you have sleep apnea. If you think you may have sleep apnea or another sleep disorder, consult with your doctor and arrange for a sleep study.

Who Suffers From Sleep Apnea?

So, how common is sleep apnea? Sleep apnea and other sleep-disordered breathing conditions affect all ages, genders, and races. Approximately 3% to 7% of men and around 2% to 5% of women have sleep apnea. Men are twice as likely as women to have sleep apnea. About 26% of adults aged 30 to 70 have obstructive sleep apnea, and though around 20% of children snore, only 1% to 8% of children aged 2 to 8 have sleep apnea. As we age, the rate for sleep apnea increases significantly.

How Many People Have Sleep Apnea?

You may be wondering what percentage of people have sleep apnea. Around 50 to 70 million adults in the United States have a sleep disorder and an estimated 22 million Americans are living with moderate to severe sleep apnea, so the percentage of people with sleep apnea in the United States around 18% of the adult population. Globally, over 100 million people suffer from sleep apnea.

What Is the Prevalence of Sleep Apnea?

One in five adults have Mild Obstructive Sleep Apnea. However, 1 in 15 adults have Moderate to Severe Obstructive Sleep Apnea. The prevalence of sleep apnea is similar to diabetes and asthma, as almost 24 million people in the United States have diabetes and around 20 million have asthma.

What Are the Risk Factors for Having Sleep Apnea?

People who smoke or are overweight or who have chronic nasal congestion, a narrowed airway, or a family history of sleep apnea are all risk factors for having sleep apnea. Excessive use of alcohol or sedatives and endocrine and metabolic disorders can also increase the risk factor. There are others who are living with untreated sleep apnea but may not know they have sleep apnea; up to 83% of people with type 2 diabetes have sleep apnea and may not know it.

Additionally, Obstructive Sleep Apnea is considered to be a risk factor for many other diseases, including hypertension, stroke, coronary disease, and heart failure and is often associated with other psychiatric comorbid diseases including anxiety, depression, bipolar disorder, and PTSD.

What is the Life Expectancy of Someone With Sleep Apnea?

A study observing sleep-disordered breathing and mortality showed “a significant, high mortality risk with untreated sleep-disordered breathing independent of age, sex, and BMI [which] underscore the need for treatment of sleep-disordered breathing indicated by frequent episodes of apnea and hypopnea.” Sleep apnea can cause other health conditions that lead to premature death.

Does Sleep Apnea Cause Other Chronic Health Conditions?

Compared to their peers without sleep abnormalities, people with sleep apnea have been found to be at an increased risk for numerous cardiovascular diseases, including irregular heartbeats, hypertension, stroke, atherosclerosis (hardening of the arteries), and coronary heart disease. Forty-three percent of people with mild obstructive sleep apnea and 69% of people with severe obstructive sleep apnea have hypertension. Up to 70% of stroke patients in rehabilitation have significant sleep-disordered breathing.

Overall, insufficient sleep has been linked to the development of multiple chronic diseases and conditions, including cardiovascular disease, type 2 diabetes, obesity, and depression.

How Many People Are Getting in Car Accidents Because of Sleep Apnea?

There are some interesting facts about sleep apnea, like that people with sleep apnea are at twice the risk of having a car accident. According to one 2004 study, treating all United States drivers suffering from sleep apnea would save $11.1 billion in collision costs and save 980 lives annually. The correlation between obstructive sleep apnea and driving incidents isn’t too surprising; excessive daytime sleepiness and short sleep duration are some of the independent predictors of increased crash risk in people with sleep apnea.

Further, medical patients utilized 23% to 50% more medical resources prior to a sleep apnea diagnosis, and studies show undiagnosed moderate to severe sleep apnea in middle-aged adults may cause $3.4 billion in additional medical costs in the United States.

CPAP Therapy Improves Quality of Life

CPAP is considered the gold standard for treating obstructive sleep apnea, but this treatment plan continues to be afflicted by issues with compliance. Despite interventions “designed to improve adherence rates over the long term,” there aren’t many clinically-impactful differences.

One study demonstrated that the quality of life in people with sleep apnea was “better after CPAP therapy” with participants reporting improvement in:

  • Daily Functioning

  • Social Interactions

  • Emotional Functioning

  • General Symptoms

It’s worth noting that losing weight can help improve obstructive sleep apnea and the associated symptoms, though weight loss alone is not a complete or comprehensive plan for treating sleep apnea.

Now that you’ve learned who suffers from sleep apnea and how many people use a CPAP machine, you may be wondering if you’re one of the ones who is experiencing symptoms of sleep apnea who have not yet been diagnosed with sleep apnea. If you or your partner suspect you have sleep apnea or another sleep disorder, it’s worth scheduling a sleep study or signing up for a home sleep test.

August 2022

The Dangers of Sleep Apnea

We sure hear a lot about sleep apnea on TV and radio. Is it as dangerous as they are saying? Yes, it is. It may well be the most dangerous disease on the planet. How could that be?

Let’s start with what does sleep apnea cause and what does it result in. Sleep apnea occurs when we sleep and the tongue, which is a muscle and suffers with loss of muscle tone, falls backwards as we sleep and blocks the airway from allowing oxygen to get to the lungs.

The blocked airway results in low oxygen levels in the body, known as hypoxemia.

When one has hypoxemia, this results in the body becoming acidic.

How do you think low oxygen and acidity effective the immune system? Not in a good way. It weakens the immune system and makes us more prone to illness, body breakdown, and pain.

The Center for Disease Control, CDC, lists on their website the 10 leading causes of death in the USA. One is suicide, and two is an accident event, the other 8 all are made worse by hypoxemia and acidosis. And there are approximately 50 more maladies that are exacerbated by these two maladies. That is why we believe sleep apnea is one of the most dangerous diseases on the planet.

Where has this data been? Great question. The answer lies with the fact that medicine did not and does not have a medical device that comfortably delivers oxygen and elevate the oxygen to abundant levels. Medicines top device is the CPAP which has a rejection rate up to 80%.

The newest addition to this stream of bad news is that the World Health Organization has a new most dangerous disease on the planet, antibiotic resistant bacteria, AMR. They are called “Super Bugs”. Their concern is that bacteria has become resistant to antibiotics and there are no answers coming from Pharma or Medicine. They state that AMR will replace cancer becoming the leading cause of death on the planet.

But there is a light at the end of the tunnel. The good news is that dentistry has an answer for these maladies. Dentistry has a mouthpiece that can deliver oxygen to the body with an oxygen concentrator. It has high patient acceptance. This avenue of treatment is based on the research work of Otto Warburg MD, a Jewish Physician in Hitler’s 1931 Germany, who was awarded a Nobel Prize for showing that low levels of oxygen in the body could lead to increased cancer, infectious bacteria, virus, and increased acidity, acidosis.

In 1944 he was to be awarded a second Nobel Prize that Hitler and the Nazis did not let him receive. This was for research showing that abundant oxygen could eliminate or reduce these 4 maladies listed above.

American dentistry has developed a mouthpiece, the Full Breath, that has a wire tail that can be bent down to depress the tongue and open the airway. And to this open airway oxygen is comfortably delivered to the body with the Full Breath connected to an oxygen concentrator. The body’s oxygen level is elevated to abundant levels.

At this point we are in the planning stages of a clinical study at Marina Del Rey hospital in Calif. We will place the Full Breath Appliance with patients who have bacterial infections. We believe that Warburg’s Nobel Prize research will show that we can get control of this dangerous disease.


Our Multifaceted Mouthpiece

We know that sleep apnea and snoring cause low oxygen levels in the body, hypoxemia. This results in the body becoming acidic. These two maladies cause the immune system to weaken and can result in illness, body breakdown, and pain. Sleep apnea is one of the most dangerous maladies on the planet.

As we treat patients with sleep apnea and snoring we see that we are also getting results reducing the impact and even eliminating various other maladies. Here is a list of maladies that, while treating sleep apnea and snoring, we have had surprisingly good results reducing or eliminating the following symptoms:

  • Headaches

  • Migraine headaches

  • Pain: all types everywhere and anywhere on the body.

  • Problems will all parts of the body.

  • Numerous bacterial infections

  • Numerous virus infections

  • Narcolepsy

  • Bipolar Disease


How could that be? Let me introduce you to Dr. Otto Warburg, the Jewish physician in Hitler’s Germany, who was awarded a Nobel Prize in 1931. He was awarded for research showing that low levels of Oxygen, hypoxemia, in the body, could cause increased cancer, infectious bacteria, virus, and acidity.

He was to be awarded a 2nd Nobel Prize for research showing that abundant oxygen in the body caused elimination or reduction of these 4 maladies. With this fact in hand, we can see why we are getting these incredibly accessory results when treating sleep apnea and snoring. Hitler didn’t let him receive the 2nd Noble Prize.

Working with the new Full Breath Sleep Appliance is a new paradigm of treatment that brings in more oxygen to the body. And when patients have serious apnea and maladies we can get oxygen delivered to the body and meet Dr. Warburg’s desire of abundant Oxygen. We believe we have a super answer for health maladies.

If this list above pertains to you then we suggest you check with your MD or Dentist and get a home sleep test and see if you have sleep apnea. If you need help getting a sleep test you can reach us through our answering service and we can get one arranged in your locale. We can also answer your questions you may have.

If needed can get you the mouthpiece with or without the oxygen to help you with your apnea, snoring, and other body problems.


June 2022

You Don’t Have to Suffer From TMJ Pain

Suffering with pain, low energy, and little desire to do much is not a happy story to tell. Would you like some answers that work? Of course.

Well the good news is you came to the right website and I have some great treatment answers. Having treated TMJ and neck & facial pain for 25 years, and sleep apnea and snoring for 16 years. I have seen much misery, and have uncovered great data to get you doing better and end your misery.

Let me start by telling you that I discovered that approximately 75% of TMJ patients have sleep apnea. The two maladies are very closely intertwined. And with this knowledge, we have developed a new treatment methodology for eliminating and reducing pain.

When your body has low levels of oxygen, hypoxemia, one becomes acidic. The combination of these two weaken the immune system from slight to severe. A weakened immune system has its ability to fight pain impaired. And with 75% of the TMJ patients having sleep apnea, they are operating with their bodies at low levels of oxygen. They have weakened immune systems and now we see why they are in pain, fatigued and listless, and seeing a number of health professionals.

With low levels of oxygen, the body clenches the teeth as a defense mechanism trying to open the airway. It is called sleep bruxism. This clenching of the teeth is a big cause of TMJ patients waking with headaches and facial pain. “Menstrual cramps” in the facial muscles.

Well, we do have two answers for this, first a mouthpiece that keeps the airway open when you sleep getting you more oxygen. This results in less clenching of the teeth and reduced cramping of the muscles of the head and neck which results in less pain.

The second answer is a mouthpiece that was developed in 1999 that has you biting on the upper and lower front two teeth only. These are small teeth and they can’t take the clenching pressures that the big back molars can. The brain automatically lessens the clenching pressures about 2/3’s. This mouthpiece got FDA approval as an appliance for the treatment of migraines and chronic tension headaches.

I know these two solutions sound good. My suggestion is that you come into my office for a courtesy consultation and we see what is going on with you and what can we do to correct this problem. And those of you in distant areas I have dentists all over the country following our methodology. Contact me and I can refer you to a Dr. in your locale.


May 2022

Upper Airway Resistance Syndrome: The Importance of a Dental Diagnosis

By Heather Hakes, RDH -July 10, 2021

As dental clinicians, the medical history and clinical examination of our patients play important roles in differentiating vital signs which may be affecting the patient’s medical and dental health. Recently, the dental community has become more aware of the potential risks to medical health through disrupted sleep patterns caused by anatomical facial variances. Dental clinicians can initiate the diagnosis of possible sleep issues. Most commonly, patients are screened for obstructive sleep apnea (OSA), but another common sleep disorder is upper airway resistance syndrome (UARS).

Upper airway resistance syndrome is “a sleep disorder characterized by the narrowing of the airway that can cause disruption to sleep.1” UARS occurs during sleep, as airflow is reduced from a narrowing, not closing, of the airway which can stimulate and increase inhaling. This upper airway collapse can cause “turbulence as a result of the decreasing airway diameter.”2 Furthermore, the typical UARS patient who is “not obese,” may “possess triangular face and misaligned jaw” or may suffer from a nasal valve collapse or a deviated septum.1

Snoring and/or heavy breathing during sleeping are a common sign of UARS. The disruptions during sleep can result in daytime fatigue and frequent awakenings. As UARS goes untreated, insomnia (difficulty falling or staying asleep), frequent awakenings, depression, and weight gain can increase.2

Understanding and differentiating UARS from OSA is important in properly diagnosing the patient to implement proper treatment options. OSA identifies more with gender and demographics than UARS. OSA typically is higher among men than women, affects those with obesity, and is common among those forty years old or older; whereas UARS is more common in women and not isolated to the female gender and can affect children. Unlike OSA, obesity is not a common factor in UARS patients.

OSA and UARS share some of the same symptoms such as postural hypotension, headaches, gastroesophageal reflux, irritable bowel syndrome, anxiety, and sleep onset. However, UARS shows signs of increased daytime sleepiness, fatigue, and sleep fragmentation. Furthermore, OSA in indicated by pauses and decreases in breathing while sleeping. The disruptions in breathing while sleeping is less evident or non-existence in those affected by UARS.3 To positively identify UARS from OSA the difference in responses of an Electroencephalography (EEG) and the autonomic nervous system response of the breathing patterns must be examined.3

Although there are few studies designed to indicate the best treatment of UARS, there are recommendations that may positively impact the sleep disruptions caused by UARS.1 Modifications in the lifestyle of the UARS patient, such as increasing sleep time, positional therapy, and dietary alterations are recommended. Also, weight loss, if needed, may also be an effective treatment recommendation. Another treatment remedy is administering nasal steroid medication to improve the airflow through the nasal passage if warranted.

Similar to OSA, UARS can be treated with a Continuous Positive Airway Pressure (CPAP) device, but this may have limited effectiveness. However, a dental oral sleep appliance is a more effective treatment option because it manipulates the tongue and jaw to open the constricted airway. Lastly, surgery to increase the dimensions of the upper airway is also an option but is a less common and riskier UARS treatment option.

The screening of OSA and UARS may be more common in the dental practice with adult patients; however, children can be affected as well. Typical markers that can indicate a sleep disorder in a child may mimic the same symptoms of an attention-deficit hyperactivity disorder (ADHD). These symptoms include behavioral problems and a lack of concentration and inattentiveness. Alarmingly, fifty to ninety percent of children that suffer from a sleep disorder develop ADHD like symptoms.4

UARS can affect children due to “minor abnormalities of facial bones” or “enlarged tonsils or adenoids”.1 Therefore, the treatment recommendations to effectively increase airflow in a child are to remove enlarged tonsils or adenoids, apply orthodontic expansion treatment, or prescribe a CPAP.

Sleep deprivation due to a breathing disorder, such as UARS, can have a negative impact on a patient’s health and daily function. Therefore, implementing your knowledge as a dental clinician when reviewing the patient’s medical history and evaluating the intra-oral and extra-oral anatomy for any malformations, may result in effectively improving the patient’s quality of life.

Contact the full Breath Center in Beverly Hills, CA for an appointment today, at 310-435-7939.


References

  1. Upper airway resistance syndrome. Wikipedia. Retrieved from https://en.wikipedia.org/wiki/Upper_airway_resistance_syndrome

  2. Upper Airway Resistance Syndrome. American Sleep Association. Retrieved from https://www.sleepassociation.org/sleep-disorders/more-sleep-disorders/upper-airway-resistance-syndrome/

  3. Luciana B.M., deGodoy, L.D., Palombini, C.G., Puyares, D., Tofik, S., Togiero, S.M. Treatment of upper airway resistance syndrome in adults: Where do we stand?. 2015 January-March 20; 8(1):42-48. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4608900/

  4. Woodham, C. Does Your Child Really have ADHD?. June 20, 2012. Retrieved from https://health.usnews.com/health-news/articles/2012/06/20/does-your-child-really-have-adhd

Alcohol's Effect on Sleep Apnea

By Aimee del Principe May 5, 2022

As a new or curious obstructive sleep apnea (OSA) patient, you may be wondering if alcohol use is linked to your condition. A good night’s sleep may not seem as tempting as a wild night of heavy drinking, but hangovers are only the beginning in the world of an OSA patient!

There is a link between sleep apnea and drinking alcohol. In fact, alcohol ingestion can increase the risk of apnea in adults by 25%! So stick with us while we explain the interplay of alcohol and sleep apnea, why alcohol is a terrible sleep medicine, and what you should do if you think you have OSA.

Can Alcohol Make My Sleep Apnea Worse?

Yes, alcohol can exacerbate sleep apnea. Studies have shown us that the depressive effect of alcohol may cause the muscles of your upper airways to relax to the point of collapse. (Yikes.)

Just like your arms and head may feel heavier when you’ve been drinking, the muscles and tissues in your airways relax, too. Alcohol’s sedative effect can also make you slower to awaken when you can’t breathe, making apneas (instances of stopped or slowed breathing) longer and more severe. That means your body has to produce more intense arousal responses in the night (for example, suddenly waking to gasp for air) putting major strain on your cardiovascular system.

It’s not a minor issue - losing the oxygen in your blood (called desaturation) puts huge stress on your body and all the cells and tissues therein. You may wonder, ‘Is it any really worse than drinking myself into a hangover?’

The truth is that obstructive sleep apnea itself often feels much like a hangover the next day, and might even be mistaken for one. Consider these OSA symptoms and their similarity to a rough morning after inebriation:

Daytime sleepiness
Fatigue
Difficulty concentrating
Headache
Sore throat and dry mouth
Irritability

The problem that outstrips a hangover is that drinking an alcoholic beverage before bed puts those with underlying OSA at increased risk of the sleep issues they’re already at risk for and undergoing treatment to manage.

Wait, Doesn't Alcohol Help Me Sleep?

You’d think so, right? Because of the sedative effects of alcohol, many people believe alcohol helps them sleep, but it actually does the opposite. Alcohol reduces both total sleep time and overall sleep quality. Talk about a double bummer!

Alcohol has been proven to reduce the body’s natural production of melatonin, undercutting it by nearly 20%. Melatonin is the sleep hormone that responds to darkness so that your circadian rhythm stays balanced. Without it, your sleep cycle can be interrupted, opening the door to sleep disorders, excessive daytime sleepiness, and a downward spiral in your mental health due to a lack of REM sleep.

How Long Before Sleep Should You Stop Drinking Alcohol?

We know there are windows of time after drinking that make for wiser, safer (and legal) driving, but what about mitigating the effects of alcohol on your OSA? This really depends on your body and health as well as both how much and how often you drink. The basic idea is to get the alcohol through and out of your system before your head hits the pillow.

To that end, you should typically play it smart and close your tab at least 4 hours before bed. Also, aim to limit yourself to 1-2 drinks in a given day. If you think OSA is hard on your health, alcoholism is a misadventure you want no part of. Be sure to remember to drink lots of water, too, to stay hydrated so your body is better able to clear the alcohol from your system.

What Should I Do If I Think I Have Sleep Apnea?

If you frequently experience the above symptoms of sleep apnea - even when you don’t drink before bed - you should talk to your doctor about OSA right away. Treating obstructive sleep apnea can vastly improve your quality of life by improving your quality of sleep. It also dramatically lowers your risk factors for hypertension, heart disease, and depression.

Your doctor will recommend an overnight test called a sleep study, which can be done in-lab or at home. They will do a systematic review of your heart rate and oxygenation as well as determine your AHI (Apnea-Hypopnea Index) - a measure of how many times your breathing slows or stops entirely each hour. The higher the AHI, the higher the severity of your OSA.

If the sleep study does determine that your sleep problems are due to obstructive sleep apnea, you’ll probably be recommended a moratorium on nightcaps. Sorry!

More importantly, the medical advice will almost certainly be to begin CPAP therapy. Continuous Positive Airflow Pressure (CPAP) keeps airways open while you sleep. This improves your oxygen saturation, reduces that chainsaw snore you’ve been ripping each night, and lowering your risk of sleep apnea-related cardiovascular effects.

But which CPAP machine should you use? What mask will be best? That’s where we can make your life so much easier! At CPAPsupplies.com we have a highly knowledgeable team ready to help make this process as smooth as possible.

We can offer recommendations based on how you sleep to find you the right fit and accessories. We can’t wait to hear from you and get you back on track to a better night’s sleep!

Contact the full Breath Center in Beverly Hills, CA for an appointment today, at 310-435-7939.

April 2022


Did Any Doctor Tell You About Sleep Apnea?

Sleep apnea affects close to 50% of American adults. This results in low levels of oxygen in the body, hypoxemia. The low oxygen causes the body to become acidic. This is a major cause of illness, pain, and body breakdown.

On the website of the Center for Disease Control they list the 10 leading causes of death in the U.S. They are:

      1. Heart Disease

      2. Cancer

      3. Lung Disease

      4. Brain Disease

      5. Diabetes

      6. Flu/Pneumonia

      7. Kidney Disease

      8. Alzheimer’s

      9. Accidents

      10. Suicides

These 10 are all made worse by hypoxemia and acidosis. And you could add another 25 to 100 other maladies to this list.
The CDC also says on their website that 117 million Americans suffer from chronic disease. And chronic disease is also made worse by hypoxemia and acidity.

Sleep apnea causes low O2 to the body, which results in acidosis, and then we see the effect it causes. A Nobel Prize was given for research showing that low oxygen levels in the body, hypoxemia, caused increased cancer, infectious bacteria, virus, and causes the body to become acidic.

This is a very dangerous malady that causes disruption with body function. There are treatment cures for reducing the effect of apnea. Medicine has the CPAP a mask that fits over the nose and mouth or either one and it blows pressured air into the nose and mouth and opens the airway. It presents a problem of being very tough to adapt to wearing it. Rejection rate for the CPAP runs as high as 83% in the literature.

Dentistry has developed mouthpieces that pull the lower jaw forward to pull the tongue forward and open the airway. They are called MADs, Mandibular Advancing devices

They have moderate success oxygenating the body. As they advance the lower jaw they have 2 drawbacks: one they cause facial and neck pain, and second the lower jaw can be permanently moved forward and creates a “bad bite”or malocclusion that could need corrective treatment.

But dentistry now has a new designed oral sleep appliance, the Full Breath Solution, that depresses the tongue with an adjustable wire tail and opens the airway for oxygen in the body. This appliance with O2 creates abundant O2 and converts the body alkalinity. This is the appliance we need to handle all the negative problems that occur with hypoxemia.


Contact the full Breath Center in Beverly Hills, CA for an appointment today, at 310-435-7939.


March 2022


Getting good sleep is an important part of enjoying life – it is difficult to work hard, play hard, and make the most out of every day if you are tired all the time. If you consistently have a problem sleeping, it can indicate that you have a serious health problem that should be dealt with.


Are you wondering why you are having sleep problems?

Are you wondering if it is time to get help?

Read on for the symptoms of sleep apnea, a condition that is not only annoying but could be dangerous.


What is sleep apnea?

Obstructive sleep apnea is the most common form of sleep apnea. It happens when the muscles in the back of the throat relax as you sleep, causing your airway to narrow. This prevents an adequate amount of air from getting into your system and your oxygen level drops. Your brain wakes you up because you are not getting enough oxygen. This can happen several times a night – even several times an hour, but you may not even realize you are waking up so often in the middle of the night.


How do you know that it is sleep apnea?

You may wonder if your sleep problems are temporary and harmless or if they are something serious. You may need your partner to help you identify some of the symptoms of sleep apnea. They include:

• Gasping for air while sleeping

• Loud snoring

• Periods where you stop breathing

• Feeling excessively tired during the day

• Irritability

• Morning headache

• Morning dry mouth

What can be done about sleep apnea?

While continuous positive airway pressure (CPAP) machines are commonly used to treat people with sleep apnea, many people find them bulky, uncomfortable, and just a hassle to deal with. Another option is an oral appliance- the full breath appliance. This appliance is a custom made mouth piece with an attachment to depress the tongue, thus opening the airway without ADVANCING the mandible.

It is no wonder that many people stop using their CPAP machine – they can be uncomfortable, difficult to sleep in, hard to clean, and a huge hassle to travel with. The good news is that if you have sleep apnea, you can be treated without CPAP, with oral appliance therapy from the Full Breath Center for dental sleep!


What is oral appliance therapy?

Oral appliances resemble mouth guards that athletes wear. You wear it while you sleep, and it fits easily over your teeth – after a few nights you won’t even realize you are wearing it. It works by repositioning your tongue and jaw, which opens up the airway, which makes it easier to breathe.

What are the benefits of oral appliance therapy?

A recent study has found that over 80% of patients preferred oral appliance therapy compared with CPAP (continuous positive airway pressure) machines, and it is easy to see why. Oral appliances are very effective, but they are much more comfortable, easy to use, and easy to take care of. Traveling with a small oral appliance compared with a bulky CPAP machine is another benefit.

Getting an oral appliance is also an easy process. You and your doctor will meet and discuss your sleep problems and your concerns, and we will go over your treatment options. If you decide that an oral appliance is right for you, your doctor will check your teeth, airway, and jaws to make sure that the correct type of appliance - the Full Breath Solution oral appliance has been approved by the FDA and there are 5 United States patents as well as 5 FDA approvals.

It may take some time to get used to an oral appliance, but it is worth it. Soon you will start to sleep better and feel better during the day, too.

You may think that the only option for dealing with sleep apnea is a bulky and uncomfortable CPAP machine, but that is simply not true! If you have tried CPAP but didn’t like it, or if you have been diagnosed with sleep apnea and are hesitant to even try CPAP, oral appliance therapy may be the answer.

Contact the full Breath Center in Beverly Hills, CA for an appointment today, at 310-435-7939.