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February 2024


Sleep Apnea Treatment Can Help You Prioritize Your Health and Sleep
New Jersey Snoring Solutions Wed 01/24/2024 - 09:00


Sleep apnea is a common and disruptive condition that affects many individuals. This disorder can have a serious effect on your quality of sleep as well as your health. Below, learn more about improving your quality of life, even if you have sleep apnea.

Customized Mouthguards

Mouthguards, also referred to as oral appliance therapy, are custom fitted to your mouth. In contrast to mouthguards that can be purchased online or in drugstores, customized mouthguards offer patients convenience as well as a comfortable fit. Our doctors take precise measurements of your mouth and produce an oral appliance that is specifically made to improve your sleep apnea. With a customized appliance, the jaw is gently kept in an ideal position that allows the airway to remain open during the night. Additionally, when you opt for a customized mouthguard, you benefit from ongoing care and support from a highly skilled professional who is knowledgeable about your unique sleep apnea needs.


Retail Mouthguards

Mouthguards that can be purchased in-store or online do not provide these benefits. Most require the consumer to mold the mouthguard themselves using inconvenient, unfamiliar methods, such as submersing the mouthguard in hot water so that it is malleable and then biting down on it to create a dental impression. Consumers have limited resources for verifying the quality or effectiveness of these appliances, losing money in the process.


Consequences of Sleep Apnea

When sleep apnea is allowed to go untreated, health and sleep suffer greatly. Some consequences include:


Loud snoring: Snoring is a disruptive symptom of sleep apnea that can disturb your sleep as well as your partner’s.


Daytime drowsiness: Lack of sleep means that you are likely to feel fatigued and sleeping during the day. This can make you less productive at work or school and can even be a threat to your safety if you experience drowsiness while driving or walking.


Medical conditions: Sleep apnea is linked to several medical conditions, such as stroke and cardiovascular issues. Untreated sleep apnea can not only wreck your sleep but also put your health at risk.


Mood swings: Poor sleep can also result in changes in mood and behavior. If you notice you are more irritable during the day, even after you’ve had what you consider a full night’s sleep, sleep apnea may be to blame.


A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.

Bruxism: Understanding the Impact of Teeth Grinding on Sleep
Fusion Sleep, May 24 2023


Do you often find yourself waking up tired, even after a full night's sleep? Have you noticed that you clench your jaw or grind your teeth during the night? If so, you may be experiencing bruxism, a condition that not only affects your dental health but also has a significant impact on your sleep quality.


What is Bruxism?

Bruxism refers to the involuntary grinding or clenching of teeth, and it can occur both during the day and at night. However, sleep bruxism is particularly concerning as it disrupts your sleep patterns and can lead to various complications.


The Relationship between Bruxism and Sleep

Bruxism can have a profound effect on your sleep. The grinding or clenching actions can disrupt your sleep cycles, causing you to briefly wake up throughout the night, even if you are not fully aware of it. These micro-awakenings can prevent you from reaching deep, restorative sleep, leaving you feeling fatigued and unrested.


Additionally, the muscle tension and jaw movements associated with bruxism can create discomfort and pain, making it challenging to find a comfortable sleep position. This can lead to difficulty falling asleep or maintaining uninterrupted sleep, further exacerbating the sleep deprivation caused by bruxism 


Symptoms of Bruxism's Impact on Sleep


Managing Bruxism-Related Sleep Issues

Fortunately, there are strategies to manage bruxism and alleviate its impact on your sleep:


If you suspect bruxism is affecting your sleep, it's recommended that you speak to a doctor that can assess your symptoms and provide guidance on the most suitable treatment options. One common treatment is an oral appliance, which is like wearing a mouthguard or splint while sleeping. These custom-fit devices create a protective barrier between your upper and lower teeth, reducing the impact of grinding and clenching and promote better sleep quality.


Implement relaxation techniques: Since stress and anxiety often contribute to bruxism, integrating relaxation techniques into your daily routine can be beneficial. Engaging in activities such as meditation, deep breathing exercises, or gentle yoga can help reduce stress levels and promote better sleep.


Identify and manage triggers: Try to identify any triggers that may exacerbate your bruxism, such as alcohol, caffeine, or tobacco. Limiting or avoiding these substances, particularly close to bedtime, can help minimize symptoms and improve sleep.


Maintain good sleep hygiene: Establishing healthy sleep habits can have a positive impact on your overall sleep quality. Create a soothing bedtime routine, ensure a comfortable sleep environment, and prioritize regular sleep and wake times to optimize your rest.


Bruxism not only poses risks to your dental health but can significantly disrupt your sleep patterns and leave you feeling fatigued and unrested. By seeking professional help, implementing relaxation techniques, using oral appliances, identifying triggers, and maintaining good sleep hygiene, you can effectively manage bruxism-related sleep issues. Taking proactive steps to address bruxism will not only improve your sleep quality but also promote overall well-being and oral health.

A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.

Understanding How Sleep Apnea Affects Your Waking Hours
Houston Sleep Solutions, January 26 2024

If you are dealing with sleep apnea, you know how difficult and exhausting it can be to manage this condition. But did you know that the effects of sleep apnea go beyond your nighttime routine? Sleep apnea can also impact your waking hours, affecting your mood, cognitive functions, and overall quality of life. In this blog post, brought to you in collaboration with Houston Sleep Solutions, we will explore how sleep apnea affects your waking hours, so you can better understand and manage this condition.


Fatigue and Sleepiness

One of the most common symptoms of sleep apnea is fatigue and sleepiness, especially during the day. When you are not getting enough quality sleep at night due to interrupted breathing, it can leave you feeling exhausted and drained throughout the day. This can lead to difficulty staying awake during work or daily activities, as well as impaired memory, reaction time, and concentration.


Mood Changes

Sleep apnea can also affect your mood and emotions. When you are not getting enough restful sleep, it can leave you feeling irritable, anxious, and even depressed. These mood changes can impact your relationships, work performance, and overall quality of life. In some cases, sleep apnea may even exacerbate existing mental health conditions.


Cognitive Impairment

Sleep apnea not only affects your mood and energy levels, but it also impacts your cognitive functions. Studies have shown that sleep apnea can cause cognitive deficits such as memory problems, difficulty learning new information, and impaired judgment. Over time, untreated sleep apnea can result in more severe cognitive impairment and even dementia.


Increase in Chronic Health Conditions

Sleep apnea has also been linked to an increased risk of chronic health conditions such as high blood pressure, diabetes, and heart disease. When you experience sleep apnea, your brain and body are under stress, which can trigger inflammation and other health issues. By treating sleep apnea, you can help reduce your risk of these chronic conditions and improve your overall health and well-being.


Social Impact

Lastly, sleep apnea can impact your social life, as well. When you are struggling with sleep apnea, you may avoid social activities due to fatigue, mood changes, and other symptoms. This can lead to social isolation and a decrease in quality of life. By successfully managing sleep apnea, you can improve your ability to participate in social activities and enjoy better relationships with loved ones.


Sleep apnea can have a serious impact on your waking hours, affecting your mood, cognitive functions, and overall quality of life. By understanding these impacts, you can take steps to better manage your sleep apnea and improve your health and well-being. If you suspect you may have sleep apnea, it is important to speak with a healthcare professional and explore treatment options. With proper care, you can minimize the negative effects of sleep apnea and enjoy better waking hours.

A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.


January 2024

Sleep Apnea Treatment Options at the Dentist: A Comprehensive Guide
by Dr. P. J. Nagjee DDS. January 22, 2024

Sleep apnea is a common sleep disorder that affects millions of people worldwide, often leading to various health issues if left untreated. While traditional treatments such as Continuous Positive Airway Pressure (CPAP) machines are effective, there's a lesser-known hero in the fight against sleep apnea – your dentist. Dr. P.J. Nagjee, a renowned dental professional, sheds light on the various sleep apnea treatment options available at the dentist's office.


Understanding Sleep Apnea:


Before delving into treatment options, it's crucial to understand sleep apnea. This condition is characterized by interruptions in breathing during sleep, leading to disrupted sleep patterns and potentially severe health complications. Identifying the symptoms early is essential for effective intervention.


Dental Sleep Medicine:


Dr. Nagjee emphasizes the role of dentists in managing sleep apnea through Dental Sleep Medicine (DSM). DSM involves the use of oral appliances designed to reposition the jaw and tongue, preventing airway blockages during sleep. These devices are custom-fit to ensure comfort and effectiveness, providing an alternative for those who find CPAP machines cumbersome.


Customized Oral Appliances:


One of the key advantages of seeking sleep apnea treatment from a dentist like Dr. Nagjee is the customization of oral appliances. These devices are tailored to the patient's specific needs, ensuring a snug fit and optimal results. Dr. Nagjee's expertise in crafting personalized solutions contributes to enhanced patient compliance and overall treatment success.


Collaboration with Sleep Specialists:


In certain cases, collaboration between dentists and sleep specialists is crucial for comprehensive sleep apnea care. Dr. Nagjee highlights the importance of a multidisciplinary approach, wherein dentists work closely with sleep medicine professionals to ensure a thorough evaluation and treatment plan.


Patient Education and Support:


Beyond providing effective treatment, Dr. Nagjee places a strong emphasis on patient education and support. Understanding the impact of sleep apnea on overall health and lifestyle is integral to successful long-term management. Patients are empowered with information, enabling them to actively participate in their treatment journey.


The Importance of Regular Check-ups:


Routine check-ups with Dr. Nagjee are vital for monitoring progress and adjusting treatment plans as needed. Dental sleep medicine is not a one-size-fits-all solution, and ongoing collaboration between the patient and dentist ensures optimal results over time.


Conclusion:


In the realm of sleep apnea treatment, the dentist's office is emerging as a beacon of hope for those seeking alternatives to traditional therapies. Dr. Nagjee's commitment to patient-centric care and innovative solutions underscores the transformative impact of dental sleep medicine. If you or a loved one is grappling with sleep apnea, exploring treatment options with Dr. Nagjee could be the key to a restful and rejuvenating night's sleep.


A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.


Suspect You Have Sleep Apnea? Ask Yourself These Questions

 Submitted by New Jersey Snoring Solutions on Mon 12/25/2023 - 09:00

Because of the nature of the disorder, sleep apnea is not always easy to observe in yourself. Many of the symptoms associated with the condition occur during sleep, and others could be simply overlooked. However, sleep apnea is a serious disorder that needs to be treated before it leads to other health concerns. Patients who suspect they may have the condition should see a qualified sleep specialist who can then diagnose them. However, there are often ways for patients to determine if sleep apnea may be the cause of their sleep-related problems. Below, Dr. Ivan Stein and Dr. Allan Stein of New Jersey Sleep Apnea Solutions explain the best questions to ask yourself.

Do I Snore?

Not all people who snore have sleep apnea, but the two are often linked. In fact, if you are a noisy sleeper in general (snoring, snorting, and gasping for air) it could indicate that your airway may be obstructed.

Has Anyone Mentioned Abnormalities in My Sleep?

It may be difficult to gauge if your symptoms are getting worse on your own, but because they are so noticeable, others may be able to tell you if you are exhibiting signs of sleep apnea. If your bed partner has mentioned that your snoring is getting worse, or if there are frequent pauses in your breathing, it could mean you are experiencing sleep apnea episodes. These disrupting breathing episodes are often interspersed throughout snoring and can occur numerous times while sleeping.

Am I Often Tired?

As mentioned above, when you stop breathing several times in the night, it can disrupt your sleep. Even if you are receiving a perceived full night’s sleep, these episodes can leave you feeling tired during the day. As this consistent daytime drowsiness persists, it could lead to changes in your mood and cognition.

Do I Have High Blood Pressure?

In addition to poor sleep quality, sleep apnea is linked to several serious health conditions that affect the heart, including high blood pressure. This is because, during healthy sleep, blood pressure naturally dips as the body rests. However, this does not take place normally in those with sleep apnea, increasing the risk of hypertension.

Sleep Apnea Risk Factors

Certain factors can contribute to the likelihood of sleep apnea, such as:


A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.



December 2023

4 Things That Can Make Your Sleep Apnea Worse

Dr. Deborah A. Romack, Weatherford Dental Sleep Blog


Sleep apnea is a dangerous sleep disorder that, if not treated quickly enough, could potentially put your life in danger. It’s important to act quickly to address your sleep apnea symptoms – but at the same time, you need to be careful to avoid doing anything that could make the situation even more dire. Are you trying to manage sleep apnea? Be sure to take note of the following 4 factors that could make it worse.


1. Gaining Weight

About 70 percent of people with obstructive sleep apnea are obese. Being overweight often means that there’s a greater chance of your airway becoming blocked due to fat deposits in the neck. Even worse, sleep apnea can cause you to gain more weight, resulting in a vicious cycle. In many cases, losing weight could be an important step for getting your sleep disorder under control. Remember that you can always speak to your regular physician if you need help managing your weight.


2. Drinking Alcohol Right Before Bed

One of the effects of alcohol is that it causes your muscles to relax. Unfortunately, this includes the muscles in your throat; if they become too relaxed, they will be much more likely to block your airway while you’re asleep. For the sake of the quality of your slumber, it’s best to stay away from alcohol for at least a few hours before your regular bedtime.


3. Sleeping on Your Back

When you sleep on your back, gravity can cause your tongue to fall back towards your throat, potentially blocking the flow of air and worsening your sleep apnea symptoms. It’s recommended that you switch to sleeping on your side to reduce the risk of airway obstruction. One way to do this is to put a small object (like a tennis ball) on the back of your pajama top; this will make sleeping on your back less comfortable than sleeping on your side, thus discouraging your body from rolling around while you slumber.    


4. Using Specific Medications

Some medications are known to relax your throat muscles and can therefore make sleep apnea more severe. Common culprits include muscle relaxants, painkillers such as opioids, benzodiazepines, and (ironically) sleep aids. Check to see if any of the medications that you’re currently taking might be contributing to your sleep apnea; sometimes it may be possible to solve the problem by getting a different prescription.


The more you know about the factors that can make sleep apnea worse, the more success you’ll have when it comes to treating the disorder. Talk to your sleep dentist today to see if there’s anything else you should avoid if you want to get a better night’s rest.


A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.


Sleep Apnea Dental Options: How to Get a Good Night’s Sleep
Houston Sleep Solutions: Dec 1, 2023


Sleep apnea dental treatment is a common sleeping disorder that affects millions of people around the world. While there are various conventional treatments available, some people may hesitate to try them due to their side effects, invasive procedures, or high costs. Fortunately, there are alternative dental options that can alleviate the symptoms of sleep apnea without causing discomfort or inconvenience. In this blog post, we will discuss what sleep apnea is, its symptoms, and how you can treat it using dental options.


WHAT IS SLEEP APNEA?

Sleep apnea is a condition that causes a person to stop breathing for a few seconds to a minute while asleep. It can range from mild to severe, and it can happen hundreds of times a night, leading to disrupted sleep and serious health problems. There are three types of sleep apnea: Obstructive Sleep Apnea (OSA) – which is the most common type, Central Sleep Apnea (CSA), and Complex Sleep Apnea Syndrome (CSAS). The causes of sleep apnea vary from person to person and can be due to different factors such as obesity, smoking, allergies, enlarged tonsils, or a deviated septum.


SYMPTOMS OF SLEEP APNEA

The symptoms of sleep apnea include loud snoring, gasping or choking while asleep, waking up with a headache, dry mouth, prolonged sleepiness, irritability, and difficulty concentrating. Some people also experience depression, anxiety, and memory loss caused by the lack of oxygen in their brain. If left untreated, sleep apnea can contribute to high blood pressure, diabetes, heart disease, and stroke.


DENTAL OPTIONS FOR SLEEP APNEA

Dental options for sleep apnea involve the use of oral appliances that can help alleviate the symptoms of sleep apnea and prevent further complications. These oral appliances are custom-made by a dentist or orthodontist to fit the patient’s mouth and adjust the position of the jaw and tongue during sleep. By doing so, the airway is kept open and the flow of oxygen is improved, reducing snoring and preventing apnea. Some of the most common dental options for sleep apnea include mandibular advancement devices (MAD) and tongue retaining devices (TRD).


MANDIBULAR ADVANCEMENT DEVICES

Mandibular Advancement Devices or MADs are the most popular dental option for sleep apnea. They are similar to sports mouthguards or retainers and are designed to hold the lower jaw forward and prevent the tongue from collapsing into the throat. MADs are adjustable, meaning that the dentist can adjust the device to provide greater comfort and effectiveness. They are also easy to clean and maintain, and more affordable compared to other sleep apnea treatments.


TONGUE RETAINING DEVICES

Tongue Retaining Devices (TRDs) are another dental option for treating sleep apnea. They work by holding the tongue in place, preventing it from blocking the airway, and improving breathing. TRDs are custom-made to fit the patient’s tongue, and they are typically recommended for people who have a narrow jaw, significant nasal congestion, or a large tongue. TRDs are easy to wear, clean, and maintain. However, they may require an adjustment period to get used to as they can cause excess salivation or tongue discomfort.


In summary, sleep apnea is a serious and prevalent condition that can lead to various health complications if left untreated. Dental options for sleep apnea offer a comfortable and effective solution that does not involve surgery or invasive procedures. If you suspect that you or someone you know has sleep apnea, we recommend that you seek professional help and consider dental options as a viable treatment. By doing so, you can improve your sleep quality, reduce snoring, and enjoy a better quality of life.


A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.


November 2023

When Should You Seek Help for Your Sleep Problems?
New Jersey Snoring Solutions October 26, 2023

It happens: you start having difficulty sleeping, or you may be wondering why you feel tired during the day even after a full night of sleep. Your snoring could be getting worse, or you may even be experiencing other problems you suspect are related to the quality of your sleep. These issues may be associated with sleep apnea, which is a serious sleep disorder that is accompanied by many unpleasant symptoms. It can also lead to serious health issues if left untreated. When this occurs, you should seek treatment from qualified professionals.


Sleep Apnea Warning Signs

Excessive sleepiness during the day: Sleep apnea can repeatedly disrupt sleep, leaving sleep apnea sufferers with an inadequate amount of sleep. This can naturally lead to drowsiness during the day.


Waking suddenly during the night: Sleep apnea can cause you to stop breathing for as long as 20 seconds an episode, which occurs throughout the night. If you find yourself jolting away, especially if you are often gasping for air, you may have the condition.


Changes in mood: A lack of restorative sleep can lead to frequent mood changes, such as depression or the propensity to become upset very easily. Not getting enough rest can also impact your ability to concentrate on certain tasks, which can lead to more frustration and mood issues.


When to Seek Help

Sleep apnea often comes with several warning signs; however, some of them are not easily observed by patients. For example, snoring is a common symptom of this sleep disorder, but many patients do not realize they do it — or that their snoring is getting progressively louder — until a partner or roommate points it out to them. If you have been experiencing sleep apnea symptoms, are told that you are exhibiting signs of sleep apnea, or notice that your sleep-related issues are affecting your daily life and health, it may be time to head in for an appointment, especially if your symptoms have persisted for two or three months.


A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.


Are you familiar with this form of sleep apnea?
Parkview Blog - August 17, 2023


While most people have heard of sleep apnea, few realize there are actually two types of the condition. Central sleep apnea, which we hear of less frequently, is the other form of the sleep disorder that causes you to repeatedly stop and start breathing while you’re sleeping. Although treatable, over time this disorder can lead to serious health complications. That’s why it’s important to understand what it is, what the risk factors are and what treatments are available. Ram Verma, MD, PPG – Sleep Medicine, walks us through the condition.

How does obstructive sleep apnea differ from central sleep apnea?

Sleep apnea, which happens when you stop breathing in your sleep, can be caused by different factors depending on which kind of sleep apnea you have. The two main types are obstructive sleep apnea (OSA), which is caused by a physical obstruction of your airway and central sleep apnea, which is caused by your brain not sending signals to your breathing-related muscles.

 

What makes central sleep apnea a more severe condition?

Since central sleep apnea occurs because of neurological signals not being regulated, management of the condition is more challenging than (OSA). Often, central sleep apnea requires more advanced treatments and therapies.

 

How do you know if you have central sleep apnea?

Often, people think of loud snoring as a sign of sleep apnea. However, not everyone with sleep apnea snores, especially those with central sleep apnea. If someone has witnessed apneas without snoring, that may be a clue that central sleep apnea is the cause. Other symptoms may include:



If you suspect you may have central apnea, your provider will most likely recommend a sleep study, which allows you to be monitored while you sleep in a medical facility. The information gathered from the sleep study can help them make a diagnosis.  


What are the risk factors for those with central sleep apnea?

People with congestive heart failure, nervous system damage or illness, chronic kidney disease, metabolic diseases and those who use narcotic pain medications are at-risk for developing central sleep apnea.

 

What are the complications of central sleep apnea?

Living with central sleep apnea can take a toll on your overall health. Some complications include:

Daytime fatigue. Because your body is repeatedly waking during the night, it’s impossible to get the restful, restorative sleep you need. This can cause you to experience irritability, severe daytime drowsiness and trouble concentrating. People with central sleep apnea are more at-risk for motor vehicle and workplace accidents.

Cardiovascular problems. During central sleep apnea, your body experiences sudden drops in blood oxygen levels. This can strain your cardiovascular system and increase your risk of high blood pressure, recurrent heart attack, stroke and irregular heartbeats. It can also make heart conditions worse.

Type 2 diabetes. When your body is deprived of oxygen, like with central sleep apnea, it can directly affect glucose levels and insulin resistance, causing you to develop type 2 diabetes.

 

How is central sleep apnea treated?

Knowing the cause of your sleep apnea is critical to being able to treat the condition properly. Because advanced congestive heart failure is a risk factor, and central sleep apnea can make heart conditions worse if left untreated, teams from the Parkview Heart Institute are involved in treatment and management. Some options for treatment include:

Management of the cause. If your sleep apnea is caused by a specific condition, managing that condition may help resolve your sleep apnea. For example, sleep apnea that is caused by narcotic medication could be relieved by stopping that medication. Or, if heart failure is the cause, managing your heart failure may help ease your sleep apnea symptoms.

Advanced positive airway pressure (PAP) therapy. With this treatment, a portable machine pumps pressurized air into the airway of your lungs through a mask that you wear during sleep. This therapy is extremely effective at keeping the windpipe open, allowing you to breathe normally and prevent sleep apnea from occurring.

Phrenic nerve stimulation therapy. If PAP therapy is ineffective, which can happen with central sleep apnea patients, phrenic nerve stimulation therapy is considered. This type of therapy involves a device that is implanted in the body and is used to signal your body to breathe normally.

Central sleep apnea can negatively affect your health in a variety of different ways. That’s why it’s important to get the care you need so you can manage and treat your condition. If you think you may have central sleep apnea, talk with your healthcare provider about next steps.


A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.


October 2023

Dental Treatment for Snoring and Sleep Apnea
Houston Sleep Solutions, October 27 2023


Snoring and sleep apnea are common sleep disorders affecting millions of people worldwide. Snoring is not only bothersome to bed partners but can also be a sign of a more serious condition, sleep apnea, which can lead to long-term health problems. While treatment options for sleep apnea often involve the use of a continuous positive airway pressure (CPAP) machine, there are alternative treatments that may be more comfortable and effective for some patients, such as dental treatments. In this blog post, we’ll explore dental treatments for snoring and sleep apnea, and why they may be a good option for some patients.


Dental treatments for snoring and sleep apnea focus on the use of custom-fit oral appliances that are designed to improve, or even eliminate, snoring and sleep apnea symptoms. These appliances are typically worn at night to advance the jaw, which in turn opens the airways. Depending on the type and severity of sleep apnea, the dental appliance can be designed in different ways. For example, some appliances are designed to hold the tongue in a certain position while others prevent the jaw from collapsing into the airways. Your dentist will help recommend the correct oral appliance for you.


One of the biggest advantages of dental treatments for sleep apnea and snoring is that they are non-invasive and do not require surgery. This makes them an ideal alternative for patients who cannot tolerate a CPAP machine or who prefer a more non-invasive approach. They are also easy to maintain and clean, consisting of a simple device that can be easily packed for travel.


Another advantage of dental treatments for snoring and sleep apnea is that they may be covered under your medical insurance. Many medical insurance providers offer coverage for sleep apnea treatment, which includes custom oral appliances. However, coverage can vary based on your plan and provider so you should ALWAYS check with your insurance provider beforehand.


Dental treatments for sleep apnea and snoring may have some potential side effects or risks, such as mouth dryness, tooth discomfort, and changes in bite or tooth movement. It is important to discuss any concerns you have about potential side effects with your dentist before starting any treatment.


If you suffer from sleep apnea, snoring, or other sleep disorders, dental treatments may offer a comfortable and effective alternative to CPAP therapy. Consult with your dentist and medical doctors to determine whether a dental appliance would be an ideal treatment for you. As always, it’s important to address sleep apnea and snoring as soon as possible as untreated sleep apnea can lead to long-term health problems including heart disease, high blood pressure, and stroke. Sleep soundly and with peace of mind by exploring alternative treatments today.

A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.


Sleep Apnea and Heart Heath: Understanding the Connection
Submitted by New Jersey Snoring Solutions on Tue 09/26/2023 - 09:00

While sleep apnea is often associated with disruptive symptoms, such as snoring, depression, and trouble concentrating in the daytime, did you know that this condition is also linked to other serious health issues? Untreated sleep apnea can increase the risk of serious conditions related to the heart; therefore, it is important to understand the connection and your treatment options. Ahead, learn more about the dangers that sleep apnea can present to your heart health.

Poor Sleep Quality and Heart Health

Sleep apnea is responsible for continuous interruptions in breathing and makes it difficult for your body to get proper amounts of oxygen during the night. These occurrences can each last for several seconds and can drastically reduce your quality of sleep. One of the many goals of sleep is to allow the body to recuperate. During sleep, both the heart rate and blood pressure decrease as the body rests. Interruptions in sleep mean the heart is not given sufficient time to recover from the day, thus raising your risk of serious heart-related conditions.

Straining the Heart

Due to sleep apnea, the heart is strained in many different ways. Consider the following:

Effects on the sympathetic nervous system: Whenever sleep apnea causes a person to stop breathing briefly, the oxygen level in the blood decreases. This leads to a natural response in the body that activates the sympathetic nervous system, which is most known for its role in responding to stressful situations by increasing heart rate and triggering a person to gasp for air.

Pressure changes: Breathing with sleep apnea can be difficult due to the narrowing of the airway. At night, sleep apnea may cause a person to inhale forcefully, which can lead to significant changes in chest pressure. As the condition persists, this pressure change can damage the heart and result in atrial fibrillation and heart failure.

Oxidative stress: Changes in oxygen level are common with sleep apnea during times when the individual is able to inhale successfully. After inhaling, oxygen is brought back into the lungs and nourishes the blood. However, this repeating fluctuation in oxygen level stresses the body and can contribute to heart disease.


A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.


September 2023

How Does an Oral Appliance Compare to a Travel CPAP Machine?
Houston Sleep Solutions, October 28 2022

Good sleep is important when you travel. Whether it’s business or pleasure, you don’t want fatigue to ruin your trip. A standard CPAP machine does not work well. It’s big, noisy, and requires a power source. Patients have two other options for treating sleep apnea while traveling, an oral device or a travel CPAP machine.


WHICH OPTION IS RIGHT FOR YOU?

Deciding which sleep apnea treatment option is best for you is a personal choice. Talk to your healthcare provider to find the best alternative for your situation, needs and budget.


TRAVEL CPAP MACHINE

The travel CPAP kit includes a compact design designed to make traveling easy. The machine is small, but most have the option of battery power or an adapter for a car charger. The versatility means that most types of travel will work for camping.


On the downside, travel machines still take up excess space compared to oral appliances. While some travel machines have noise-reducing features, they still make noise that can disrupt fellow travelers. Also, the cost of a travel machine may feel prohibitive since most health insurance plans don’t provide coverage.


On the other hand, these machines still take up a lot of space compared to home devices. Although some have noise reduction features, they still make noise that can disturb other travelers. Additionally, the cost of travel devices can seem prohibitive because many health insurance plans do not offer coverage.


This type of travel provides a convenient way for patients to find the best treatment with a standard CPAP machine.


ORAL APPLIANCE

Oral appliances treat the symptoms of sleep apnea by stabilizing the jaw to keep the airway open. Many patients experience success with oral appliances for daily home use. These patients do not need other means when traveling.


Oral appliances do not require a power source and take up little space. Unlike the CPAP machine, oral appliances don’t make noise and don’t require masks or other accessories. The simple design empowers patients to travel lightly.


Even patients who prefer a CPAP machine for daily use may choose an oral appliance during travel.


Oral devices do not require a power source and take up less space. Unlike a CPAP machine, the oral device does not make any noise and does not require a mask or other equipment. Simple design allows patients to move around easily.


Even patients who prefer a CPAP machine for daily use may choose an oral device when traveling.


BREATHE EASIER DURING TRAVEL

It may be tempting to skip sleep apnea treatment while traveling. However, sleep apnea is a serious condition that can cause more problems than fatigue. When left untreated, patients can experience physical and mental health problems.


A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.


The Best Habits for Those with Sleep Apnea
Parkview Blog, April 19, 2023

A sleep apnea diagnosis indicates that breathing stops for short periods during sleep. When you stop breathing or have reduced airflow into your lungs, you don't get quality, restorative rest, and can often feel tired during the day. The oxygen levels in your blood may go down, and carbon dioxide levels go up. Over time, these deficits can lead to other problems, such as high blood pressure and heart disease.

Diagnoses

Sleep apnea can range from mild to severe, based on how often breathing stops over the course of the night. For adults, breathing may stop as few as five times an hour (mild apnea) or as many as 30+ times an hour (severe apnea). These numbers are typically identified by completing an in-home sleep study.

Obstructive sleep apnea is the most common type, and often occurs because your airways are partly or entirely blocked.

Helpful habits

Making changes to your sleep routine can aid in alleviating the effects of obstructive sleep apnea. Here are some changes to consider:

Sleep on your side. This may eliminate mild sleep apnea. Try this trick: Sew a pocket in the middle of the back of your pajama top. Put a tennis ball into the pocket and stitch it shut. This will prevent you from moving onto your back while you sleep.

Raise the head of your bed. Put bricks under the legs of the bed to raise the head 4 inches (10 cm) to 6 inches (15 cm). You can also use a special pillow (called a cervical pillow) when you sleep, which will keep your head in a position and reduce sleep apnea. Unfortunately, using regular pillows to raise your head and upper body won't work.

Sleep in your CPAP every night. If you are using a continuous positive airway pressure (CPAP) machine to help you breathe, don’t miss a night. If you don't wear it all night, every night, your symptoms will return and not resolve.

Your doctor may also suggest that you use a breathing device to keep your airways open while you sleep. This could be a device that you put in your mouth, or strips or disks placed on your nose.


Lifestyle shifts for sleep

You can make some adjustments to your daily routine to help treat obstructive sleep apnea. Consider:

Losing weight – Weight loss should be part of managing sleep apnea if you are overweight. If you are struggling to make progress, nutritional counseling, daily activity and pursuing professional insights may help.

Limit the use of alcohol and medicine – Drinking alcohol or taking certain medicines, especially sleeping pills, opioids or sedatives before sleep can make symptoms worse.

Get plenty of sleep – Apnea episodes may be more frequent when you aren’t prioritizing or making enough time in your routine for sleep.

Quit smoking – The nicotine in tobacco relaxes the muscles that keep the airways open.

Treat breathing problems promptly – Things like a stuffy nose caused by a cold or allergies can aggravate apnea.

Wear compression stockings (if your doctor recommends them) – People who have sleep apnea and tend to have swelling in their lower legs and ankles may get some relief by wearing compression stockings during the day. Doing so can prevent a buildup of fluid and swelling of the tissues in the nose and throat at night.

When to call a doctor

Watch closely for changes in your health, and be sure to contact your physician if:

A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.

How Can I Get Better Sleep with Sleep Apnea?
New Jersey Snoring Solutions 07/28/2023

A good night’s sleep can restore your mental and physical health, but a restful slumber often evades many patients with sleep apnea. This sleep-related breathing disorder causes repeated breathing interruptions during the night, which can leave you feeling groggy the next morning. The experts at New Jersey Sleep Apnea Solutions are skilled at helping you eliminate sleepless nights with sleep apnea. Ahead, they detail ways you can achieve better sleep.


Change Your Sleeping Position


Sleep position can have a direct effect on discomfort and sleep quality. In many cases, it can also impact sleep apnea. Regularly sleeping on your back can worsen your sleep apnea symptoms, such as snoring. Instead, try sleeping on your side.


Side sleeping is the ideal position for reducing breathing interruptions from both obstructive sleep apnea (OSA), which is when a narrow airway disrupts breathing, and central sleep apnea (CSA), which occurs when the brain does not send the appropriate signals necessary for the body to breath as normal. When you sleep on your side, the delicate tissues in the mouth and throat are less likely to obstruct the airway. Although a blocked airway is not responsible for CSA, side sleeping can still limit the breathing issues that accompany this form of the condition.


By simply changing your sleeping position, many sleep apnea patients can experience a boost in sleep quality.


Maintain a Healthy Lifestyle


Certain forms of self-care can reduce the impact of sleep apnea on your life.


Lose excess weight: Being overweight can contribute to airway constriction during sleep. Shedding unwanted pounds may improve your health and your sleep apnea symptoms.


Exercise regularly: Moderate exercise can also help reduce the effects of the condition. Patients who choose this route should aim for 150 minutes of exercise per week to see improvements.


Limit alcohol consumption: There is a clear link between alcohol and sleep apnea. Alcoholic beverages slow down the central nervous system, leading to a worsening of breathing in patients with OSA and CSA.


A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.


August 2023

How Dental Treatment Can Help with Sleep Apnea
Houston Sleep Solutions, August 4 2023

Do you constantly feel fatigued during the day despite getting the recommended 7-9 hours of sleep? Do you snore loudly or wake up gasping for air during the night? You may be one of the 22 million Americans affected by sleep apnea. The good news is that dental treatment can help manage this condition and improve your overall quality of life.


Sleep apnea is a serious and potentially life-threatening sleep disorder in which breathing repeatedly stops and starts during sleep. It can lead to high blood pressure, heart disease, diabetes, and other health issues. Traditionally, continuous positive airway pressure (CPAP) therapy is used to treat sleep apnea, which involves wearing a mask over the nose and mouth while sleeping to keep the airway open. However, many patients find this therapy to be uncomfortable and inconvenient.


Fortunately, dental treatment can offer an effective and more comfortable alternative for patients with mild to moderate sleep apnea. One common dental treatment is a custom-fit oral appliance, which is worn like a mouthguard while sleeping. The appliance helps to reposition the jaw and tongue to keep the airway open and reduce snoring.


Another dental treatment for sleep apnea is maxillomandibular advancement (MMA), which is a surgical procedure that involves moving the upper and lower jaws forward to increase the size of the airway. This treatment is typically reserved for patients with severe sleep apnea who have not responded well to other therapies.


Clinical studies have shown that oral appliance therapy is an effective treatment option for reducing symptoms of sleep apnea, including snoring, daytime sleepiness, and fatigue. In addition, it can also improve the overall quality of life for both the patient and their bed partner.


If you suspect that you may have sleep apnea, it’s important to seek diagnosis and treatment from a healthcare professional. If dental treatment is an appropriate option for you, your dentist can work with you to create a custom-fit oral appliance or refer you to an oral surgeon for MMA. With proper care and maintenance, dental treatment can help manage your sleep apnea and lead to a better night’s sleep. Don’t let sleep apnea disrupt your life – consult with your dentist to see if dental treatment is right for you.

A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.


July 2023

Can Sleep Apnea Cause Nightmares?
Covington Sleep Center November 5, 2022


Getting a good night’s rest can be challenging if you have untreated sleep apnea. Contrary to common belief, it’s more than just loud snoring. There are 3 types of sleep apnea, but the most prevalent form is caused by an obstruction in the upper airway from the soft tissues in the back of the mouth collapsing. Obstructive sleep apnea (OSA) can increase your risk of potentially deadly health complications, but signs of the breathing disorder can be difficult to detect. Believe it or not, sleep apnea nightmares are real. Your bad dreams may be a sign of something more than an overactive subconscious mind.


Connection Between Sleep Apnea and Nightmares

Sleep apnea causes frequent breathing disruptions throughout the night from an obstruction in the airway. Each pause in breathing depletes your body of oxygen. Over time, fluctuating oxygen levels can lead to several health issues, like cardiovascular disease, diabetic complications, and morning headaches.


Every time you stop breathing, your brain will jolt you awake, which is why you may wake up choking or gasping for air. This interrupts your sleep cycle. Over time, sleep deprivation can occur, increasing your risk of workplace and auto accidents. Your mental health can decline as you deal with difficulty concentrating, memory loss, and depression. The Journal of Clinical Sleep Medicine reports that 70% of people with sleep apnea have depression symptoms. 


Researchers have found that 28% of patients with depression experience frequent nightmares. Bad dreams are among the strongest indicators of depression, but that’s not the only connection to sleep apnea. Interruptions in breathing cause stress throughout the body, which can manifest into more vivid, unusual, or frightening dreams. It’s not uncommon for the severity of nightmares to increase as time goes on. 


You don’t have to toss and turn all night from frightening images. Treating your sleep apnea can be the solution you need to dream peacefully and support your physical and mental health.


Options for Treating Sleep Apnea

After a sleep study confirms a diagnosis, your healthcare professional will recommend sleep apnea therapy, which can include:



With the right treatment, you’ll sleep soundly knowing you’re protecting your wellness, so you can look forward to more pleasant dreams. 

A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.


What Does It Feel Like To Have Sleep Apnea?
New Jersey Snoring Solutions 11/19/2020


Sleep apnea is what some doctors describe as a “silent” disease, meaning it is not obvious when looking at you that you are coping with a debilitating medical disorder. You could have sleep apnea and not be aware of it — perhaps you experience vague or mysterious symptoms but don’t connect them to a sleep disorder.


Dr. Ivan Stein feels a duty and responsibility to bring awareness to sleep apnea and what it feels like to live with the condition. With his sleep apnea expertise, he can help you get diagnosed and find an appropriate treatment solution.


Read on as Dr. Stein paints a picture of what life is like with this serious sleep condition.


Daytime Exhaustion Despite a Full Night of Sleep

If you have sleep apnea, you may feel chronically exhausted no matter how much sleep you’ve had. Some people with sleep apnea describe barely staying awake during the day, or actually dozing off at inappropriate times (i.e., in a work meeting or while caring for their kids).


It’s the quality — not the quantity — of your nighttime sleep that causes extreme exhaustion. The repeated cessations in your breath at night disrupt your normal sleep cycle. Depending on the severity of your case, you may stop breathing hundreds of times during the night. These cessations (“apneas”) prevent you from getting the deep sleep your body needs so you can properly function the next day.


Morning Headaches and Sore Throat

People with sleep apnea often mention waking up regularly with a headache, dry mouth or sore throat. Obstructive sleep apnea means the airway is partially or completely blocked during sleep. This reduces the amount of oxygen in the blood that is transported to the brain, and increases the amount of carbon dioxide in the blood. Elevated levels of carbon dioxide dilate the blood vessels in the brain, causing the pain we know as a headache.


Studies have also shown a correlation between sleep apnea and inflammation of the upper airway, which explains why you may frequently wake up with a sore throat in addition to a headache.


Trouble Concentrating and Memory Problems

If you have obstructive sleep apnea, you may notice it impairs some of your cognitive function. The chronic lack of quality sleep makes it difficult to concentrate, and can interfere with your memory. You might find that you can’t concentrate for long periods at work, or you need to write yourself reminders for everyday tasks.


The Clues Are Subtle

A shared observation among many sleep apnea patients is that the clues of the condition are insidious. Sometimes symptoms develop so gradually that it is difficult to notice a pattern. Or, depending on age or lifestyle factors, it might be easy to rationalize symptoms like memory loss or fatigue.

A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.


Understanding Obstructive Sleep Apnea and How Your Dentist Can Help
Houston Sleep Solutions June 30, 2023


Obstructive sleep apnea (OSA) is a serious sleep disorder characterized by repeated breathing interruptions while asleep, which can lead to serious health complications if left untreated. This sleep disorder can affect your quality of life, your productivity, and your overall health and well-being. The good news is that you can collaborate with dental professionals to find the best possible solutions to help improve breathing and alleviate symptoms. In this blog, we’ll explore what obstructive sleep apnea is, how it’s diagnosed, what the common symptoms are, and what your dentist can do to help. 

WHAT IS OBSTRUCTIVE SLEEP APNEA?

Obstructive sleep apnea is a sleep disorder that occurs when your airway is blocked repeatedly during sleep, causing you to stop breathing. During an apnea episode, the muscles in your throat relax and your airway narrows or closes, resulting in reduced or complete lack of airflow. You may experience short interruptions in breathing throughout the night, which can lead to low oxygen levels in the blood, potentially leading to long-term health risks like heart disease, stroke, hypertension, or other disorders.


WHO IS AT RISK?

OSA can affect anyone, but it’s most common in people who are overweight, middle-aged, or older. Men have a higher risk of developing OSA than women. Additional factors and health conditions linked to OSA include genetics, smoking, alcohol consumption, nasal congestion, and hypertension.


WHAT ARE THE SYMPTOMS OF OBSTRUCTIVE SLEEP APNEA?

The most common symptoms of OSA include loud snoring, chronic daytime fatigue, periodic interruptions in breathing, restless sleep, frequent awakening, insomnia, morning headaches, dry mouth or sore throat upon waking, and a general feeling of discomfort or malaise. If left untreated, OSA can increase the risk of developing serious health complications like heart attack, stroke, or diabetes.


HOW CAN YOUR DENTIST HELP?

An increasing number of people with OSA are turning to their dental professionals for treatment and advice. Dentists can help detect OSA, advise upon the right treatment, and provide therapy for obstructive sleep apnea using oral appliances. Oral appliances are a great alternative to Continuous Positive Airway Pressure (CPAP) therapy and work by keeping the airway open during sleep. These custom-fitted devices help keep your jaw in a forward position to prevent soft tissues from obstructing the back of the throat.


Obstructive sleep apnea is a critical sleep disorder that can lead to long-term health consequences if left undiagnosed or untreated. A collaborative approach between your dentist and physician can help you manage this disorder and improve your sleep quality, daily energy levels, and overall health. If you think you may be experiencing the symptoms of OSA, talk to your dentist today, and he or she will most likely refer you to an experienced sleep specialist or a physician to get a proper diagnosis and treatment plan. Remember, good dental care extends beyond maintaining healthy teeth and gums – it can help improve your quality of life by identifying and addressing sleep issues, too.

A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.


Can Sleep Apnea Be Hereditary?
Covington Sleep Center March 15, 2023

Sleep apnea is a sleep disorder that causes breathing interruptions during sleep. These pauses in breathing can last from a few seconds to minutes and can occur multiple times throughout the night. Sleep apnea affects millions of people, with many cases left undiagnosed. However, sleep deprivation is not the only concern, as untreated sleep apnea can lead to other health issues. Since many conditions can be genetic, you may be wondering if the same goes for sleep apnea. Continue reading to learn if this sleep condition can be hereditary.

What Genetic Factors Contribute to Sleep Apnea?

There are several kinds of sleep apnea with obstructive sleep apnea (OSA) being the most popular. This chronic condition can be influenced by a variety of health and lifestyle choices, including:


How Can I Lower My Risk of Sleep Apnea?

Despite genetic factors that can increase your risk of developing sleep apnea, there are numerous steps you can take to lower the likelihood of developing this condition, such as:

Maintain a healthy body weight – This can be done by eating a diet rich in vitamins and nutrients, avoiding unhealthy foods, and getting lots of exercise.

Make healthy lifestyle choices – Opt for healthy lifestyle habits that encourage proper breathing while sleeping, such as avoiding excessive alcohol consumption before bedtime and refraining from smoking or using tobacco products.

Be mindful of sleep disruptions – Be mindful of factors such as the amount of light in the room, higher temperatures, pet dander, seasonal allergies, and other similar issues that could be disrupting your sleep.

Wear oral appliances – In case of dental misalignment, using oral appliances can help in realigning your jaw, thus improving the airflow. Additionally, you can try sleeping on your back instead of your side to facilitate smoother breathing.

A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.


June 2023

5 Common Signs of Sleep Apnea You Shouldn’t Ignore

CLICTA DIGITAL AGENCY MARCH 2, 2023


Sleep apnea is a condition that affects millions of people around the world, but many are not aware they have it. Sleep apnea occurs when breathing stops and starts repeatedly during sleep. If left untreated, it can have serious consequences on your health and quality of life. Here are five common signs of sleep apnea that you shouldn’t ignore.


Loud Snoring

One of the most common signs of sleep apnea is loud snoring. While snoring itself is not necessarily a sign of sleep apnea, it can be an indication that you’re experiencing breathing difficulties during sleep. Snoring is caused by the vibration of the tissues in the throat when air is restricted from flowing freely. If your snoring is loud and disruptive, it’s important to discuss this with your healthcare provider.


Gasping for Air During Sleep

Another common sign of sleep apnea is gasping for air during sleep. This can be alarming for both you and your partner. It happens when the airway is blocked, and you’re not getting enough oxygen. Gasping for air can disrupt your sleep and cause you to feel groggy or tired during the day.


Daytime Fatigue

If you’re experiencing excessive daytime fatigue, it could be a sign of sleep apnea. When your breathing is repeatedly interrupted during sleep, your body is not getting the rest it needs to function properly during the day. You may find yourself struggling to stay awake, feeling irritable, or having difficulty concentrating.


Morning Headaches

If you’re waking up with headaches, it could be a sign of sleep apnea. The lack of oxygen during sleep can cause headaches in the morning. If you have headaches in the morning and it’s combined with other sleep apnea symptoms, it’s important to speak with a healthcare provider to determine if you have sleep apnea.


Mood Changes

Sleep apnea can also cause mood changes. Irritability, anxiety, and depression are common in people with sleep apnea. This is due to the lack of quality sleep, which can cause a disruption in mood and emotional regulation. If you’re experiencing mood changes along with other sleep apnea symptoms, it’s important to speak with a healthcare provider.


If you’re experiencing any of the above symptoms, it’s important to seek medical attention. There are treatment options available to help manage sleep apnea and improve your quality of life. Don’t wait until it’s too late, contact our sleep apnea treatment center if you suspect you have sleep apnea. A sleep study is often recommended to diagnose sleep apnea, and your healthcare provider can refer you to a sleep specialist for further evaluation and treatment.

If you have been diagnosed with sleep apnea, there are several treatment options available to you, including continuous positive airway pressure (CPAP) machines, oral appliance therapy, and surgery. Your healthcare provider will work with you to determine the best course of treatment for your individual needs. The most important thing is to seek medical attention as soon as possible if you suspect you have sleep apnea. With proper treatment, you can manage sleep apnea and improve your overall health and well-being.

A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.


A Guide to Sleep Apnea Treatment Options from a Dental Perspective
Houston Sleep Solutions, June 9 2023

Sleep apnea is a common sleep disorder that affects millions of people worldwide. It is characterized by brief pauses in breathing during sleep, which results in sleep disturbances, daytime fatigue, and respiratory problems. As a dental patient, you may not be aware that your dentist can play a crucial role in treating sleep apnea. In this blog post, we will discuss various sleep apnea treatment options from a dental perspective.

1. Oral Appliance Therapy: Oral appliance therapy is a popular treatment option for mild to moderate sleep apnea. It involves the use of a custom-made oral device that fits over the teeth and advances the lower jaw to keep the airway open during sleep. This device resembles a mouthguard and is comfortable to wear. Oral appliance therapy is a non-invasive, easy-to-use, and effective alternative to the more common Continuous Positive Airway Pressure (CPAP) therapy.

2. Surgery: Surgery is another treatment option for moderate to severe obstructive sleep apnea. Surgery aims to remove the excess tissue from the throat or correct structural abnormalities that cause sleep apnea. Dental surgery, such as maxillomandibular advancement, involves moving the upper and lower jaws forward to enlarge the airway. Surgery may also include the removal of adenoids or tonsils or the treatment of nasal airway obstructions. However, surgical intervention has a longer recovery time and a higher risk of complications than other treatments.

3. Weight Loss: Obesity is one of the leading risk factors for sleep apnea. Losing weight may reduce the severity of sleep apnea or eliminate it altogether. Studies have shown that reducing body weight by just 10% can significantly improve sleep apnea symptoms. Your dentist can work with your primary care physician to develop a weight loss plan that targets your specific needs and goals.

4. Sleep Hygiene: Sleep hygiene refers to the habits and practices that promote good sleep quality. Improving your sleep hygiene can complement other sleep apnea treatments and enhance their effectiveness. Examples of good sleep hygiene practices include setting a regular bedtime and wake-up time, avoiding caffeine and alcohol, keeping an optimal sleep environment, and reducing screen time before bed.

5. Positional Therapy: Some people only experience sleep apnea when sleeping on their backs. Sleeping on the side may help in reducing snoring and mild apneas. Positional therapy involves using special devices to keep the body in the side position while sleeping. Dentists can recommend dental appliances and positioning pillows as treatment options to reduce the symptoms of positional sleep apnea.

If you suspect that you have sleep apnea, seeking treatment from your dentist can be integral to your recovery. Your dentist will conduct a comprehensive evaluation to assess your condition and develop a customized treatment plan that best suits your needs. People with different severities of sleep apnea require different therapies; and thus, working with a healthcare professional is key to curbing sleep apnea symptoms. Don’t suffer – speak to your dentist today!

A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.


Strokes and Sleep Apnea: Understanding Your Risk
Submitted by New Jersey Snoring Solutions on Mon 04/24/2023 - 09:00

Sleep apnea is a common sleep disorder that can lead to low oxygen levels and diminished sleep quality. There are many well-known symptoms associated with sleep apnea, such as snoring, but did you know this disorder is linked to other serious health conditions? One of these conditions is stroke. Below, Dr. Ivan Stein and Dr. Allan Stein explain how sleep apnea may increase your risk of stroke.


Sleep Apnea and Stroke: The Connection

Sleep Apnea causes breathing to stop and start repeatedly during sleep, and the disorder can leave you feeling tired the next day, even after getting a full night’s rest. The most common type of sleep apnea, obstructive sleep apnea, occurs when the airway collapses while a person is sleeping, raising the risk of stroke. Additional factors include:

Reduction in blood flow: The flow of blood to the brain can result from the repeated collapse of the airway, which causes negative air pressure in the chest.

Decreased oxygen: Obstructive sleep apnea can result in blood not carrying sufficient oxygen (oxygen saturation). This leads to changes in the blood vessels of the brain.

Other risk factors leading to stroke: As mentioned earlier, obstructive sleep apnea is linked to other serious health conditions, such as diabetes, heart disease, and high blood pressure. These conditions may increase the risk of stroke.

Impact on heart structure: A hole in the heart may occur in patients with obstructive sleep apnea. This condition increases the patient’s risk of stroke.


The more severe the sleep apnea, the more likely the risk of stroke. There are three sleep apnea severity levels: mild, moderate, and severe. In mild obstructive sleep apnea, a person may experience 5 to 14 episodes of disrupted breathing per hour. Typically, other symptoms, such as a sluggish feeling the next day, are not noticed in these cases. Moderate severity describes patients with 15 to 30 episodes per hour, and daytime symptoms are more noticeable. Severe obstructive sleep apnea greatly impacts patients’ daily lives, as they suffer from more than 30 abnormal breathing episodes per hour.


Can a stroke occur while sleeping?

The short answer is yes — a stroke can occur during sleep. This condition is referred to as a “wake-up” stroke and is defined by an individual that falls asleep normally but wakes up feeling like they have suffered a stroke.


Sleep Apnea Treatment

If you think you may have sleep apnea and are worried about the increased risk of stroke and other serious health conditions, it is time to take action.  A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.


May 2023

How Dental Treatment Can Help With Sleep Apnea
Houston Sleep Solutions, May 26 2023

Sleep apnea is a common sleep disorder that affects millions of people worldwide. If you or your partner is experiencing loud snoring, frequent waking up during the night, or feeling tired even after a night’s rest, it’s important to seek treatment. One way to manage sleep apnea is through dental treatment, which can help to reduce symptoms, prevent complications, and improve your quality of life. In this post, we’ll explore how dental treatment can help with sleep apnea and what you can expect from the process.


Dental treatment for sleep apnea involves the use of oral appliances that are designed to open up the airway and improve breathing during sleep. These appliances are custom-made to fit your mouth and are worn during the night, similar to a mouthguard. Unlike a mouthguard, they are specifically designed to manage sleep apnea and work by repositioning the jaw, tongue, and soft tissues in the mouth to keep the airway open. This prevents the collapse of the airway that causes snoring and breathing pauses during sleep.


The benefits of dental treatment for sleep apnea are numerous. Firstly, it can help to improve sleep quality, which can lead to better mental and physical health outcomes. Secondly, it reduces the risk of complications associated with sleep apnea, such as high blood pressure, heart disease, and stroke. Additionally, it can help to improve daytime functioning, such as reducing fatigue and increasing productivity. These benefits are particularly relevant for those with mild to moderate sleep apnea, where dental treatment can be a viable alternative to other treatments, such as Continuous Positive Airway Pressure (CPAP) therapy.


The process of getting dental treatment for sleep apnea involves a consultation with a qualified dental professional, such as a dentist or orthodontist. During the consultation, the dental professional will assess your symptoms and recommend the most appropriate treatment approach. They will also take impressions of your mouth, which will be used to create your custom-made oral appliance. Once the appliance is ready, you will return to the dental office for a fitting, where any necessary adjustments will be made to ensure a comfortable and effective fit.


One of the advantages of dental treatment for sleep apnea is that it is non-invasive and has minimal side effects. However, like any treatment approach, it may take some time to get used to. You may experience some mild discomfort or soreness in the jaw or teeth in the first few days of wearing the appliance. However, this usually subsides quickly, and most people report feeling more comfortable within a week. It’s also important to maintain good oral hygiene practices while using the oral appliance to reduce the risk of oral health issues.


In summary, dental treatment for sleep apnea is an effective and safe option for managing sleep apnea symptoms. It can help to improve sleep quality, reduce the risk of complications, and improve daytime functioning. While it may take some time to get used to wearing an oral appliance, most people find it a comfortable and convenient treatment option. If you think you may have sleep apnea, speak to your dental professional to learn more about dental treatment options and find the right treatment approach for you.


A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.


What’s the correlation between sleep apnea and heart disease?
July 16, 2022 by Karin Mohs, NP, PPG – Cardiology.

Sleep apnea is an often underdiagnosed, potentially serious sleep disorder in which breathing repeatedly stops and starts, resulting in sudden drops in blood oxygen levels. If left untreated, sleep apnea can cause high blood pressure and put an individual at an increased risk for diabetes, heart attack, stroke and heart arrhythmias. In fact, if you’ve been diagnosed with heart failure, untreated sleep apnea can contribute to your heart disease progression.

At-risk populations

Multiple observational studies have found that heart failure accompanied by sleep apnea is associated with a worse prognosis than heart failure alone. The prevalence of sleep apnea may be as high as 50% among all patients with heart failure. Additionally, individuals who are male, overweight, have large neck circumference, narrow airways, smoke, use alcohol or sedatives, and have been diagnosed with high blood pressure, diabetes, stroke or COPD are all at a higher risk of sleep apnea.

Signs and symptoms

Often, patients attribute the below symptoms to diuretic medications when, in reality, what they are experiencing and feeling could be related to untreated sleep apnea. Some common indications or symptoms of sleep apnea include:

Your doctor will likely order a sleep study to determine if you have sleep apnea. In many cases, a home sleep study is adequate, but an in-lab study may be necessary if you have severe heart failure or have recurrent admissions for heart failure. This happens because heart failure patients are more prone to central sleep apnea (where the brain doesn’t signal the breathing muscle to contract) rather than the more common obstructive sleep apnea (where an individual’s upper airways become blocked due to normal nighttime muscle relaxation). The in-lab study helps monitor brain wave activity to see which type of sleep apnea you might have.

Treatment

There are several treatment methods for sleep apnea. If your provider suspects sleep apnea, you will likely meet with a sleep specialist who will read your sleep study and recommend the best course of treatment for you. A pressure therapy machine (or CPAP) is the gold standard and has proven effective at treating sleep apnea. Studies show that a CPAP device may also improve heart failure-related outcomes in patients with persistent sleep apnea. Along with sleep apnea treatment, taking your medications, exercising, and watching your sodium and fluid intake are critical components of your overall heart failure management.  

Final thoughts

It’s extremely important you understand sleep apnea’s effect on your body. Every time sleep apnea causes your oxygen levels to decrease due to closed airways or shallow breathing; your body reacts by releasing adrenaline. This adrenaline spike elevates your blood pressure and heart rate, which is particularly concerning with heart failure patients as we attempt to lower your heart rate and decrease the strain on your heart. While you may be doing everything right during the day (diet, exercise, medication), if you have untreated sleep apnea, you take a giant step backward every night. So, if you’re struggling to get a good night’s sleep and have been diagnosed with heart failure, please speak with your primary care provider or cardiologist.

A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.

The best habits for those with sleep apnea
Parkview Health, April 19, 2023

A sleep apnea diagnosis indicates that breathing stops for short periods during sleep. When you stop breathing or have reduced airflow into your lungs, you don't get quality, restorative rest, and can often feel tired during the day. The oxygen levels in your blood may go down, and carbon dioxide levels go up. Over time, these deficits can lead to other problems, such as high blood pressure and heart disease.

Diagnoses

Sleep apnea can range from mild to severe, based on how often breathing stops over the course of the night. For adults, breathing may stop as few as five times an hour (mild apnea) or as many as 30+ times an hour (severe apnea). These numbers are typically identified by completing an in-home sleep study.

Obstructive sleep apnea is the most common type, and often occurs because your airways are partly or entirely blocked.

Helpful habits

Making changes to your sleep routine can aid in alleviating the effects of obstructive sleep apnea. Here are some changes to consider:

Sleep on your side. This may eliminate mild sleep apnea. Try this trick: Sew a pocket in the middle of the back of your pajama top. Put a tennis ball into the pocket and stitch it shut. This will prevent you from moving onto your back while you sleep.

Raise the head of your bed. Put bricks under the legs of the bed to raise the head 4 inches (10 cm) to 6 inches (15 cm). You can also use a special pillow (called a cervical pillow) when you sleep, which will keep your head in a position and reduce sleep apnea. Unfortunately, using regular pillows to raise your head and upper body won't work.

Sleep in your CPAP every night. If you are using a continuous positive airway pressure (CPAP) machine to help you breathe, don’t miss a night. If you don't wear it all night, every night, your symptoms will return and not resolve.b

Your doctor may also suggest that you use a breathing device to keep your airways open while you sleep. This could be a device that you put in your mouth, or strips or disks placed on your nose.

Lifestyle shifts for sleep

You can make some adjustments to your daily routine to help treat obstructive sleep apnea. Consider:

Losing weight – Weight loss should be part of managing sleep apnea if you are overweight. If you are struggling to make progress, nutritional counseling, daily activity and pursuing professional insights may help.

Limit the use of alcohol and medicine – Drinking alcohol or taking certain medicines, especially sleeping pills, opioids or sedatives before sleep can make symptoms worse.

Get plenty of sleep – Apnea episodes may be more frequent when you aren’t prioritizing or making enough time in your routine for sleep.

Quit smoking – The nicotine in tobacco relaxes the muscles that keep the airways open.

Treat breathing problems promptly – Things like a stuffy nose caused by a cold or allergies can aggravate apnea.

Wear compression stockings (if your doctor recommends them) – People who have sleep apnea and tend to have swelling in their lower legs and ankles may get some relief by wearing compression stockings during the day. Doing so can prevent a buildup of fluid and swelling of the tissues in the nose and throat at night.

When to call a doctor

Watch closely for changes in your health, and be sure to contact your physician if:

A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.

April 2023

Is Sleep Apnea Related to Depression?

Sleep apnea is associated with many serious conditions, including depression. Millions of people suffer from this life-threatening condition, which may be linked with untreated sleep apnea. Although the sleep apnea depression link is complex, it’s thought that people with depression may be more likely to suffer from obstructive sleep apnea (OSA), the most common form of sleep-disordered breathing.

It can be challenging to get a proper diagnosis since sleep apnea and depression share common symptoms like fatigue, lack of energy, difficulty concentrating, memory loss, sexual dysfunction and loss of interest in hobbies or activities. Depression may cause sleep apnea symptoms to surface and sleep apnea could also contribute to or worsen depressive symptoms. Because each person is different, some people might notice symptoms of depression before they notice that they’re having symptoms specific to sleep apnea like loud snoring or nighttime gasping and choking. If you are having any of these symptoms, talk to your doctor right away and ask to be screened for sleep apnea.

If your doctor feels sleep apnea could be the issue, they will refer you to a sleep specialist for a sleep study, either in a sleep lab or even in your own home. During the test, sensors will collect your sleep data, and a sleep specialist will analyze this data to determine whether you need to proceed with sleep apnea treatment. If so, they will help you select the best treatment option.

A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.


How Dental Mouthguards Provide Relief to Sleep Apnea Patients
Houston Sleep Solutions, April 14 2023

Sleep apnea is a serious sleep disorder that affects millions of people worldwide. It is characterized by repeated episodes of breathing disruptions during sleep. This can lead to a host of health problems, including high blood pressure, stroke, heart disease, and diabetes. The most common treatment for sleep apnea is Continuous Positive Airway Pressure (CPAP) therapy. However, many patients find CPAP machines cumbersome and uncomfortable to wear. This is where dental mouthguards come in as an alternative solution to provide relief to sleep apnea patients.

WHAT IS A DENTAL MOUTHGUARD AND HOW DOES IT WORK?

A dental mouthguard is a custom-made device that is worn over the teeth while sleeping. It is designed to hold the lower jaw in a slightly forward position, creating more space at the back of the throat. This prevents the tongue and soft tissues from collapsing and obstructing the airway.

HOW EFFECTIVE ARE DENTAL MOUTHGUARDS IN TREATING SLEEP APNEA?

Numerous studies have shown that dental mouthguards are highly effective in treating mild to moderate sleep apnea. They are also effective in reducing snoring, which is a common symptom of sleep apnea. In fact, some patients find dental mouthguards more comfortable and easier to use than CPAP machines.

WHAT ARE THE TYPES OF DENTAL MOUTHGUARDS AVAILABLE?

There are two types of dental mouthguards available for sleep apnea treatment – Mandibular Advancement Devices (MADs) and Tongue Retaining Devices (TRDs). MADs work by repositioning the lower jaw forward and are the most commonly used type. TRDs work by holding the tongue forward and are used for patients with severe tongue obstruction.

HOW ARE DENTAL MOUTHGUARDS MADE?

Dental mouthguards are custom-made by a dentist or a sleep specialist. The patient’s dental impressions are taken and sent to a dental laboratory where the mouthguard is fabricated. The mouthguard is then adjusted by the dentist to ensure a proper fit and maximum effectiveness.

WHAT ARE THE BENEFITS OF USING DENTAL MOUTHGUARDS FOR SLEEP APNEA TREATMENT?

Dental mouthguards are a non-invasive and cost-effective alternative to CPAP therapy. They are comfortable to wear and easy to use, making them a popular choice for patients. Additionally, they are lightweight and portable, making them ideal for travel. Dental mouthguards also have a high compliance rate among patients, as they are less intrusive and do not require external power sources.

Dental mouthguards are a highly effective and comfortable treatment option for patients suffering from sleep apnea. They offer an easy-to-use and portable alternative to CPAP machines. By holding the lower jaw forward, dental mouthguards prevent the tongue and soft tissues from collapsing and obstructing the airway, alleviating symptoms of sleep apnea. Patients who are interested in dental mouthguards should consult with their dentist or sleep specialist to determine if this treatment option is suitable for them.

A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.


Does Stress Aggravate Sleep Apnea?
Submitted by New Jersey Snoring Solutions on Sat 12/19/2020 - 09:00

Sleep and mental health are closely intertwined. When we don’t get enough sleep, our mood and outlook can be affected; and when we are coping with mental health issues, it is often more difficult to fall asleep and stay asleep.

In the case of stress and obstructive sleep apnea, experts believe there is a connection. Many people with sleep apnea also have elevated stress or anxiety levels. But according to Dr. Ivan Stein of New Jersey Sleep Apnea Solutions, it isn’t a straightforward cause-and-effect relationship. The dynamics are more complex, and the connection varies from person to person.

To learn more about the connection between stress and sleep apnea, read on.

The Link Between Stress and Sleep Apnea

Obstructive sleep apnea occurs because of anatomical abnormalities in the airway structures. During sleep, the soft tissues of the palate and tongue relax, partially or completely blocking the normal flow of air and causing breathing cessations.

Simply being stressed does not alter the anatomy of the airway, and will not lead to sleep apnea. However, some of the ways that we tend to cope with stress can increase the risk of sleep apnea or make sleep apnea worse.

For instance, during stressful periods of life, many people are tempted to self-medicate with alcohol or sleeping pills. Drinking can actually make sleep apnea worse by relaxing the muscles in the throat (which makes it more likely that the upper airway collapses). Sleeping pills and muscle relaxers have a similarly negative effect.

Another common way of coping with stress is to increase consumption of “comfort foods,” which are often high in fat, sugar or both. This is part of our bodies’ natural wiring: stress triggers the production of cortisol, a hormone that causes cravings for sugary, salty or fatty foods. But overeating or eating foods that are low in nutritional value can lead to weight gain, and weight gain can have a deleterious effect on sleep apnea. Gaining weight when the airway is already narrow can make it worse.

Dr. Stein urges you to resist self-medicating or overeating during stressful times. Instead, try other natural ways to manage stress such as practicing yoga, meditation or deep breathing exercises. And even in times of stress or uncertainty, make healthy eating and regular exercise a priority.

When Sleep Apnea Leads To Stress

Sometimes undiagnosed or untreated sleep apnea leads to stress or anxiety. It can be nerve-wracking to experience symptoms of sleep apnea (e.g., excessive daytime drowsiness, morning headaches, memory problems) and not know why. A sleep apnea diagnosis can send you into a tailspin of stress until you get treatment.

A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.


March 2023

Who Can Benefit from a Sleep Apnea Oral Appliance?

Houston Sleep Solutions, September 16 2022

People with poor or intermittent sleep who do not need or cannot manage CPAP are often the best candidates for an oral device. In some cases, even if you have severe sleep apnea, if you are not using your CPAP, you may consider trying an oral device instead.

The oral appliance works by holding your jawbone in place so your muscles don’t collapse and block your airway while you sleep. Untreated sleep disorders can lead to several health problems, so if you or your partner suspect you have sleep disorders, you should see Houston Sleep Solutions as soon as possible to begin the diagnostic process and treatment.

DENTAL APPLIANCE VS. CPAP FOR SLEEP APNEA

Although CPAP devices are often the first choice for treating people with obstructive sleep apnea (OSA), these devices have several drawbacks that can make them a less-than-ideal choice. These advantages include:

This appliance may not be the best choice if your sleep apnea is severe, but for those who are mild and moderate. it can work wonders. It is small and easy to carry, and it is not as noisy as CPAP. Your partner will also appreciate the quiet. As a bonus, it can also help with snoring.

Even after you get a sleep apnea mouthguard, your doctor may order a sleep study to see if it’s working. Follow-up care is essential to ensure proper treatment.

A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.


How Can I Tell if My Child Has Sleep Apnea?
Submitted by New Jersey Snoring Solutions on Sat 03/25/2023 - 09:00

Sleep apnea can affect people of any age, even children. Sleep apnea is a serious disorder. If you have children, it is important that you understand the signs that your child may have sleep apnea. In this blog, Dr. Ivan Stein and Dr. Allan Stein discuss how you can tell if your child has sleep apnea.    

What Is Sleep Apnea?

Sleep apnea is a sleep disorder that can cause breathing to repeatedly stop and start during sleep. Sleep apnea in children can impact their health and well-being. That is why early diagnosis and treatment is so important.

How To Tell if Your Child Has Sleep Apnea

The only way to know for sure if your child has sleep apnea is by talking to a doctor. As with adults, sleep apnea in children is diagnosed using a sleep study. However, sleep apnea often presents with a number of symptoms. If your child is experiencing any of the below symptoms, you should schedule a sleep apnea consultation.

Snoring

Snoring is the most common symptom of sleep apnea. If you personally notice that your child is regularly and loudly snoring, or if others in the household complain of your child’s snores, then they may have sleep apnea.

Irregular Breathing

Irregular breathing is also a sign of sleep apnea. If possible, observe your child while they sleep. If you notice that your child seems to stop/start breathing, makes choking or gasping noises or wakes up throughout the night to catch their breath, they may have sleep apnea.

Daytime Sleepiness

Irregular breathing and snoring can impact a child’s sleep cycle. Even if they “sleep” for an adequate duration, they may lack adequate restful sleep. This can cause them to be tired throughout the day.

Irritability

Sleep is important and a lack of adequate sleep can impact a person’s mood. If your child seems inexplicably irritable or displays other behavioral problems, sleep apnea may be the cause.

Bed Wetting

If your child’s brain is focused on breathing, it may ignore other signals, including those telling it to go to the bathroom. If your child is potty trained but begins wetting the bed, it may be a sign of another health issue like sleep apnea.

Complaints of Throat, Jaw, Head or Neck Pain

A child with sleep apnea may breathe through their mouth while they are sleeping instead of their nose. This can cause a number of issues when the child is awake. They may wake up with headaches or a sore, dry throat. They may also complain of pain in their jaw or neck.

If your children have symptoms of sleep apnea, please schedule a sleep apnea consultation with Dr. P. J. Nagjee by calling (310) 435-7939

Sleep Apnea Treatment Can Help Restore Your Memory

 Submitted by New Jersey Snoring Solutions on Wed 10/26/2022 - 09:00

Sleep apnea is a sleep disorder in which a person repeatedly stops breathing as they sleep. Obstructive sleep apnea occurs when the throat tissues and muscles relax and block the airway. Sleep apnea is a serious medical condition that can cause a number of health problems including memory issues. Luckily, early and effective sleep apnea treatment can actually help to restore your memory.

How Does Sleep Apnea Impact the Brain?

Repeated breathing pauses during sleep can interfere with the body’s ability to get enough oxygen to the brain. This lack of oxygen to the brain can actually lead to brain damage, dementia and memory issues.

Studies on Sleep Apnea’s Impact on Memory

The impact of sleep apnea on memory has been observed in numerous studies, including the following:

According to the Cleveland Clinic, researchers recently confirmed that those who had sleep-disordered breathing had an earlier onset of mild cognitive impairment compared with people who didn’t suffer from obstructive sleep apnea.

Another study published in the National Library of Medicine found that the presence of sleep-disordered breathing was associated with an earlier age at cognitive decline.

Sleep Apnea Treatment Can Help Restore Your Memory

There is hope for individuals suffering from memory issues related to sleep apnea. The same studies mentioned above also found that sleep apnea treatment can help restore your memory. The following insight is from the studies:

According to the Cleveland Clinic, researchers also found that people who treated their sleep breathing problems with a continuous positive airway pressure machine, or CPAP, were diagnosed with memory and thinking problems about 10 years later than people whose problems were not treated.

According to the study published in the National Library of Medicine, its findings suggest that CPAP treatment of sleep-disordered breathing may delay progression of cognitive impairment.

Sleep Apnea Treatments

The best time to treat sleep apnea is now. The doctors at New Jersey Sleep Apnea Solutions are experts at finding the right sleep apnea treatment to meet the needs of every patient. They offer a number of sleep apnea treatment options including oral appliances.

Learn More About Your Treatment Options

If you have been diagnosed with or suspect that you are suffering from sleep apnea, it’s time to learn about your treatment options.

A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.


Early Warning Signs You May Have Sleep Apnea

New Jersey Snoring Solutions on Tue 05/24/2022 - 09:00

Sleep apnea can present a number of symptoms early on. Recognizing them can help you secure a diagnosis and good treatment with as few health impacts as possible. Poor-quality sleep can have a huge impact on your metabolism, hormones and cardiovascular health if left unaddressed. It’s important to also note that obesity is a risk factor for sleep apnea. This is because excess fat in the neck and abdomen decreases the size of the airway and can obstruct breathing.

Additionally, be aware that men are more likely than women to suffer from sleep apnea. Individuals with diabetes should also be aware of an increased correlation with sleep apnea. Beyond this, let’s explore six early warning signs that you or a loved one may be struggling with sleep apnea.


1. Snoring, Breathing Pauses or Gasping During Sleep

Snoring, breathing pauses or gasping during sleep are common symptoms for people with sleep apnea. Why? These symptoms occur with sleep apnea due to upper airway obstruction. Louder snoring can indicate more advanced sleep apnea. If you sleep with someone else, they may notice snores alternating with gasps for breath. You may also kick or be restless during sleep as you struggle to breathe.


2. Fatigue During the Daytime

Many people with sleep apnea feel they have slept but experience fatigue and exhaustion during the daytime. You may find yourself nodding off while trying to work or watch television. This can also pose a risk of motor vehicle accidents while driving.


3. Hypertension

The American College of Cardiology reports that up to half of those with high blood pressure also have sleep apnea. When sleep apnea causes a pause in breathing, the sympathetic nervous system is triggered and causes a spike in blood pressure as well as stress hormone levels. When sleep apnea is treated appropriately, blood pressure often returns to normal.


4. Memory, Concentration and Mood Issues

Making mistakes or being less productive at work, being forgetful or struggling to concentrate are common side effects of poor-quality sleep. Unexplained mood swings may also accompany the feelings of fatigue during the day.


5. Sore Throat and Dry Mouth

Obstructive sleep apnea forces people to breathe through their mouths at night. A night of frequent mouth breathing causes the mucus membranes of the mouth and throat to become dry. This can sometimes cause a dry mouth or sore throat upon waking.


6. Headaches

Many patients with apnea report headaches upon waking. The exact cause is unclear, but it may be a result of decreased blood oxygen levels and blood vessels dilating in an attempt to compensate for low oxygen. The headaches often affect both sides of the head and tend to resolve within a few hours of waking.

A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.

 
Treatments for Snoring
Houston Sleep Solutions, October 14 2022

To treat your snoring, your doctor likely will first recommend lifestyle changes, such as:

For snoring accompanied by OSA, your doctor may suggest:

Oral appliances. They are custom-fit mouthguards that help improve the position of your jaw, tongue, and soft palate to keep airways open. If you choose to use oral appliances, you should work with your

You should also work with your sleep specialist to make sure the oral appliance is working as intended. A dental visit may be required at least once every six months for the first year and at least once a year thereafter, to be thoroughly examined in your oral health examination.

Excessive salivation, dry mouth, jaw pain, and facial discomfort are possible side effects of wearing these devices.

Continuous positive airway pressure (CPAP). This technique involves wearing a mask or nasal pillow on your nose or mouth while you sleep. The mask directs pressurized air from a small pump next to the bed to your airways to keep them open while your CPAP (SEE-pap) relieves snoring and is often used to treat snoring when it is associated with OSA.

Although CPAP is a reliable and effective method of treating OSA, some people find it uncomfortable or have trouble adjusting to the sound or feel of the machine.

Upper airway surgery. There are many methods that aim to open the upper airways and prevent excessive narrowing during sleep through different methods. For example, in a procedure called uvulopalatopharyngoplasty (UPPP), you receive general anesthesia, and your surgeon closes and cuts tissue in your throat – a kind of facelift for your throat. Another technique called maxillomandibular advancement (MMA) involves moving the upper and lower jaw forward, which helps open the airway. High-frequency tissue ablation uses low-frequency radio frequency signals to soften tissue on the palate, tongue, or nose. A new surgical procedure called hypoglossal nerve stimulation uses stimulation placed on the nerves that control the movement of the tongue so that the tongue does not block the airway. The effectiveness of these surgeries varies, and response can be difficult to predict.


A Full Breath Center dentist will be able to help you determine if sleep apnea treatment is right for you. Please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.


February 2023

The Link Between Depression and Sleep Apnea

Have you been struggling with depression? Although there are many things that can cause depression, you should also be aware that there is a link between depression and sleep apnea, a serious sleep problem.

What Is Sleep Apnea?

In patients with sleep apnea, breathing is disrupted during sleep – this can happen hundreds of times during the night without you even realizing it. This, of course, makes it hard to get quality sleep, and you may find it difficult to get through the next day because you are simply exhausted. You may also have dry mouth or sore throat, morning headaches, and difficulty concentrating.

There are some factors that may increase your risk for sleep apnea. For instance, men are twice as likely to have it than women; it occurs more often in adults who are over 60; and if you are overweight you may have too much tissue around your upper airway, which can obstruct breathing and lead to sleep apnea.

What Is the Link Between Depression and Sleep Apnea?

Not getting a good night's sleep is enough to get you in a bad mood, but if you have sleep apnea it can do more than that. Consistently not getting enough sleep can start to change your brain activity, which affects your energy levels, which can make it difficult for your brain to fight off depression and anxiety. Fortunately, there are different options for treating sleep apnea to help your energy levels and your state of mind.

Although continuous positive airway pressure (CPAP) therapy is typically the first line of treatment, may patients find CPAP machines difficult to use. Oral appliance therapy is another option. An oral appliance is simply a plastic device you wear at night that helps to keep your airway open so that you can breathe freely and have an uninterrupted night of sleep.

How is sleep apnea affecting you and your quality of life? It is bad not only for your physical health but your mental health as well. To learn more about sleep apnea treatment from the Full Breath Solution dentist, please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.

Sleep Apnea Treatment with Dental Appliances
Houston Sleep Solutions, January 27th 2023

Sleep apnea is a medical condition that can cause a person to stop breathing while they sleep. It can lead to significant health problems, such as daytime fatigue, mood swings, and heart issues. If you’re having difficulty sleeping due to snoring or other symptoms of sleep apnea, you may want to consider dental appliances for treatment. Let’s take a look at the basics of sleep apnea and how it can be treated with oral appliances.

WHAT IS SLEEP APNEA?

Sleep apnea occurs when an individual’s throat muscles relax during sleep, allowing the tongue and soft tissue in the back of the throat to collapse and block the airway. This causes them to either partially or completely stop breathing for 10 seconds or more at a time throughout the night. When this happens, oxygen levels in the blood drop significantly, which causes them to wake up briefly in order to regain normal oxygen levels. These brief awakenings can occur many times each night without the person even realizing it; however, it still results in poor quality of sleep and untold damage on their overall health.

Sleep Apnea Dental Treatment

Fortunately, there are treatments available for those who suffer from sleep apnea. One such treatment is oral appliance therapy (OAT). OAT involves fitting an individual with a custom-made dental appliance that helps keep their airway open while they sleep by repositioning their jaw slightly forward or pushing down their tongue slightly so that it doesn’t block their airway during sleep. Oral appliances are effective at treating both mild and moderate forms of OSA, as well as snoring associated with OSA. The appliance fits comfortably over your teeth much like a retainer or mouthguard would; however, it is designed specifically for each patient’s individual needs so that it works most effectively for them.

ADVANTAGES OF ORAL APPLIANCE THERAPY

Oral appliance therapy offers several advantages over other forms of OSA treatment such as CPAP machines (continuous positive airway pressure). Unlike CPAP machines which involve wearing a mask connected to an airflow machine throughout the night, dental appliances are much more discreet and comfortable since they fit directly inside your mouth while you are sleeping. They also require less maintenance than CPAP machines since they don’t need any external power sources or filters changed out regularly; all you have to do is clean your appliance daily with toothpaste and water! Additionally, oral appliances are portable so if you travel often you won’t have to worry about lugging around a bulky machine wherever you go!

Sleep apnea can be a serious medical condition that affects millions worldwide; however, it doesn’t have to control your life if you get proper treatment right away! Oral appliance therapy is one effective form of treatment that offers numerous advantages over other forms such as CPAP machines including comfortability, portability, and ease of use/maintenance. If you’re considering getting an oral appliance for your own sleep apnea diagnosis or snoring issue make sure to consult with your doctor first in order to determine what type will work best for your individual situation! Thanks for reading–we hope this blog post has given insight into why dental appliances may be useful when treating sleep apnea!

To learn more about sleep apnea treatment from the Full Breath Solution dentist, please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.


Is Sleep Apnea Breaking Your Heart This Valentine’s Day?

If you suffer from sleep apnea, you know that the condition can make you tired, rundown, and exhausted. However, did you know that sleep apnea may also be breaking your heart? Valentine’s Day is about sharing love, so how about sharing some love with your heart by taking steps to manage your sleep apnea?

The sleep experts at Silent Night Therapy want to help you understand how sleep apnea can impact your heart health and what you can do to put a little love in your heart this Valentine’s Day.

How Does Sleep Apnea Hurt Your Heart?

Sleep apnea is a sleep disorder where a person’s breathing starts and stops periodically throughout the night. Obviously, sleep apnea impacts the quality of a person’s sleep and can cause daytime fatigue, drowsiness, and exhaustion. Many sleep apnea sufferers don’t know that the condition can lead to significant cardiovascular problems. How exactly does a sleep disorder impact cardiovascular health? Listen to your heart:

How does sleep apnea lead to significant heart conditions? Obesity may play a vital role in developing both heart disease and obstructive sleep apnea. An increase in fat deposits around the neck can block the upper airway, leading to obstructive sleep apnea. Obesity is also associated with an increased risk of developing cardiovascular diseases.

There is also evidence that repetitive disruptions in breathing may damage the heart and cardiovascular system by causing drops in a person’s blood oxygen level. Frequent changes in oxygen levels may stress the body and cardiovascular system, promoting systemic inflammation.

Managing sleep apnea with a CPAP machine or oral appliances can give you a more peaceful night’s sleep and may decrease your risk of cardiovascular complications.

Heal Your Heart This Valentine’s Day 

This Valentine’s Day, skip the flowers and candy and give yourself the gift of better sleep. 

Start your self-love journey with help from the sleep experts at Full Breath Solution, please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.

Why Patients with Sleep Apnea Should Continue Protecting Against COVID-19

Submitted by New Jersey Snoring Solutions on Mon 09/26/2022 - 09:00

While precautions against COVID-19 have diminished significantly since the virus’ arrival in the United States, there is no doubt that the coronavirus continues to spread amongst the population. As more and more people return to the office, ditch their masks and resume travel, you may be making your own decisions about what feels right for you and your health.

Multiple studies demonstrate that people who have sleep apnea are more vulnerable to COVID-19 and its effects. Here, the experts at New Jersey Sleep Apnea Solutions present some of the research so that you can make an informed decision about your health.

Increased Chance of Catching COVID-19

One study found that people with (untreated) sleep apnea were more likely to catch COVID compared to a control group without sleep apnea. Though the study can only show correlation and not causation, it would make sense that patients with respiratory issues are more likely to fall victim to an airborne virus. The good news is that patients who treated their sleep apnea significantly reduced their risks.

Infection Is More Severe

Another study found that the symptoms of sleep apnea patients were harsher overall. Those with sleep apnea were more likely to have extreme fever, muscle aches, fatigue, coughing, etc. In fact, 21% of people with sleep apnea who contracted COVID-19 had to be hospitalized — a rate much higher than  average.

Sleep Apnea Gets Worse after COVID-19

Not only does sleep apnea make coronavirus worse, but an infection can worsen the symptoms you experience for your sleep

apnea well after you start testing negative. According to the CDC, approximately one in five Americans (with and without sleep apnea) develop what is known as “long COVID” with lingering symptoms. This can exacerbate respiratory issues and heighten the fatigue an already-tired sleep apnea patient may feel.

Take Care of Yourself

With this information in mind, it is a good idea for patients with sleep apnea to continue taking precautions when it comes to COVID-19. Wear a high-quality mask (particularly when indoors and surrounded by many people) to lower your odds of contracting the virus. Getting vaccinated and boosted similarly lowers your risk of getting coronavirus and, just as importantly, dramatically reduces the odds that you will end up in the hospital. Ultimately, it’s your decision what kind of steps you want to take; but knowing your elevated risks may make that decision easier for you.

To learn more about sleep apnea treatment from the Full Breath Solution dentist, please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939.

January 2023

Is Sleep Apnea Jeopardizing Your Health?

 Submitted by New Jersey Snoring Solutions on Sun 12/25/2022 - 09:00

Obstructive sleep apnea is the most common type of sleep apnea. It occurs when the throat muscles relax and limit air passage during sleep. This can interfere with quality sleep and cause low oxygen levels. Many people think of sleep apnea as an annoyance because of its main symptom: snoring. However, sleep apnea can have serious life-threatening consequences. Here, Dr. Ivan Stein and Dr. Allan Stein at New Jersey Sleep Apnea Solutions discuss the ways that sleep apnea can jeopardize your health.

Increased Risk of Health Problems

As mentioned above, sleep apnea is more than just snoring. Sleep apnea is actually linked to a number of life-threatening conditions and other health problems including the following:

Sleep apnea isn’t just linked to an increased risk of life-threatening conditions; it can actually increase the risk of premature death. A number of studies have suggested a link between untreated sleep apnea and an increased risk of death. A recent study by Penn State College of Medicine found that sleep apnea is associated with an increased risk of cardiovascular mortality and all-cause sudden death.

Decreased Cognitive Functioning

Our brains need quality sleep to function properly. When sleep is repeatedly interrupted due to sleep apnea, that can impact cognitive functioning during the day. People with sleep apnea can have difficulty functioning at work or managing their home life due to being chronically tired. When a person suffers from sleep apnea, they often struggle with the following while they are awake:

Increased Risk of Accidents

Quality sleep is necessary for people to function properly during the day. Sleep apnea has been linked to an increased risk of accidents, including accidents on the job and motor vehicle accidents. Drowsy driving is a serious problem and can occur due to untreated sleep apnea. According to the Centers for Disease Control and Prevention, up to 6,000 fatal crashes each year may be caused by drowsy drivers. This creates a danger to everyone’s health and safety.

Contact The Full Breath Solution

Don’t continue to put your health at risk due to sleep apnea. Effective treatments are available. Our doctors at Full Breath Sleep Apnea Solutions are experts at treating sleep apnea. 

To learn more about sleep apnea treatment from the Full Breath Solution dentist, please make an appointment with Dr. P. J. Nagjee by calling (310) 435-7939. We are here to help!

How your CPAP machine could affect your oral health 

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.

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,( the Full Breath Solution Mouthpiece) which fits comfortably over the teeth, may be the answer to both your CPAP problems and your sleep apnea. 

To learn more about sleep apnea treatment from the Full Breath Solution dentist, Contact  the full Breath Center in Beverly Hills, CA for an appointment today, at 310-435-7939. 

December 2022

Why Better Sleep Should be Part of Your Resolutions
December 9, 2022

From working out more to quarreling less, all sorts of New Year’s resolutions might be in play for you in 2023. But whatever is on your New Year’s resolution list, achieving better sleep will make your other goals more realistic. In this article, you’ll learn why.

Improved Work Performance

If one of your 2023 aspirations is to boost your career, sleep can be your best friend. That’s because quality sleep improves workers’ performance and makes motivation less likely to fade throughout the day. 

Some people find that work stressors directly impact their ability to sleep. That may create a loop in which bad sleep contributes to poor work performance and vice versa. Should that apply to your situation, consider seeking schedule changes that make it easier to get enough sleep. Also keep in mind that sacrificing sleep to work longer hours is often counterproductive.

Easier Workouts

Does improved physical fitness appear on your list of goals for 2023? In that case, better sleep should appear on your list, too. Some studies have posited that people with inadequate rest are less likely to exercise. Therefore, waking up well rested will likely make it easier for you to pursue fitness-related goals. That’s true whether they involve hitting the gym or taking a hike in a scenic area like Colorado Springs.

Better Interactions with Others

When problems like sleep apnea reduce the quality of a person’s rest, those around them may feel the impact, too. Researchers have found that a bad night’s sleep makes myriad facets of getting along with people harder. Others’ emotions become more inscrutable, one’s own emotions become more unmanageable, and conflict resolution moves farther out of reach.

Fortunately, tackling problems like sleep-disordered breathing to boost your rest can improve interactions with the people in your life. Consequently, if building better relationships is on your roster  of 2023 to-dos, consider adding improving your sleep to the list.

Improved Health

One of the best resolutions anyone can make is to work toward better overall health. Sleep is the backbone of those efforts. For instance, raising your sleep quality may improve your immune system’s functioning and blood sugar regulation. Sleep also improves decision-making, so with more adequate rest, you’ll be likelier to choose healthy options.

Getting Started

Many different behavioral and environmental changes can increase your sleep quality. To find the best approach for you, an appointment with a professional may help. Sleep doctors can advise you on current problems and potential solutions, setting you up for a more restful 2023. 

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


Is Your Christmas Tree Making You Snore?
December 15, 2022

Does it seem like, around this time of year every year, you seem to snore more loudly and more intensely? Or maybe you only seem to snore around the holidays and no other time of year? Have you considered that it may be because of your Christmas tree?

Should you stop getting a Christmas tree?

Having either a live tree or a fake one could be causing your snoring or making it worse. A live tree can quickly and dramatically increase the level of mold in your home, and a fake tree may have dust, mold, or other debris on it. The bottom line is that you may be bringing allergens into your home when you set up your Christmas tree, and allergies can lead to a congested nose, which can lead to snoring.

And yes, one solution would be to stop getting a Christmas tree – but that doesn’t sound like any fun at all! As a matter of fact, it sounds pretty depressing. Instead of nixing the tree altogether, try these tips:

• Clean your tree off before you bring it into the house. You might try spraying your tree with a hose or even a spray bottle to get dust and debris off, or at least give it a good shake. If you spray it off, leave it outside to dry for a couple of days.

• Get rid of your tree within a week. Any more time than that in your home gives dust and mold a chance to accumulate, so take it down soon after Christmas.

• Store it carefully. If you have an artificial tree, take some time to store it properly. Use a waterproof container to protect it from getting dusty and moldy so that you don’t have to deal with allergies next Christmas.

Have you been snoring more than you used to? It may be allergies, it may be a problem with your nose or mouth anatomy, or it may be something else.

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

Does Sleep Apnea Cause Memory Loss?
Medically reviewed by Nick Villalobos, MD — By Catherine Crider on August 11, 2022 

“When was I supposed to be there?” “What did she say I should bring?” “Where did I put my keys?”

If you’ve been diagnosed with sleep apnea (or just noticed that you’re waking up a lot during the night and not feeling refreshed after sleep), you may feel like you’re asking these types of questions more frequently.

This can cause you to question whether there’s a connection between these lapses of memory and sleep apnea. You may also want to know if you should worry about more serious forms of memory loss, including Alzheimer’s Disease.

It’s important to discuss any medical concerns with your healthcare professional. This article offers information about sleep apnea and memory loss to help you prepare for this conversation.

What is sleep apnea?

Sleep apnea is a fairly common condition where an individual’s breathing pauses repeatedly while they sleep. This can cause the individual to wake frequently and not feel fully rested even after “sleeping” for a long time.

Sleep apnea is a sleep disorder that can be divided into two categories based on its cause: obstructive sleep apnea and central sleep apnea. While many individuals experience only one type of sleep apnea, some experience a combination of both.

Obstructive sleep apnea (OSA)

This is the most common type of sleep apnea and occurs when the airway becomes blocked or collapses while an individual is trying to sleep. Obesity, large tonsils, and changes in hormone levels can all increase the chance of OSA.

Central sleep apnea (CSA)

A different type of sleep apnea occurs when the brain does not send the signals needed to breathe. CSA can be caused by various health conditions that affect the brain’s control over the airway and chest muscles. Snoring or gasping in your sleep can be a sign of sleep apnea, especially if you’re experiencing daytime sleepiness or other signs of poor sleep.

If you believe that you have sleep apnea, your doctor may recommend a sleep evaluation.

Why does sleep apnea affect the brain?

Sleep is an important time to consolidate memories. Those with untreated OSA may find it hard to recall details from the past because their brain does not have sufficient time to consolidate or encode certain types of life memories with more frequent waking in the night.

Additionally, a lack of sleep can leave you feeling groggy or foggy. This can make it hard to think clearly or solve problems throughout the day.

Researchers analyzing the results of 42 studies found that individuals with untreated OSA were significantly impaired compared to others in their verbal episodic memory and visuospatial episodic memory.

Because people with untreated OSA may have difficulty recalling specific details about their lives, it can lead to depression. More research beyond this older 2011 study is needed to determine the extent to which treatment of sleep apnea can restore memories that have been lost.

Does sleep apnea lead to cognitive decline or Alzheimer’s?

Poor sleep can lead to cognitive decline and an increased risk of Alzheimer’s. Studies have shown:

Because there are treatment options available to help improve sleep apnea, the increased risk it poses for cognitive decline and Alzheimer’s may be modifiable. More research into the effect sleep apnea treatment has on the risk of cognitive decline or Alzheimer’s is still needed though.

If you have sleep apnea, you may wish to talk with your doctor about signs of cognitive decline and Alzheimer’s to watch out for, as early detection can be beneficial for treatment.

How do you treat sleep apnea?

Your doctor may suggest a variety of lifestyle changes if you’re diagnosed with sleep apnea. These can include:

While these lifestyle changes may not resolve your sleep apnea completely, they can help to decrease the severity of your sleep apnea and improve the quality of your sleep.

Your doctor may also suggest a breathing device to help provide air pressure to keep the airway open while you sleep. Some of the more common breathing devices include:

Alternatively, oral devices like mandibular repositioning mouthpieces and tongue retaining devices may be suggested to keep the airway open while you sleep. These are custom fitted and worn at night to prevent the jaw and tongue from blocking the upper airway.

Your doctor may also suggest orofacial therapy, which includes exercises to improve the position of your tongue and strengthens the muscles responsible for controlling the lips, tongue, upper airway, and face.

In some cases, surgery may be useful to correct a physical obstruction in the throat, but this is a less common treatment choice.

Takeaway

Sleep apnea can prevent you from getting a good night’s sleep and remembering everything you need to during your awake hours. (When were you supposed to meet up with that friend again?)

However, there are a variety of treatment options available for those with sleep apnea including breathing devices, lifestyle changes, and even, in some cases, surgery. These can assist you in getting a better night’s sleep and may help prevent memory issues.

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


October 2022

Is your CPAP machine hurting your teeth?
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:


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? 



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:


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:

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. 

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


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.

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



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:


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.

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


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.

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



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

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:

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.