Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Do you snore?


Published on

Educational informations on snoring and sleep apnea!

  • Be the first to comment

Do you snore?

  1. 1. “Achieving Health Heights” David C. Suh DDS June 2013
  2. 2. “Life is a journey”
  3. 3. “Education is a continual journey with unlimited resources”
  4. 4. “It is very easy to be a top 1%, because everyone wants to be mid 50%” L. D. Pankey “Do it RIGHT first time, then you don’t need to do it TWICE” L.D. Pankey
  5. 5. DO YOU SNORE?
  6. 6. Has someone ever told you that you snore, or stopped breathing in the middle of the night? Have you ever been told that you possibly have sleep apnea? Millions of people have been told that they snore or have sleep apnea and have never been properly diagnosed. Are you one of them?
  7. 7. SLEEP DISORDERS -Points - Past 20 years, importance of sleep has become more recognized as integral to overall health - Quantity of sleep is important; quality is more important - SDB (Sleep Disorder Breathing) affects people of all ages, genders, body types and different health conditions – typical profile is no longer valid: i.e., males, over 40, overweight, etc.
  8. 8. SLEEP DISORDERS EFFECTS The human body needs at minimum 7-8 hours of sleep per night. When the body is unable to do so it becomes extremely hazardous to your health. SDB related to some of most chronic, growing, deadly and costly diseases in the world: Heart disease Diabetes Hypertension Obesity Cancer Hypoxia (found in Sleep Apnea) results in 4.8x higher incidence of cancer mortality (Source: Wisconsin Sleep Cohort Study) Most people with diabetes have Sleep Apnea
  9. 9. Sleep Deprivation Sleep deprivation, or failure to get enough sleep can be caused by several things and has many severe medical consequences. Some of the side effects of sleep deprivation include: Irritability Confusion Memory problems Blurred Vision Diabetes Depression Anxiety
  10. 10. Most Common Symptoms SNORING Excessive Daytime Sleepiness Hypertension (High Blood Pressure) Other Symptoms Acid Reflux (GERD – Gastro Esophageal Reflux Disease) Morning Headaches Diabetes Sexual Dysfunction Social Problems Contributing Factors Obesity & Large Neck Circumference Menopause Mouth Breathing
  11. 11. What is Snoring? Snoring is simply the act of breathing, usually through an open mouth, in such a way as to cause vibration of the airway tissues. The reverberating tissues is what gives a loud, unpleasant sound. Snoring is not a diagnosable illness, but it is a medical symptom that millions of people suffer from. Snoring is the #1 sign/ symptom of Obstructive Sleep Apnea.
  12. 12. Open Air Way V.S. Snoring
  13. 13. Normally, air passes through the nose and past the flexible structures in the back of the throat such as the soft palate, uvula and tongue. During sleep the muscles relax but, normally, the airway stays open.
  14. 14. Snoring is created by the vibration of the pharyngeal soft tissues as air passes through an airway that is too small to allow for smooth air flow
  15. 15. ● What snoring looks like
  16. 16. Obstructive Sleep Apnea (OSA) is a situation in which the entire upper airway is blocked causing air flow to stop.
  17. 17. OSA is comprised of two types of events Breathing is impaired (hypopnea) or completely stopped (apnea) due to an obstruction in the upper airway. Diagnosis is made using the AHI: (Apnea Hypopnea Index) tells how many times per hour a person had a respiratory event. – Total number of Apneas + Hypopneas # of hours of sleep AHI 5-15 AHI 15-30 AHI > 30 Mild Moderate Severe
  18. 18. Pediatric OSA Pediatric Obstructive Sleep Apnea Usually caused because of enlarged tonsils and adenoids. Narrow maxillary arch and mouth breathing are contributing factors. Often seen in children who are smaller, less developed and underweight because of a disruption in the nighttime secretion of growth hormone. Complications of Obstructive Sleep Apnea in children ADD / ADHD • One study concluded that nearly 50% of ALL ADHD could be eliminated if children habitual snoring and sleep related breathing disorders were effectively treated. – Poor growth and development – Orthodontic problems – Increased chance of OSA as an adult
  19. 19. Enlarged Tonsils & Adenoids A common cause of snoring and sleep apnea in children. Large adenoids alone may promote more unhealthy mouth breathing. Large tonsils encroach on the oral pharynx from the side and cause obstruction leading to snoring and sleep apnea.
  20. 20. A large tongue can play a role in restricting the airway. A large tongue, when relaxed, is more likely to fall back and cause obstruction in the airway Tongue Uvula Airway Blocked Tongue Uvula Airway Blocked Tongue Uvula Airway Blocked
  21. 21. Excessive Fat in the Neck/ Throat Fat deposits and excessive fat in the neck or throat can cause a restriction leading to snoring and possibly sleep apnea. NOTE: A neck circumference of 16” or greater for women, and 17” for men indicates increased likelihood of airway obstruction due to neck size.
  22. 22. Smoking Smoking irritates tissues and causes inflammation of the airway and uvula which leads to a more restricted airway. The longer you smoke the smaller your airway becomes. The smaller the airway the higher chance of Sleep Apnea.
  23. 23. OSA COMMON CONDITIONS Memory Loss Morning headaches Irritability Depression Decreased sex drive Impaired concentration (Source: American Academy of Dental Sleep Medicine)
  24. 24. Family History Studies have shown that a family history of Snoring and OSA increase likelihood of occurrence. This is most likely due to genetic traits and upper airway/facial abnormalities that may be passed on.
  25. 25. Hypertension Stroke Cancer Heart attack Sudden death while sleeping (Source: American Academy of Dental Sleep Medicine) OSA SERIOUS CONDITIONS
  26. 26. Treatment Options ● CPAP- (continuous positive airway pressure) ● Bi-PAP ● ORAL APPLIANCE
  27. 27. CPAP / BI-PAP
  28. 28. Bi- PAP
  29. 29. Oral Appliance Lamberg Sleep Well Adjustable Dorsal FDA approved
  30. 30. ● Do I snore with a CPAP?
  31. 31. “It is very easy to be a top 1%, because everyone wants to be mid 50%” L. D. Pankey “Do it RIGHT first time, then you don’t need to do it TWICE” L.D. Pankey