This document discusses sleep disorders like snoring and sleep apnea. It notes that sleep is important for overall health and that sleep disorder breathing can affect people of various ages and body types. The document outlines symptoms of sleep apnea like excessive daytime sleepiness, hypertension, and acid reflux. It describes what snoring and sleep apnea look like physically in the airway. The document lists potential causes like enlarged tonsils/adenoids, tongue size, neck fat, smoking, and family history. It discusses the serious health effects of untreated sleep apnea like memory loss, headaches, cancer, and stroke. Finally, it presents common treatment options for sleep apnea like CPAP, BiPAP, and oral appliances

1. “Achieving Health Heights”
David C. Suh DDS
June 2013

2. “Life is a journey”

3. “Education is a continual journey with
unlimited resources”

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. DO YOU SNORE?

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. 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and different health conditions – typical profile is no longer valid: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. 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. 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. 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

13. 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.

15. Open Air Way
V.S.
Snoring

16. 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.

17. 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

18. ●
What snoring looks like

19. Obstructive Sleep Apnea (OSA) is a
situation in which the entire upper
airway is blocked causing air flow to
stop.

20. 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

22. 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

24. 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.

26. 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

29. 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.

30. 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.

31. OSA COMMON CONDITIONS
Memory Loss
Morning headaches
Irritability
Depression
Decreased sex drive
Impaired concentration
(Source: American Academy of Dental Sleep Medicine)

32. 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.

34. Hypertension
Stroke
Cancer
Heart attack
Sudden death while sleeping
(Source: American Academy of Dental Sleep Medicine)
OSA SERIOUS CONDITIONS

35. Treatment Options
●
CPAP- (continuous positive airway
pressure)
●
Bi-PAP
●
ORAL APPLIANCE

40. CPAP / BI-PAP

41. Bi- PAP

42. Oral Appliance
Lamberg Sleep Well
Adjustable Dorsal FDA approved

43. ●
Do I snore with a CPAP?

45. “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