Sleep Apnea Woburn

What Is Sleep Apnea?

There are two main types:

• Central Sleep Apnea: This type occurs when your brain doesn’t communicate properly with your breathing muscles while you’re asleep. This is the less common type, and usually requires a CPAP machine for treatment.
• Obstructive Sleep Apnea: OSA is more common than CSA, and occurs when the airway is blocked while sleeping at night. This blockage occurs because of the soft palate and tongue collapsing into the airway during sleep.
• DNA Oral Appliance: A DNA oral appliance is another option to treat mild to moderate obstructive sleep apnea. You’ll use this orthotic for a specified period of time and slowly make a permanent change in your jaw position, creating more room for your tongue and soft tissues.

If you have central sleep apnea, you will likely require medical intervention. However, obstructive sleep apnea can often be treated through less intrusive means, such as an orthotic device to keep your jaw and tongue in place while sleeping.

Symptoms

Obstructive sleep apnea occurs when the soft tissues of the throat collapse while you’re asleep, blocking your airway. The brain senses a lack of oxygen and sends signals to wake up. Sometimes people are aware of waking up and may do so abruptly, gasping for breath. Other times, though, they may only awaken subconsciously. It is possible to wake up multiple times throughout the night without even being aware that you’re waking up.

Symptoms to look out for that could include:

• Loud snoring
• Shortness of breath
• Waking up with a dry mouth or sore throat
• Headaches
• Insomnia
• Daytime drowsiness
• Difficulty concentrating
• Irritability

Since many sleep apnea sufferers are not aware of waking up throughout the night, it becomes important to monitor daytime symptoms. A partner may notice something’s wrong before the patient, especially if they are being woken up repeatedly due to loud snoring.

Untreated sleep apnea can have long-term consequences, which may include an increased risk for the following serious medical conditions:

• Hypertension
• Heart disease
• Cognitive disruptions

See a doctor as soon as possible if you or your partner thinks that you may have sleep apnea.

Risk Factors

You may be at risk due to genetics, lifestyle, or a combination of both. Typical risk factors can include:

• A family history
• Narrow airways
• Allergies or chronic congestion
• Being overweight or obese
• Excessive alcohol use
• Smoking
• Diabetes
• Metabolic syndrome
• Excessive use of narcotics or sleep aids

Leading a sedentary lifestyle, being overweight, and smoking are all significant risk factors for developing sleep apnea. In some cases, improving your overall health, losing weight, and quitting smoking can lead to sleep apnea being cured. You may need to use a CPAP or other treatment in the meantime, though.

Link Between Sleep Apnea and Obesity

Although not everyone with sleep apnea is overweight, a majority are. Excessive weight gain can cause excessive tissue to develop in the back of the throat, which then blocks the airway at night. This link between being overweight and having sleep apnea is well documented, and an accepted treatment option is losing weight.

We know that losing weight can be a difficult and time consuming process. An oral appliance can be used during your weight loss journey to help manage your symptoms, with the goal that eventually you will no longer need it since you will be at a healthy weight with normal amounts of soft tissue in the throat.

Even if your OSA is not completely cured through weight loss, your symptoms should become much less severe and you will be healthier overall.

Diagnosing

Usually, the first tip-off that a patient may have sleep apnea is loud snoring noticed by a significant other. If you live alone, you may not realize that you snore, though, making it a little more difficult to diagnose. In this case, you should take note of any symptoms you have in the daytime. If you are always tired despite going to bed at a reasonable hour, or if you notice increased irritability or lack of focus, see a doctor.

Diagnosis may be made on the basis of symptoms alone, or a doctor may want you to undergo a sleep study to determine the extent and severity of your OSA.

If you need a diagnosis, Dr. Clancy can refer you to a Board Certified Pulmonologist through Telemedicine for Sleep Medicine for a virtual or phone appointment at no charge. You can schedule an appointment for any time that’s convenient for you without waiting weeks for an appointment like traditional sleep clinics. If they determine you potentially have sleep apnea, they will recommend a home sleep study. The home sleep study is then shipped to you directly where you will take the test two consecutive nights in a row. Once you complete your two tests, you will ship it back to the Pulmonologist for an interpretation. They will then conclude your diagnosis over a video chat where you can ask questions and find out your next steps.

This option prevents patients from taking multiple visits to an office and allows them to take the test in the comfort of their homes. Please contact us to learn more.

Sleep Apnea Treatment

The two main types of treatment for sleep apnea are a CPAP machine or a special orthotic device used when sleeping. Which one you need is determined by a number of factors, including the type of sleep apnea you have and the severity of your sleep apnea.

• CPAP: CPAP stands for continuous positive airway pressure, and is a machine that uses air pressure to keep your airway open while sleeping. CPAP is generally the treatment of choice if you have central sleep apnea or if it is particularly severe.
• Oral Sleep Appliance: A specially fitted oral sleep appliance device worn at night can help to keep the jaw forward and your soft tissues in place. Orthotic sleep appliance devices are less cumbersome to use than a CPAP machine and are often the treatment of choice for patients with mild to moderate obstructive sleep apnea.

While a CPAP machine can be very effective, it does have a number of downsides. Many people find them hard to get used to, and as a result may not use them every night, thus negating their benefit. In addition, CPAP machines are loud, which can cause problems for your partner. If you are a restless sleeper or have trouble falling asleep, it can be almost impossible to use a CPAP correctly.

For some people, they will need to somehow find a way to use the CPAP regularly and sleep comfortably with it, as it is the only option that will work well for them. For others, though, an orthotic device may be a better choice.

Surgery is also an option if nothing else works, but this is usually considered a last resort. In addition, if your sleep apnea is caused or worsened by obesity or smoking, lifestyle changes may be strongly recommended.

How Do Sleep Apnea Oral Devices Work?

A dental device for sleep apnea works by holding your jaw in position so that your airway remains clear while you are sleeping. Obstructive sleep apnea is typically caused by airway blockage during sleep, which happens when the tongue and tissues in the back of the throat relax and collapse into the airway. By holding your jaw forward, airway blockage is prevented.

Dr. Clancy uses a completely custom-built device that fits comfortably in your mouth and address your unique situation. A dental device that has not been customized for the perfect fit can become uncomfortable, so we work together with you and Prosomnus to create the most comfortable device possible that is still effective.

Not everyone is a good candidate for a dental device to treat their sleep apnea. Whether or not you are a candidate will depend on the severity and complexity of your case. If you are not a good candidate for the device, you may be a candidate for full face orthodontics. You will need to have an in-person appointment with Dr. Clancy to find out if an oral device or full face orthodontics may be appropriate for you.

Schedule Your Appointment in Woburn and Winchester

If you are suffering from OSA, don’t hesitate to contact Dr. Clancy at (781) 396-8558 to schedule an appointment. We serve patients in Woburn and Winchester.