Teacher : Dr. Henderson Team 蘇奕誠 王祥名 葉玟欣 蔣恩銘 周映瑜 洪崇文

Why should dentists be concerned about patients who report that they snore?

 Grinding tooth

 OSA

Why do people snore ?

  When you sleep, muscle tone throughout your body decreases, or becomes hypotonic. This relaxation of the upper airway muscles during sleep may decrease the size of the airway space and cause airflow limitation and turbulence. It is the combination of turbulent airflow through the hypotonic airway structures that results in the harsh vibratory noise known as snoring.

 Sleep apnea

  Sleep apnea is a potentially life-threatening sleep disorder characterized by repeated pauses in breathing during sleep.  Breathing pauses can last anywhere from several seconds to minutes, and happen as often as 30 times or more per hour. Sensing this imbalance, the brain sends a message to the body, telling it to wake up to restart the breathing process.

  People with sleep apnea will partially awake as they struggle to breathe, and this is often accompanied by loud snoring or choking sensations.  Because people with sleep apnea don’t always completely awake during the episodes, they are often unaware they have a sleeping disorder and it can remain undiagnosed.



 There are two main types of this disorder

  Central sleep apnea  Obstructive sleep apnea

  Obesity  Weak muscle tension  Nasal congestion  Innate structural defects  Hereditary  Unhealthy habits Reasons

  Up to 70 percent to 90 percent Obesity

  Weak heart function  Breath exchange Cardiovascular Diseases

  Snoring can affect the heart and brain Science experiments

  The muscle tension around throat  Tongue is more likely to move backward Age

  Sleep deprivation Teenagers

  Males and pregnant females Gender

  Drinking and smoking  According to a Sweden study Bad habits

  Family with snoring problems Hereditary

What can be done about people who snore?

  Losing weight  Not drinking alcohol  Giving up smoking  Exercising regularly  Changing your sleeping posture Lifestyle changes

 Ear plugs

  Nasal devices  Oral devices  Mandibular advancement device(MAD) Anti-snoring devices

 Nasal devices



 Oral devices



 Mandibular advancement device(MAD)



  there's evidence that snoring is having an adverse effect on your health or quality of life  you've tried all other recommended treatments without success Surgery



Supplement

 Mispositioned jaw



 Tongue dropping



  A mandibular advancement splint (MAS) is a device worn in the mouth that is used to treat obstructive sleep apnea (OSA), snoring

  The splint treats snoring and sleep apnea by moving the lower jaw forward slightly, which tightens the soft tissue and muscles of the upper airway to prevent obstruction of the airway during sleep. The tightening created by the device also prevents the tissues of the upper airway from vibrating as air passes over them — the most common cause of loud snoring.