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What Are Sleep Disorders?
They Include the Following Conditions:
Most People With Sleep Disorders Do Not Know It.
If you have the following symptoms, you may well be suffering from one form of sleep disorder
What is A Normal Sleep Cycle?
This delta sleep accounts for a greater proportion of total sleep time in children and decreases by age 50 to 60. By 60 it is almost absent.
A decrease in tone of the upper airway muscles during REM sleep predisposes individuals to obstructive sleep apnoeas.
What is Sleep Disordered Breathing?
(Snoring, Upper Airway Resistance Syndrome, Obstructive Sleep Apnoea)
This is a result of an anatomical abnormality of either the oral airway or nasal passages. It is of non-psychological origin.
Shutting of the airway either completely or partially.
(very important concept in the treatment for these conditions)
Snoring is a clear signal that an airway is blocked.
Sleep disorders are known to be an independent risk factor for a number of diseases, including hypertension, cardiovascular disease, cerebrovascular disease (strokes) and diabetic insulin resistance.
Snoring has been found to be a predictor of poor school performance.
A study that compared childhood snoring at 2 to 6 years of age to school performance in middle school were more likely to have snored during early childhood.
They were also more likely to require later tonsil and adenoid removal.
"Snoring alone is hard on the heart and brain. "
is defined as a period of 10 seconds without airflow due to lack of stimulus form higher levels of the brain and the apnoea can be longer periods of time.
Definitive diagnosis is made using an overnight sleep study called polysomnogram (PSG).
The persons sleep is monitored and measured throughout the night. Sleep Disordered Breathing is further divided in problems of nasal origin and those with oral airway problems.
What Are the Treatments?
Success rates have been found to be as high as 76%.
uses a device that forms a pneumatic splint and is placed over the person’s nose during sleep. It opens up the airway with positive pressure and has been found to be effective in moderate or severe OSA. However compliance is very poor. Its use is associated with laceration of the nose, rawness of the throat, bloating of the stomach, nasal congestion and ironically sleep deprivation.
is helpful where there is an anatomical obstruction such as enlarged tonsils and/or adenoids, an enlarged uvula or nasal anatomical problems. Surgery has ponly been found to be 30 – 50% effective
There are different types of oral appliances. Just like there are different shoe sizes for people, there are different appliances for sleep disordered breathing.
Do not get stuck into thinking of a particular brand. Custom fabricated appliances include Silent Night, TAP, Silencer, Somnomed MAS, EMA I and II, OASYS, CPAP Pro, the tongue retaining Device and many more.
There are specific benefits to each appliance and these mnust be matched to each patient’s specific needs.
Example: The SomnoMed MAS:
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A Smile can open doors and change lives.
Dr Manish Shah
BDS (Hons), MBBS, MMED (Sleep Med)
Dr. Manish Shah is a cometic dentist with a special interest in porcelain veneers, dental implants and Invisalign. He is also a medical doctor with an expertise in sleep & craniofacial pain medicine practising at Smile Concepts.
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