Airway and Sleep Archives - Page 2 of 3 - Eggert Family Dentistry Blog

Dental Health and Airway Issues

By: Dr. Elizabeth Eggert

We’ve discussed the relationship between obstructed breathing and dental/oral health in other posts, such as The Link Between Airway and Dental Issues; The Effects of Airway Issues in Children; and What is the Seattle Protocol and How Does it Help Pinpoint Airway Obstructions?

Today, we’ll revisit the topic with particular focus on the tonsils and adenoids.

Airway issues, respiratory obstructions, and mouth-breathing can result in enlarged tonsils and adenoids, which can present their own set of health challenges.

What Are Tonsils and Adenoids?

Both tonsils and adenoids are lymphatic tissues, and are part of the body’s immune system.

You can sometimes see your tonsils: they are the two fleshy lumps visible at the back of the throat. They vary in size among different people. These glands occur in pairs, one on each side of the back of the throat at the junction of where the nasal passage meets the throat. Their job is to trap germs, including bacteria and viruses. They also produce antibodies which help destroy germs, preventing throat and lung infections. They usually reach full size by age 4.

Your adenoids are hidden from view. They hang from the upper part of the nasal cavity and can be examined by a medical professional aided with a mirror and light or a small flexible scope. Adenoids are made of similar tissue as tonsils, and they also trap bacteria and viruses and produce antibodies. The adenoids also reach full size by age 4, and tend to shrink after early childhood. In teenagers and adults, they can be nearly undetectable.

Both glands play an important role in infant and early childhood immunity, but become less critical as children grow and their bodies develop other successful tools to fight germs.

Mouth Breathing and Tonsils

Obstructed breathing and airways often cause people to breathe through the mouth instead of the nose. While this may seem like a minor issue, mouth breathing actually has a host of negative consequences on both dental and overall health.

In terms of the tonsils, mouth-breathing increases the turbulence of breath going directly into the throat. This dries out the tonsils, causing post-nasal mucus drip and exacerbating allergic reactions. It can cause chronic inflammation of the tonsils, which enlarges the glands and interferes further with breathing because of the obstruction they cause in the throat.

In other words, enlarged tonsils are both a symptom and a cause of airway obstruction. They both indicate and contribute to impaired breathing while sleeping, which can cause a host of unwelcome symptoms. From a dental perspective, these issues include cavities, teeth grinding, malocclusion, periodontal disease, TMJ problems and more. Other health issues that can result include headaches, snoring, obesity, ADHD, asthma, sleep apnea, and more.

Thorough Dental Exams at Eggert Family Dentistry

Here at Eggert Family Dentistry, Dr. Elizabeth and Dr. Jeff conduct thorough exams that include looking at your soft tissues like your tonsils. We recognize the critical role of respiration in your overall health and your dental health. If you think you or your child may have airway issues, or if you or your child has chronic issues with tonsils or adenoids, please share that information with Dr. Elizabeth and Dr. Jeff so we can help identify the problem and come up with a solution to support improved health, immunity and vitality for you or your child. Just contact us or schedule an appointment at 651.482.8412 today!

My Child Has Bad Breath. What Can I Do About It?

By Dr. Elizabeth Eggert

Kids are just as susceptible to occasional or chronic bad breath as adults are. If you’ve noticed bad breath when your child comes in for a snuggle, there are remedies. If their bad breath is a chronic problem, it’s important to investigate why. Bad breath may have its roots in poor dental hygiene or in another underlying health issue.

Improve Oral Hygiene to Improve Breath

Halitosis, a fancy name for bad breath, can be a consequence of poor oral self-care. Kids are prone to resisting or neglecting their brushing and flossing routines, so sometimes getting them back on track in this respect can resolve issues of unpleasant breath.

Leftover food debris can make breath smell bad. Both food particles and plaque feed the ordinary bacteria that live in the mouth. When they consume these organic materials, they emit volatile sulfur compounds that don’t smell good.

Poor hygiene can lead to cavities, gum disease, infections and other disorders of the mouth’s soft tissues. All of these can contribute to unwelcome scents in the mouth. It’s critical to resolve the root cause in these circumstances, to make sure your child’s mouth stays healthy. The tongue can also build up a whitish coating that consists of food, bacteria and sloughed-off skin cells. Brushing the tongue will help remove this coating. If your child has any loose fillings or crowns, these can also trap food that feeds bacteria.

When your child comes to see Dr. Jeff or Dr. Elizabeth, please let us know if bad breath is an issue for your child, and we’ll help get to the bottom of the cause.

Other Causes of Bad Breath in Kids

Halitosis can also be caused by some non-dental related health issues:

Foreign object in the nose: Curious kids sometimes insert objects into their nostrils, which can lodge in the nasal passages. This can cause an ill-smelling infection.
Sinus infection: With a sinus infection, fluids collect in the nasal passages and throat, bacteria accumulates in these fluids and can multiply and up the smell level.
Swollen tonsils: Infected tonsils are red and inflamed, and may have white spots and smell bad. The infection itself can smell bad, and the swollen tonsils can trap food which can also lead to unpleasant odors.
Complex and rare health issues like kidney failure, liver problems, stomach infections, diabetes, and cancer of the mouth can promote bad breath in children. Chemotherapy can also contribute to bad breath.
Mouth breathing, dry mouth and low saliva levels: Saliva helps keep mouths healthy. It washes away bacteria and food debris, and it also neutralizes cavity-causing acids. The absence of saliva can promote halitosis.
Medications: Some medications cause a dry mouth and bad breath.
Diet: Garlic, onions, and other strongly flavored foods can cause bad breath, as can high-protein foods like fish, cheese and red meat.

There’s no need for kids (or their parents) to suffer needlessly with bad breath. Most causes of halitosis can be addressed with improved oral hygiene, and if that doesn’t work, it’s worth getting Dr. Elizabeth or Dr. Jeff involved. Let us know if bad breath is a chronic problem for your child, and we’ll help investigate the issue.

The Seattle Protocol – Tom’s Story

By: Dr. Elizabeth Eggert

How Did This Start?

Tom’s journey began in 2014 when he came to us as a new patient looking to improve his oral health and the appearance of his teeth. During his comprehensive exam, Dr. Elizabeth found the main areas of concern to be the excessive wear, erosion and fracturing of Tom’s teeth. Dr. Elizabeth recommended Tom go through the records process (you can learn more about the records process here) and based on the information gathered during that process, she recommended a full-mouth reconstruction to address his uneven bite and rebuild his broken teeth. Throughout the process of reconstruction, it became clear that the amount of force in Tom’s bite was putting too much pressure on even his temporary crowns, which resulted in the temporaries cracking or falling out on more than one occasion. Dr. Elizabeth was concerned that even after completing the full mouth reconstruction, Tom would have underlying issues. Given Tom’s other symptoms, including difficulty breathing through his nose, dry mouth and use of a CPAP machine, Dr. Elizabeth recommended Tom complete the Seattle Protocol to help address his airway patency.

What Was Involved?

The Seattle Protocol is a six-step process that helps patients with symptoms of sleep-disordered breathing and other conditions determine whether a compromised airway is contributing to their ailments. Each step builds upon the last, but patients don’t necessarily need to complete the entire process as the purpose of the protocol is to determine the phase that provides the best relief of symptoms. You can learn more about the Seattle Protocol and each of the steps here. Throughout the process, Tom noticed improvements in his symptoms such as dry mouth, decreased clenching and grinding, and less waking throughout the night.

What Have Tom’s Results Been?

After completing five of the six steps of the Seattle Protocol, Dr. Elizabeth fabricated a sleep appliance for Tom to continue to improve his airway patency, reduce his bruxism and help him sleep better. Tom has now been using his sleep appliance for over a month and says the results so far have been great! He’s noticed less clenching and jaw pain and experienced an overall improvement in his sleep. Tom said that going through the Seattle Protocol helped him better understand the connection between his sleep and airway issues and he appreciates Dr. Elizabeth’s thorough explanation and care throughout each stage.

What is the Seattle Protocol and How Does it Help Pinpoint Airway Obstructions?

By: Dr. Elizabeth Eggert

When a patient with symptoms of airway issues first comes into our office, we often recommend the Seattle Protocol. This six-step method helps us identify where the issue lies by pinpointing which jaw positioning alleviates our patient’s symptoms. This allows us to create a custom night appliance for our patient that opens up their airway and curbs any inflammation or damage to the teeth, jaws or soft tissue. It also helps ward off serious systemic issues like high blood pressure, stroke or heart attack.

Before you embark on the Seattle Protocol, we may suggest an at-home sleep quality screening device or a sleep study so we solidify our starting point.

Seattle Protocol Step 1: Nose Breathing and Mouth Taping

The first step in the Seattle Protocol is to gently train your body to breathe through your nose, not your mouth. Breathing through your mouth during sleep can lead to snoring and a dry mouth. The Seattle Protocol encourages nose breathing by adding a strip of paper tape vertically across the center of your lips. The light adhesive of the tape keeps your lips together but is easy and painless to remove.

Step 2: Temporary Splint for Lower Jaw and Mouth Taping

Once you’ve adjusted to the mouth taping, the second step of the protocol adds a temporary splint for your lower jaw while you sleep. Adding this splint increases the vertical dimension of your jaw and allows more airway space.

Step 3: Temporary Splint for Lower Jaw with Lower Jaw Pulled Forward and Mouth Taping

If adding the lower splint only isn’t giving you the restful sleep you deserve, we move onto the next stage of the protocol. In this step, we add an element that pulls your lower jaw forward. This realigns your jaw and increases your airway space not only vertically, but horizontally as well. This also can give your tongue more of the space it requires.

Step 4: Temporary Splint for Lower and Upper Jaw with Mouth Taping

With all steps of the Seattle Protocol, if you aren’t getting relief from the previous step, we move on. In this step, we remove the forward jaw posturing component and add a splint for your upper jaw. You then go to sleep with splints on your upper and lower teeth and your jaw is free to move. This stage allows for additional vertical height, opening up your airway, but without restricting the jaw muscles into any one strict position.

Step 5: Temporary Splint for Lower and Upper Jaw with Lower Jaw Pulled Forward and Mouth Taping

If you need to continue in the protocol, step five again adds a horizontal component by linking the upper and lower splints together and moving the lower jaw forward. The intent, as always, is to continue to open your airway more and more.

Step 6: Temporary Splint for Lower and Upper Jaw with Lower Jaw Progressively Pulled Forward and Mouth Taping

If you still aren’t getting that good night’s sleep, we move to the final stage of the Seattle Protocol. In this stage, we keep moving your lower jaw forward, incrementally, until you feel well-rested.

In summary, after the initial two weeks of nasal breathing therapy and sleeping for 2-3 nights with each temporary night guard, once you experience relief of symptoms, we stop the protocol. This helps us identify which splint appliance/positioning alleviates the airway obstruction and allows us to fabricate your custom night appliance.

The further you progress through the steps in the protocol, the more severe your obstruction. If you progress into steps 4, 5 or 6, we may discuss the possibility of oral surgery to help you achieve optimal results.

If you’re concerned that you or your loved ones are dealing with sleep-disordered breathing, schedule an appointment with Dr. Elizabeth or Dr. Jeff by calling our office at 651.482.8412. Both Dr. Elizabeth and Dr. Jeff have the knowledge and experience to walk you through the Seattle Protocol and the best next steps.

Your healthy future starts today.

Confused by the Process? Learn How Sleep Apnea is Diagnosed

By Dr. Elizabeth Eggert

Do you deal with snoring, gasping for air in your sleep, a dry mouth, headache in the morning or daytime fatigue? Sleep apnea could be the culprit. It’s important to begin by making an appointment with Dr. Elizabeth or Dr. Jeff as well as with your primary care physician. Sleep apnea can be life-threatening and should always be carefully investigated.

The first time we see you for sleep apnea symptoms, we will perform an assessment for signs of structural abnormalities or any physical issues that could be contributing to airway obstruction. This could include an enlarged tongue or tonsils, a small jaw or a large neck.

If your primary care doctor is concerned that sleep apnea is an issue for you, they will refer you to a sleep specialist. A board-certified sleep specialist will evaluate you by performing an overnight sleep study. This will give them more insight into the severity of the situation and help them determine the best course of treatment.

There are two different types of sleep studies your sleep specialist may recommend: a polysomnogram test or a home sleep apnea test.

Polysomnogram test:

A polysomnogram test is a sleep study, performed in a sleep lab, that helps diagnose sleep-related conditions.

During your night at the sleep lab, you will be hooked up to equipment that will monitor your heart, lungs and breathing patterns, brain, general movement and oxygen levels while you sleep. In some cases, your sleep specialist will let you sleep all night long. If your physician detects signs of sleep apnea, they will more than likely wake you up in the night and hook you up to continuous positive airway pressure, or CPAP. A CPAP machine has a mask that covers the nose and/or mouth, that is connected to a tube and the base of the machine and that delivers continuous air pressure all night long, allowing the airway to remain open.

When your sleep specialist tests the CPAP machine on you, they will watch how it improves your airway obstruction and will calibrate it for your specific needs.

Home sleep apnea test:

In some cases, your sleep specialist will give you an at-home sleep apnea test kit that monitors and tests breathing patterns and sleep disturbances. This can be a good solution for individuals who find the polysomnogram test cost-prohibitive or difficult to coordinate. However, if sleep apnea is suspected from the results of your home test, your doctor may still recommend a visit to the sleep lab for further testing.

After you receive your results from your sleep specialist, if they indicate the presence of sleep apnea, we recommend you contact our office to set up another appointment. At this appointment, Dr. Elizabeth or Dr. Jeff will walk you through our records process.

During this comprehensive analysis, they will determine if a sleep apnea appliance would help alleviate your symptoms of sleep apnea. If they decide it would be helpful, Dr. Elizabeth or Dr. Jeff will confer with your general practitioner, sleep physician and lab to design a sleep apnea appliance, custom fit for you, that supports your jaw in the position that best improves your airway, often a forward position.

We may also recommend that you adjust your sleeping positioning or we may refer you to an orthodontist for another consultation if we believe that braces or other orthodontic treatment could help better keep your airway open.

If you’re experiencing sleep apnea symptoms, reach out to us at 651.482.8412 to make an appointment with Dr. Elizabeth or Dr. Jeff. They will perform a thorough assessment and collaborate with your other physician(s) to find the best treatment plan for you.

Sleep Apnea and Oral Health Share A Few Primary Connections

By: Dr. Elizabeth Eggert

Obstructive sleep apnea (OSA) is a condition that must be taken seriously. Obstructive sleep apnea is an airway blockage that occurs when, during sleep, muscles in the back of the throat relax and/or the tongue and surrounding tissues migrate back into the throat, obstructing the airway.

Not only can sleep apnea cause fatigue, headaches and memory loss but it can also lead to even more serious health issues such as hypertension, heart failure and stroke.

Many people don’t understand what causes sleep apnea and how it affects oral health. We’re going to take a few minutes to unpack some of these connections.

Risk factors for sleep apnea

When you come in for an appointment, we look for signs or symptoms that could be considered “red flags” for airway conditions, including sleep apnea. Dr. Elizabeth or Dr. Jeff perform an assessment to see if you have any of the following risk factors among many others:

Over 40 years of age
Obesity
Large tongue or tonsils
A large neck
A small jaw

If we think you might be dealing with an airway issue like sleep apnea, we’ll ask you if your loved ones complain that you snore or gasp for air when you sleep. We’ll ask you if you deal with insomnia or daytime drowsiness. Do you wake up with a headache or a dry mouth? Do you have nasal or sinus problems?

We will also look for signs of TMD, bruxism or dry mouth, all of which can be connected to OSA.

TMD goes hand in hand with sleep apnea

Did you know that, in 52% of obstructive sleep apnea cases, a person also struggles with temporomandibular disorder or TMD?

TMD occurs when the temporomandibular joint (TMJ) doesn’t function properly. When the joint is irritated, chewing and talking can be mildly to moderately painful.

So why do sleep apnea and TMD often occur together? When a person is deprived of oxygen during sleep, their body will compensate in unconscious ways. In many cases, their jaw muscles clench and release or grind the jaw around to gain more airway space. When sleep apnea is left untreated, this jaw motion becomes habitual and can cause TMD or even deterioration of the jaw joint itself.

Bruxism goes hand in hand with sleep apnea

Bruxism is another condition that is often present alongside obstructive sleep apnea. Often intertwined with TMD, bruxism describes a condition caused by the clenching or grinding of teeth. It occurs unconsciously during sleep and can be another way a person’s body compensates for an airway obstruction.

Symptoms of bruxism include broken, cracked, chipped or worn teeth. Because the clenching and grinding of teeth cause tension in a person’s head, jaw and muscle discomfort are commonly present.

Of the 31% of adults who deal with bruxism, at least 25% of them also battle OSA.

Sleep apnea leads to mouth breathing

As we already stated, sleep apnea is an airway obstruction often caused by soft tissues that move towards the back of the mouth during sleep. In addition to clenching and contracting your jaw muscles in response, a person will typically also mouth breathe in an attempt to get more oxygen.

Mouth breathing leads to snoring but it also leads to other, more serious oral consequences.

Saliva plays an important role in rinsing food and harmful bacteria out of our mouths. When a person breathes through their mouth, it becomes dry and becomes a haven for food particles and bacteria. Without this natural “rinsing” function, plaque easily grows under the gumline and can cause tooth decay, gingivitis and in extreme cases, periodontal disease.

If you’re experiencing symptoms of sleep apnea or related conditions, Dr. Elizabeth or Dr. Jeff would love to see you in our office. They can evaluate your situation, determine which factors are present and, if they see evidence of sleep apnea, refer you to your primary doctor who may refer you to an ENT or sleep specialist. Then Dr. Elizabeth or Dr. Jeff will partner with these specialists to determine the best courses of action to help alleviate sleep apnea and any peripheral issues and restore your health. Schedule your appointment by calling our office at 651.482.8412!

5 Ways Mouth Breathing Can Affect Your Teeth and Oral Health

By: Dr. Elizabeth Eggert

According to the 2015 “About Last Night” survey, mouth breathing affects 71% of Americans. But just because it’s common, doesn’t mean it’s not something to be concerned about. Let’s take a look at the symptoms of mouth breathing and its effect on oral health.

Common indicators of mouth breathing

Do you or your loved one snore? Snoring is one of the most obvious signs of mouth breathing. Additional red flags include:

Dry mouth and lips in the morning
Chronic bad breath (halitosis)
Crowding of teeth
Frequent colds
Frequent sinus or ear infections

But the effects of mouth breathing don’t end with these bothersome symptoms.

Mouth breathing negatively impacts the teeth

Mouth breathing can cause teeth to wear down.

Although there are several reasons for worn teeth, when nighttime breathing is obstructed by the tongue or throat tissues, our bodies enact a defense mechanism—we clench our teeth in an attempt to open up our airways. This clenching, also known as bruxing, causes teeth to wear down over time.

Mouth breathing can cause tooth decay.

When we mouth breathe, our mouths dry out. This means that the saliva that helps us wash harmful bacteria out of our mouths during the daytime hours isn’t bountiful enough to do its job while we’re sleeping, leading to a buildup of bacteria that erodes our teeth.

Add this to the fact that a dry mouth can’t maintain proper PH levels and becomes increasingly acidic which also contributes to tooth erosion and decay.

Mouth breathing can create an “open bite.”

An open bite occurs when the tongue is thrust into the front teeth in order to open up an obstructed airway. Over time, the upper front teeth push forward far enough that they no longer contact the edges of the lower front teeth.

Mouth breathing negatively impacts the tongue and gums

Mouth breathing can cause gum disease.

Not only does a dry mouth wreak havoc on teeth but it also causes problems with the gum tissue. When saliva isn’t present to do its job washing the mouth of harmful bacteria, this bacteria can build up along and under the gum tissue, leading to gingivitis. Left untreated, gingivitis can cause gum disease and result in a host of issues throughout the body.

Mouth breathing can cause a scalloped tongue.

When the tongue puts forward pressure on the front teeth, it can develop a semi-permanent imprint of the teeth, resulting in a scalloped appearance.

In some cases, a child’s jaws don’t develop properly and there isn’t enough room in their mouth for their tongue. Not only can this lead to a scalloped tongue but it can result in an elongated facial structure.

At Eggert Family Dentistry, we have experience diagnosing and treating mouth breathing. Dr. Elizabeth and Dr. Jeff apply their knowledge and experience to find the right interventions to restore and protect your oral health. If you’re concerned that you or your loved one is dealing with the harmful effects of mouth breathing, give us a call at 651.482.8412 to learn how we can help!

Sleep Apnea: Signs to Watch For

By: Dr. Elizabeth Eggert

At Eggert Family Dentistry, we know that sleep apnea is no laughing matter. It can go undetected for years and has serious side effects. Take a few minutes to consider the warning signs, when to discuss signs with us or your doctor and some effective treatment options to consider.

What is obstructive sleep apnea?

Obstructive sleep apnea is an intermittent blocking of the airway during sleep. This often occurs when the muscles in the back of the throat relax too much, causing soft tissue to collapse into the airway and resulting in partial or complete blockage.

When obstructive sleep apnea occurs, breathing can be restricted for 10+ seconds, decreasing oxygen to your brain and causing a buildup of carbon dioxide. This cycle of airway blockage can repeat many times a night, leading to fitful sleep and many serious side effects. Side effects include glaucoma, increased blood pressure, heart disease and unfortunately, even death.

What signs should I watch for that may indicate sleep apnea?

You or your loved one may be battling sleep apnea if the following signs are present:

Loud snoring
Night sweats
Extreme daytime fatigue
Gasping or choking upon awakening
Dry mouth or sore throat upon awakening
Reduced daytime concentration
Mood swings and irritability

The symptoms of pediatric sleep apnea can be very different from sleep apnea symptoms in adults. Learn more here.

When to see your dentist or doctor

If you’re experiencing any signs of sleep apnea, it’s important to make an appointment with Dr. Elizabeth Eggert or Dr. Jeff Eggert and with your primary doctor. While there can be other causes behind some of these signs, obstructive sleep apnea is a common and serious condition. If, upon evaluation, we think you might be struggling with sleep apnea, you may find success with one of these treatment options: CPAP or Oral Appliance Therapy.

CPAP: A mask that covers the nose and/or mouth, connected to a tube and machine, that delivers continuous air pressure all night long, allowing the airway to remain open.

Oral Appliance Therapy: A custom-fit mouthguard that keeps the airway open by supporting the jaw in a forward position. This is something that Dr. Elizabeth and Dr. Jeff can fit you for in our office.

To learn more about obstructive sleep apnea, check out our Sleep Apnea FAQ’s.

You’re in good hands at Eggert Family Dentistry! If you are concerned that you or a loved one may be struggling with sleep apnea, schedule an evaluation with us at 651.482.8412.

Reasons We Might Refer You to or Collaborate with an ENT

By: Dr. Elizabeth Eggert

There are certain situations at Eggert Family Dentistry when we need to collaborate with other physicians to provide the best possible care for our patients. Especially as we have worked to integrate more airway into our practice, many of you have been asked to seek out care with a board-certified ENT for a more integrated approach to dentistry.

In this article, we will provide information about how certain medical conditions may be linked to your airway and therefore situations where it may be best to collaborate with an ENT. We will also launch into more specific information about some of these conditions below.

Sleep – if you have trouble snoring, falling asleep, staying asleep, trouble with restless sleep, you wake up feeling unrefreshed, or issues with nighttime urination, these can all be linked to airway issues.
Other Health Conditions – ADHD, allergies, anxiety, birth defects, cardiovascular disease, chronic head and neck pain, chronic pain, daytime fatigue, depression, digestive issues, emotional problems, frequent colds, sinus problems, sore throats, or tonsillitis, grinding or clenching of teeth, headaches, high blood pressure, jaw locking, large tonsils or adenoids, memory loss, mouth breathing, neck aches, obesity, pain or clicking in jaw joint, previous orthodontics, PTSD, speech problems, sucking habits, tonsillectomy, adenoidectomy, or type II diabetes can all be linked to airway issues.
Dental Observations – there are many dental conditions that can be linked to poor airway flow as well such as crowded teeth, deep overbite, forward head position, head tilted back, mouth breathing, narrow dental arches, recessive lower jaw, scalloped tongue, tongue thrust, tongue tie or tooth wear.

Snoring and sleep apnea

Sleep apnea is a serious condition that can lead to several other serious medical conditions. In cases where our patient is struggling with sleep apnea, Dr. Elizabeth or Dr. Jeff can often link what they see with the teeth, jaw, and muscles (like the tongue) to aid in determining the cause. Does our patient have inadequate space for the tongue based on the size of the jaw? Is the root of their condition the size or shape of their soft palate? How does the alignment of the teeth play in? Once this is determined, the best course of treatment is pursued. It is often helpful both during the diagnostic phase as well as during the treatment phase to collaborate with an ENT. This allows us to look at the situation from all facets and choose the best course of treatment.

Beyond sleep apnea itself, there are other sleep disordered breathing diagnoses or simply disordered breathing at all times, that can be detrimental to overall health. ENTs or other medical professionals can often help us navigate through treatment options.

Enlarged tonsils and adenoids

Enlarged tonsils and adenoids in children can cause facial and jaw deformities as a child grows. When Dr. Elizabeth or Dr. Jeff notice enlarged tonsils or adenoids and determine that the enlargement is not simply due to a virus, we will often refer our patient to an ENT for a consult.

Sinus problems

If a patient comes into our office with jaw pain, Dr. Elizabeth or Dr. Jeff evaluate many things, including the patient’s teeth and jaw. Because sinus problems can be a contributing factor to teeth and jaw discomfort, if their examination is inconclusive, Dr. Elizabeth or Dr. Jeff will refer our patient to an ENT for further evaluation.

In some cases, mucus can build up in the sinus cavity, causing sinusitis and leading to halitosis (bad breath). If halitosis is present (often in combination with jaw discomfort), this is another situation where Dr. Elizabeth or Dr. Jeff will most likely refer our patient to an ENT.

TMJ disorder

Another common cause of jaw pain is a disorder of the temporomandibular joint (TMJ). At Eggert Family Dentistry, we most commonly treat TMD by providing our patient with a splint or night guard. In severe cases, full-mouth reconstruction may be necessary. However, if we are unable to make a dental determination for the jaw pain, we can refer our patient to an ENT for a CT scan or an MRI to rule out bone and joint issues.

At Eggert Family Dentistry, we go above and beyond to make sure each one of our patients receives superior care. This often means referring our patient to or collaborating with a board-certified ENT for further investigation. If you’d like to schedule an appointment with us, give us a call at 651.482.8412!

Sleep Apnea FAQ’s

By: Dr. Elizabeth Eggert

1. What is the sleep cycle and why is it important?

Sleep is a recurring state characterized by relatively inhibited sensory activity and a reduction of muscle activity from nearly all voluntary muscles as well as reduced interactions with a person’s surroundings. Sleep is characterized by two distinct states: non-REM sleep and REM sleep. These alternate in 90 to 110-minute cycles with each cycle lasting between 5-15 minutes. A normal sleep pattern consists of 4-5 sleep cycles throughout the night. The first sleep cycles contain short REM sleep and long periods of deep sleep but as the night goes on, REM sleep lengthens and deep sleep decreases. Sleep has been determined to be biologically necessary for life due to the healing and repair that occurs.

2. What is sleep apnea?

Obstructive sleep apnea is an airway blockage. This occurs when, during sleep, muscles in the back of the throat relax and/or the tongue and surrounding tissues migrate back into the throat, obstructing the airway.

3. How do I know if I suffer from sleep apnea?

Although more common in men, OSA can occur in women too. The risk of OSA is increased for people with excess body weight, a narrow airway or a misaligned jaw. Snoring, choking while sleeping, excessive daytime sleepiness, waking and gasping, poor memory, irritability and morning headaches are all signs of OSA. If you suspect you’re experiencing these symptoms, schedule an appointment with Dr. Elizabeth or Dr. Jeff to discuss them. If you’d like more information, check out one of our recent posts here!

4. What happens if OSA is left untreated?

Treating OSA is imperative to your safety as well as your health. When left untreated, OSA can cause excessive daytime fatigue, morning headaches and memory loss. In addition, studies suggest that untreated OSA increases your risk of numerous health issues such as hypertension, congestive heart failure, atrial fibrillation, coronary artery disease, stroke and type 2 diabetes.

5. What are my treatment options for OSA?

Breathing devices (like CPAP)
Adjusting your sleeping habits/positions
Dental sleep apnea and snoring appliances
Orthodontic treatment
Surgery

*Prior to selecting any form of treatment, patients should undergo an initial evaluation by a board-certified sleep specialist practicing in a center accredited by the American Academy of Sleep Medicine.

6. What’s the difference between snoring and OSA?

Snoring is the sound that occurs during sleep when the soft palatal tissue in the upper airway vibrates as you breathe.

In the case of OSA, a person’s airway repetitively becomes obstructed during sleep and they intermittently stop breathing. This obstruction happens when the throat muscles relax and close off the airway.

7. What is an oral appliance?

An oral appliance is a custom-fit oral appliance that supports the jaw in a forward position to help maintain an open airway.

8. What is the difference between Continuous Positive Airway Pressure (CPAP) Therapy and Oral Appliance Therapy?

CPAP Therapy involves wearing a mask that covers the nose and/or mouth and is connected to a tube that allows air pressure to keep the airway open during sleep.

Oral Appliance Therapy involves wearing a custom-fit oral appliance nightly to keep the airway from collapsing. These oral appliances are useful in correcting mild to moderate cases of obstructive sleep apnea and are effective in improving airflow. The devices typically cover the upper and lower teeth and reposition the lower jaw in an advanced position.

Both CPAP therapy and Oral Appliance Therapy have proven successful for the treatment of sleep apnea and can result in improved sleep patterns and reduced snoring frequency and loudness.

9. Is there a link between TMJ Disorder and Sleep Apnea?

Yes. Since the temporomandibular joint is so close to the sinuses and airways, TMJ disorder (or TMD) can affect breathing. A misaligned TMJ can cause improper tongue positioning, resulting in a blocked airway during sleep. A recent study of people with TMJ disorder found 75 percent of participants experienced sleep-disordered breathing (SDB). Learn more in one of our previous posts!

10. What will treatment do for me?

Treatment will decrease your risk of OSA-related disease and help you get better sleep…the effects of which cannot be underestimated! From increased productivity during your waking hours to garnering more enjoyment from your daily life and experiencing more fulfillment in your relationships, quality sleep is foundational.

If you are having trouble sleeping and would like to speak with a dental professional at Eggert Family Dentistry, we would love to connect with you! Give us a call at 651.482.8412 or connect with us online.