Obstructive Sleep Apnea

Obstructive Sleep Apnea (OSA) is a condition where the upper airway actually become blocked or obstructed, which results in pauses in breathing during sleep. Despite our bodies to attempt to breathe the airway remains blocked for a period of time, typically 20 to 40 seconds. The severity of the OSA depends on the number of episodes and can range from just a few to 30 or more times per hour. The immediate result is a significant drop in the oxygen saturation of the blood.

Most people are not aware that they have OSA unless someone else witnesses the condition. During the night a common sign would be snoring that is interrupted by silence and then a sudden gasp for air. It is typical for the person NOT to completely wake up.

During the day, the apnea can causes fatigue and sleepiness. Other symptoms can be moodiness, depression, impaired memory and ability to focus attention.

OSA is a serious matter, since the condition can lead to increases in cardiovascular disease, diabetes, stroke, high blood pressure, heart arrhythmias, and traffic accidents due to falling asleep at the wheel.

Although, certain patients are more likely to have sleep apnea, it can effect men and women or young and old. Some estimates place the number of OSA sufferers at up to 17% of the population! The medical community is starting to take notice, but it is still estimated that 95% of patients have not been diagnosed.

The gold standard for the treatment of OSA is the Continuous Positive Airway Pressure (CPAP) device. The patient wears the mask over the face at night and pressurized air keeps the airway open to allow for adequate breathing.

In cases of mild to moderate sleep apnea and in cases where the patient is unable to tolerate the CPAP, another alternative can be the Oral Appliance (OA). These orthotics are designed to reposition the jaw in such a way to open the airway and allow for proper breathing at night. Fabrication of these devices must be completed by practitioners who have received specific training in sleep apnea.

If you or someone you know has any questions about excessive snoring, OSA, or the Oral Appliance, please call our office. We work in conjunction with sleep physicians and medical insurance companies in providing this service.

Dr. Denzler is a member of the American Academy of Dental Sleep Medicine and American Academy of Sleep Medicine