FAQ about Snoring and Sleep Apnea

Many people who are interested in snoring and obstructive sleep apnea are not very knowledgeable about either of them. The following information will give you a brief overview about snoring and sleep apnea.

Q. Is snoring normal?

A. Most people snore to some degree. Generally speaking it is quite normal. If snoring gets to the point where it becomes extremely loud and bothersome to others, then this degree of snoring is not considered normal.

Q. Do men snore more than women?

A. Snoring is much more prominent in men than in women.

Q. What causes snoring?

A. Snoring is most often caused by loose, weak, or excessive tissue at the back of the throat which collapses into the airway during sleep. This tissue flutters or vibrates as air is breathed in. This fluttering tissue, like a flag flapping in a strong breeze, is the cause of the aggravating noise we know as snoring.

Q. Why does snoring occur during sleep?

A. During sleep the muscle tissue that causes snoring tends to relax. The deeper we fall asleep the more relaxed this tissue becomes. This relaxed tissue will begin to cover the airway and thus the snoring sound begins. This is why we usually do not hear ourselves snore. By the time we start to snore, we are in a deep enough sleep not to hear the noise.

Q. Why do some people snore more loudly than others?

A. Some people are simply born with the characteristics that lend themselves to be snorers. These characteristics are body structure and the anatomy of the mouth and surrounding structures. Outside factors such as medications and alcohol can also make snoring worse.

Q. What about the people who really rattle the house?

A. Snoring can be a “fire alarm” for more serious problems than just keeping others awake. Snoring can signal the existence of Obstructive Sleep Apnea.

Q. Why does alcohol make you snore louder?

A. Alcohol relaxes the tissue in the back of the throat. Since it will now collapse into the airway and vibrate easier, the snoring sound will be easier to make and therefore louder.

Q. When does regular snoring become a nuisance?

A. Whenever the sound of snoring creates a problem for the snorer, bedmate, roommate, or others in close proximity. There really is no other criteria for this other than the tolerance within the household, apartment, tent, etc.

Q. Is it up to everyone else to tolerate the loud snoring?

A. Quite frequently someone who snores loudly does not realize or believe that they do. Even when an irrate partner complains about it, the snorer may still deny it. This is actually typical of problem snorers. It should be understood that because it is done uncontrollably, snorers are not at fault for their snoring. It should also be understood by snorers, that they may indeed be creating problems for others, whether they care to admit it or not.

Q. My spouse literally STOPS BREATHING. It SCARES me to death! Is this normal?

A. NO, THIS IS NOT NORMAL. It is a symptom of a far more serious problem called Obstructive Sleep Apnea.

Q. What is Obstructive Sleep Apnea?

A. Obstructive Sleep Apnea (OSA) is a condition where the airway becomes covered, usually by the tongue, due to abnormal muscle relaxation of the tongue and surrounding muscles in the throat area. With the airway covered, a person does not breathe. Since no breathing is taking place, one’s oxygen level in their body drops and their heart rate increases. This lowered oxygen level is dangerous because it can cause a stroke or heart attack. The higher heart rate is dangerous because it can aggravate high blood pressure. In an attempt to breathe, a person either awakens or partially awakens gasping for breath. Since an individual is always awakening to catch their breath, they never get the deep restful sleep needed by the body. This is the reason for the excessive daytime sleepiness.

Q. Is OSA dangerous?

A. YES! Sleep apnea has been linked to heart disease, strokes, high blood pressure, personality changes, impotence, depression, etc. The main symptom is excessive daytime sleepiness. Statistics show that many traffic accidents are due to driver fatigue. So, not only can we hurt ourselves, we can also inadvertently injure others.

Q. Do dental devices really work in treating snoring and apnea?

A. YES! Research has shown that oral appliance therapy is very effective for mild and moderate sleep apnea, and very helpful for C-PAP intolerant severe sleep apneics. This therapy is also very effective for people that have had surgery and the surgery was not successful.

Q. What is positional therapy?

A. Positional therapy is having an individual sleep on their side instead of their back so as to reduce their snoring or apnea. The most crude yet effective form of this therapy is the elbow from your sleeping companion. In reality, approximately 70% of the population has a positional component to their sleep. Actually, sleeping slightly elevated and on your side is the best for people with a positional component to snoring or apnea.

Q. Are there many dentists trained in this form of treatment?

A. NO. Before selecting a dentist to treat you with an oral appliance, be sure that the dentist has the experience, knowledge, and continuing education necessary to treat your problem. Always feel free to question your doctor about his/her credentials and all treatment options. Ask if your dentist is a member of the Academy of Dental Sleep Medicine. If the dentist credentialled by this organization? The Academy of Dental Sleep Medicine is an international organization of dentists, physicians, and researchers that has the sole purpose to educate and train doctors in the use of oral appliances to treat sleep disordered breathing. This organization also supports research in the field of oral appliance therapy. All dentists serious about the use of oral appliances to treat snoring or sleep apnea should be a member and credentialled by the Academy of Dental Sleep Medicine. Be careful of the dentist who has done a few cases and does not have the full commitment to treat this dangerous medical condition on a full-timebasis.

Q. If I wear an oral appliance to treat my snoring or apnea, how will this affect my jaw joint?

A. Research and clinical data show that there is no adverse effect on the jaw joint. This is not to say that, in rare cases, jaw problems can not occur. A certain percentage of patients will have tooth or jaw movement. This is a small inconvenience in comparison to the dangers of sleep apnea.

Q. How does the cost of Oral Appliance therapy compare to other forms of treament for snoring or sleep apnea?

A. The costs for this treatment utilizing sophisticated appliances is comparable to surgery or C-PAP therapy. Some insurance companies are now reimbursing patients for some or all of the cost of oral appliance therapy. The patient must have a diagnosis of moderate to severe sleep apnea. Each insurance company and each medical policy has different benefits and rules though. It is unfortunately true that new technology is often times harder to be reimbursed for than older types of treatment. Our office is presently on contract with Humana for the treatment of sleep apnea with oral appliances. Once approved a patient only pays a copay for a significant portion of their treatment.