According to Dr. Nick Meyer, Arizona sleep dentist, Snoring and OSA (Obstructive Sleep Apnea) affects millions of people. Treatment for sufferers has traditionally been surgical or adjunctive, with C-PAP machines being regularly prescribed for nig...
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Host: This video is designed to give the dentist or medical professional. A sorted foundation and understanding of snoring and related sleep disorders. We will examine the role of the dentist, physician and patient in the treatment of these disorders. We will begin by discussing the history of snoring and then move on to the causes of snoring and sleep apnea, patient screening and diagnosis finally we will cover a variety of treatments including medical, dental and over the counter or home remedies. Snoring undoubtedly has affected human begins from earliest man; references to snoring appear throughout latterly from Roman times to the present. It was in fact that Charles Dickens character Joe from the Pickwick Papers that inspired the term pickwickian syndrome. This term was first used in 1956 to define the classic individual with a sleep disorder accessibly sleepy and frequently obese. In 1965 a French researcher Gaston made the connection between excessive sleepiness, obesity and snoring. As you might expect in general men snore more than women by a margin of about 2 to 1. Snoring also increases with age and weight gain approximately 30% of all man age 30 snore. This figure will increase by approximately one percentage point per year until age 60. The use of drugs or alcohol before bed time are also factors that can contribute to snoring, finally upper airway abnormalities can be key factors and causing snoring. The social consequences of snoring often are the reason patients request treatment. It is not uncommon to see a spouse wearing ear plugs, sleeping in a separate room or even considering divorce but the occurrence of sleep disorders associated with snoring is also a strong motivation for medical intervention. The specific reason for snoring varies from person to person but snoring is generally caused by a partial blockage or narrowing of the upper airway. The snoring sound occurs, when the base of the tongue falls against the soft palate and causes associated tissues to vibrate. These tissues include the soft palate, tonsils, tonsillar pillars and the back and the side walls of the throat. The sleep disorder most frequently associated with snoring is a condition known as sleep apnea. The term apnea a Greek word means for want of breath some estimates indicate that sleep apnea is present in as many as 3% to 4% of the population. Sleep apnea usually versions with age and weight gain. As with snoring sleep apnea is more prevalent in men than women. Sleep apnea syndrome has become the accepted medical term for those patients suffering from obstructed breathing and episodes of frequent arousals during sleep, resulting in excessive day time sleepiness. There are three types of sleep apnea the most common type is obstructive sleep apnea or OSA. In OSA the patient experiences intermediate upper airway obstructions that cause a sensation of breathing. Another form of sleep apnea is known as central sleep apnea because it is associated with the transient reduction of the central raspatory drive that controls breathing. This causes the diaphragm muscles to stop working and prevents the lungs from receiving oxygen. It is not uncommon to find patience with OSA, who have some central sleep apnea mixed in. This brings us to the third type of apnea known as mixed sleep apnea this type of apnea begins as a central type with reduced central raspatory drive and concludes with obstruction of the upper airway. Sleep apnea is generally arbitrarily classified as mild, moderate and severe; this classification is based among other things on the apnea hypopnea index or AHI, which is the frequency of apneas and hypopneas for hour of sleep. Mild sleep apnea presents principally with snoring. This patient may or may not have day time sleepiness and will have an apnea hypopnea index or AHI of 20 or less. With moderate sleep apnea day time sleepiness is more of a problem, personality changes such as depression and irritability and lose of sexual

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