Sleep apnoea is a common condition in which breathing repeatedly stops and starts during sleep. It can lead to poor sleep quality, daytime fatigue, and a higher risk of other health problems such as high blood pressure, heart disease, and diabetes. While continuous positive airway pressure (CPAP) devices are a standard treatment, dental solutions such as oral appliances can also play an important role in managing mild to moderate sleep apnoea.
At Alpha Dental Group, we offer customised oral devices designed to help maintain an open airway during sleep, improving both sleep quality and overall health.
Understanding Sleep Apnoea
Sleep apnoea can be broadly classified into three types:
Obstructive Sleep Apnoea (OSA)
The most common form, OSA, occurs when the muscles at the back of the throat relax excessively during sleep, partially or completely blocking the airway. This leads to repeated pauses in breathing and frequent awakenings, often without the patient being aware.
Central Sleep Apnoea (CSA)
CSA is less common and occurs when the brain fails to send appropriate signals to the muscles that control breathing.
Complex Sleep Apnoea
Also called treatment-emergent sleep apnoea, this is a combination of OSA and CSA.
Signs and Symptoms
Typical signs of sleep apnoea may include:
Loud, persistent snoring
Gasping or choking during sleep
Morning headaches
Daytime sleepiness or fatigue
Difficulty concentrating
Dry mouth or sore throat upon waking
Because sleep apnoea often goes undiagnosed, recognising these symptoms early and seeking assessment is important.
Dental Solutions for Sleep Apnoea
Oral appliances are an effective non-invasive option for managing mild to moderate obstructive sleep apnoea, especially for patients who cannot tolerate CPAP devices.
How Oral Appliances Work
Custom-made oral devices, sometimes referred to as mandibular advancement devices (MADs), are worn during sleep. They work by gently repositioning the lower jaw, tongue, and soft tissues to keep the airway open. This reduces snoring and prevents the pauses in breathing that characterise sleep apnoea.
The devices are adjustable and tailored to the patient’s specific anatomy, ensuring both comfort and effectiveness.
Benefits of Oral Appliances
Improved Sleep Quality: Reduces pauses in breathing and improves oxygen flow.
Comfort: Custom-fit appliances are generally well tolerated and less intrusive than CPAP machines.
Portability: Small, lightweight, and easy to travel with.
Supportive for Overall Health: By managing sleep apnoea, oral devices can help reduce the risks associated with untreated OSA, such as cardiovascular issues and daytime fatigue.
The Treatment Process
Initial Consultation
A comprehensive evaluation begins with a detailed medical and dental history, including assessment of sleep patterns, snoring, and daytime fatigue. Sometimes, a referral for a sleep study (polysomnography) is recommended to confirm the diagnosis and determine severity.
Custom Impression and Device Fabrication
If an oral appliance is appropriate, the dentist will take impressions or digital scans of the teeth and jaw. These are sent to a laboratory to create a device that fits precisely and comfortably.
Fitting and Adjustment
Once the appliance is ready, it is fitted in the mouth, and adjustments are made to ensure it maintains the lower jaw in the correct position while allowing for natural movement. Follow-up visits are essential to monitor comfort, bite alignment, and effectiveness.
Follow-Up and Monitoring
Regular dental check-ups are recommended to examine the teeth, jaw, and appliance. Minor adjustments may be needed over time, particularly if there are changes in bite or tooth position.
Lifestyle Considerations
While oral appliances can significantly improve sleep apnoea, lifestyle changes may further support treatment:
Maintaining a healthy weight
Avoiding alcohol and sedatives before sleep
Sleeping on your side rather than your back
Practising good sleep hygiene and maintaining a consistent sleep schedule
Combining appliance therapy with these measures can improve overall outcomes.
Advantages and Considerations
Advantages
Non-invasive and removable
Comfortable and custom-fitted
Reduces snoring and improves oxygen levels
Can be used as an alternative or complement to CPAP therapy
Considerations
Not suitable for severe sleep apnoea in all cases
May cause temporary jaw discomfort or tooth movement
Regular follow-ups are necessary to maintain fitness and effectiveness
Your dentist will assess whether an oral appliance is the most appropriate treatment based on your oral health, the severity of your sleep apnoea, and your lifestyle.
Book a Consultation at Alpha Dental Group
Sleep apnoea is a serious condition that can affect daily life, overall health, and long-term well-being. Dental solutions, particularly custom oral appliances, provide a non-invasive, effective option for managing mild to moderate cases. These devices help maintain an open airway during sleep, reduce snoring, and improve restfulness while supporting long-term oral and general health.
If you or a loved one experiences symptoms of sleep apnoea, scheduling a consultation at Alpha Dental Group is a valuable first step. Our dental team can assess your condition, recommend suitable oral appliances, and provide ongoing support to ensure your treatment is effective and comfortable. Improving your sleep health starts with professional guidance tailored to your needs.
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