Snoring and Sleep Apnea

Patients with TMD, hypertension, GERD, nocturnal atrial fibrillation, insomnia or headaches, can have a compromised airway that affects them during sleep which contributes to the above conditions. This blockage of the airway can often trigger more pain and discomfort during the night, or first thing in the morning in the TMJ. Research has shown that approximately 80% of patients with obstructive sleep apnea also clench or grind, therefore, part of the treatment process in this office when patients present with signs of clenching or grinding is to evaluate if you are getting enough oxygen when you are sleeping.

Just because you do not snore, does not mean that you do not have a problem. Typically, a comprehensive evaluation is recommended by physicians, which is called a polysomnogram, or PSG. This is done in a hospital or clinical setting, to evaluate not only your oxygen levels, but your heart and brain activity as well. If your evaluation shows that you have a severe problem, a CPAP, or constant positive air pressure machine will be prescribed by your physician.

Oral appliances are indicated for mild and moderate cases of sleep apnea. Severe apnea patients who can not tolerate the CPAP or those who refuse to wear it can be fitted with an oral appliance by Dr. Wiggins. This decision needs to be discussed and supported by your physician.

This sleep component is done through your medical insurance. Most patients can get reimbursement from their insurance carriers. More information, including articles on sleep breathing disorders, can be found on www.yoopersnoring.com.