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We all know that snoring is complicated, as evidenced by the difficulty that most people have in solving it. The complexity and mystery stem from the impression that snoring is the noise of a restricted airway interrupting the flow of breathable air. But where is the restriction and how can it be eased so that a patient stops snoring?
What Makes You Snore More
To better evaluate dental patients who complain of snoring, it is important for clinicians to understand the intricacies of breathing during sleep.
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Through the oral airway. Therefore, the first great mystery is the false belief that the mouth is the cause of snoring. On the contrary, the actual cause is a blockage in the nasal passages, which triggers oral breathing and consequently the noise of snoring.
During sleep, the brain is wired to respond to very small reductions in nasal inspiratory flow. A small decrease in inspiratory nasal airflow pressure alerts the brain to switch to mouth breathing to compensate for reduced airflow and oxygen consumption. As soon as oral breathing begins, the mouth opens and the tongue returns to the airways. Because the mouth is not designed for breathing, the mucous lining of the oral airways dries out. As the airflow passes through the dry hole, it causes friction on your dry, loose tongue and throat. This leads to vibration, movement and sounds from the restriction of breathing. (Think of a wind instrument and its vibrating reed that leads to sound.)
Therefore, if the primary cause of snoring is nasal obstruction forcing the transition from nasal to oral breathing, then it is critical to open the nasal passage and restore nasal patency to maximize nasal breathing, which is the initial action. to resolve a patient’s snoring. To stop snoring, successful nasal breathing is an important, and often overlooked, key.
Easy, over-the-counter options for restoring nasal airway patency are medical-grade soft nasal stents, Max-Air® Nose Cones® and Sinus Cones®. According to research published in the CHEST journal, nasal obstruction from any cause predisposes a person to sleep-disordered breathing. Anyone who has been told that they snore when they have a cold or nasal allergies is familiar with this situation.
Home Remedies: Stop The Snoring
. They are not, and with a few simple questions about health history and chair tests, snorers can be divided into a few simple groups to help identify the simpler versus the more difficult cases.
By taking a closer look at the anatomy of the nasal and oral airways, it is possible to determine the causes and, as a result, create a better solution.
To provide an anti-snoring solution to your patients, start by asking this simple question: “How long have you been snoring?” The answer, segmented into groups below, will help you determine the ideal treatment.
This patient presents with nasal airway obstruction in the form of a more severely deviated nasal septum, sometimes a genetically inappropriate nose for his body size, crooked teeth, missing teeth, a narrow high palate, or lack of development of the facial structure. Occasionally, this patient may have had four bicuspid extractions (due to crowding of the teeth from oral breathing) and an orthodontically receded narrow palate (ie, small horseshoe-shaped dentition).
Seven Ways To … Prevent Snoring
Because the nasal passage is restricted due to the deviated septum, the oral airway does not develop properly as the patient grows. As an adult, this patient’s oral airways and soft palate are often too small for his tongue, blocking the airway. This patient may also be retrognathic (the mandible is further back than the maxilla) to a greater or lesser extent, further compromising the airway. This patient’s restricted airway and snoring are due to multiple layers of airway compromise and would be a more complex case.
This patient presents with nasal airway obstruction in the form of nasal lateral wall collapse (sometimes only seen during inspiration) and mild septal deviation; decreased elasticity of the skin around the nose, mouth, and throat; and possible excess weight in the face and around the neck. Collapse of the lateral wall of the nose during sleep, coupled with loosening of the facial structures, potentially heavier with excess weight, closes off the nasal passage and fills the oral airway space. Mouth breathing is triggered and, consequently, snoring occurs.
Nasal collapse is easily detected by 1) asking the patient to breathe deeply and rapidly through the nose (mouth closed) and 2) watching the side walls of the nose collapse inward. Even a small amount of nasal sidewall collapse can be problematic during sleep, as the small muscles in the face and nose relax, making nasal collapse more pronounced. Using Max-Air Nose Cones to address nasal obstruction and an oral device to relieve oropharyngeal airway congestion from excess weight and skin insufficiency, treatment of age-related snoring is often simple and direct.
This patient has a history of mild or infrequent snoring and memorable trauma to the nose or face. Sometimes this patient is not bothered by snoring, but feels that breathing is affected, especially during sleep or sports. Depending on the location of the trauma (eg, broken or damaged nose, or extracted tooth or teeth), signs of developmental abnormalities may be seen. A slight deviation of the septum, subtle changes in the bite, and misalignment of center lines are some of the common occurrences, especially if they are more subtle in appearance.
Snoring Is An Annoyance Worth Taking More Seriously
Resolution of this patient’s airway problem can often be achieved through the use of a Max-Air nasal dilator (to relieve nasal obstruction) or a buccal appliance (to correct oropharyngeal patency problems).
The most complicated and complex case of the patient is the complex structural anomaly with age-related factors: Group D.
This patient has a history of habitual snoring, which has increased in frequency and volume. Although the patient may not suffer from apnea (a complete cessation of breathing), the patient may be disturbed by snoring and struggle into unrefreshing sleep.
This patient is the most difficult to treat due to disability from so many confounding factors. Treatment plans are best done with a team of experts because surgical intervention or devices may be necessary. Treatment may include nasal surgery, palate enlargement, nasal appliance or oral appliance intervention, positive airway pressure (PAP) therapy, or nerve stimulation therapy.
How To Stop Snoring: Definition, Causes + Tips
This article attempts to easily define the broad categories of patients with compromised airways to provide starting points to help assess your patients to help them stop snoring. There are many exceptions, special cases, outliers, and other considerations related to airway problems. If in doubt, consult or contact your dental laboratory if you have questions.
Make dental sleep medicine a standard offering in your practice by prescribing sleep aids through New West Dental Lab.
This article provides dentists with a brief overview of the differences between these two esthetic restorative materials. Complete your cases with confidence.
At New West, we understand that there are never enough hours in the day when it comes to dentistry. Our free online My Account portal simplifies managing your case and gives you back valuable time. Snoring is noisy breathing while we sleep. It is a common condition that can affect anyone, although it occurs more often in men and people who are overweight, and it tends to worsen with age.
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If you are a chronic snorer, not only are you disrupting the sleep patterns of those close to you, but the quality of your own sleep is also affected.
Snoring itself can be a symptom of a health problem, such as obstructive sleep apnea. Talk to your doctor if you are very sleepy during the day, if you snore often or loudly, or if your partner notices that you sometimes stop snoring altogether. You may need medical help so that you (and your loved ones) can get a good night’s sleep.
Snoring occurs when airflow through the mouth and nose is blocked. Many things can interfere with airflow, including:
Blocked nasal passage. Some people only snore during allergy season or when they have sinusitis. Problems with the nose, such as a deviated septum (when the wall that separates one nostril from the other is in the way) or nasal polyps, can also block the airway.
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Weak muscle tone in the throat and tongue. The muscles of the throat and tongue may be too relaxed, allowing them to collapse into the airway.
Large tissue in the throat. Being overweight can cause this. Some children have large tonsils and adenoids that can cause snoring.
Long soft palate and/or uvula. A long soft palate or long uvula (hanging tissue at the back of the throat) can narrow the opening from the nose to the throat. When one inhales, it causes both the roof of the mouth and the uvula to vibrate and collide with each other, blocking the airway.
Alcohol and drug use. Drinking alcohol or taking muscle relaxants can also cause the muscles of the tongue and throat to become too relaxed.
When Someone You Love Snores
Sleeping position Sleeping on your back can cause you to snore. Sleeping on a pillow that is too soft or too large can have the same effect.
Maybe your partner tells you that you snore. His
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