Snoring Sleep Apnea

 

Patients diagnosed with mild to moderate Sleep Apnea can be treated using removable Oral Appliances, avoiding the need for CPAP or other pressure devices. 

Dr. Mams sees patients for snoring and sleep apnea at the offices of Tygarts Valley Medical Specialties (304)637-6302.  By seeing patients there, the patient can take advantage of their medical insurance.  Diagnosis and Treatment of Sleep Apnea is a medical condition and applicable to most medical insurance coverages. 

You can find out about diagnosis and treatment of Sleep Apnea by seeing Dr. Jenny Cross at Tygart Valley Medical Specialties(304)637-6302 and when Oral Appliances are appropriate, you will be referred to see Dr. Mams. 

It has been estimated that 90 million people in North America have breathing problems leading to snoring and sleep apnea. Snoring is not just a social nuisance, it is a serious health risk. Cardiovascular disease is the number two cause of death in North America and patients who suffer from snoring and sleep apnea have a higher incidence of heart attacks and strokes due to high blood pressure as a result of lack of oxygen.

 

Snoring occurs when the tongue partially blocks the airway when the patient sleeps on their back and sleep apnea occurs when the tongue completely blocks the airway. Both situations are harmful since the patient is deprived of oxygen.

 

Some patients actually stop breathing for 30 seconds or more many times each night. These patients wake up several times at night gasping for breath. When they are deprived of oxygen they have problems getting to sleep, wake up frequently at night, have morning headaches, loss of memory, ear aches, grind their teeth at night, and find it difficult to concentrate.

 

Daytime fatigue is the number one sign of sleep apnea and results in an increase in industrial accidents and traffic accidents. Many patients are prescribed CPAP units that consist of an air compressor that forces air up the nose in order to open the airway. While these are effective and necessary for patients with severe sleep apnea, the problems is that 80% of patients are non-compliant after one year. Oral appliances are available for patients that snore or have mild or moderate sleep apnea. Patients much prefer to wear oral appliances that reposition the lower jaw and move the tongue forward, thus opening the airway. Patient compliance with oral appliances is over 90%.

 

Dr. Mams can help identify your need for a snoring or sleep apnea oral appliance. The dentist is just one of several healthcare professionals that work together to solve these problems. Identifying the source of the problem is the key to proper treatment.

 

 

EPWORTH SLEEPNESS SCALE

The Epworth Sleepiness scale (ESS) was developed and validated by

Dr. Murray Johns of Melbourne, Australia. It is a simple, self- administered

questionnaire and widely used by sleep professionals in quantifying the level of daytime sleepiness.

 

How likely are you to doze off or fall asleep in the followong situations, in contrast to feeling 'just tired'? This refers to your usual way of life at prestent and in the recent past. Even if you have not done some of these things recently, try to work how they would have affected you.

 

Use the following scale to choose the most appropriate number for each situation:

 

0 = Would never doze off

1 = Slight chance fo dozing

2 = Moderate chance of dozing

3 = High chance of dozing

 

 

Situation............................................................................. CHANCE OF DOZING

 

Sitting and reading .....................................................................__________

Watching television ...................................................................__________

Sitting, inactive in a public place (e.g. theatre, meeting) ....................__________

As a passenger in a car for an hour without a break ...........................__________

Lying down to rest in the afternoon when circumstances permit .............__________

Sitting and talking to someone ......................................................__________

Sitting quietly after lunch without alcohol ..........................................__________

In a car, while stopped for a few minutes in traffic .............................__________

 

...................................................................................................Total score _________

 

What your score means........

* 0-7 Not abnormally sleepy

* 8-9 Average amount of daytime sleepiness

* 10-15 You may be excessively sleepy, medical consult should be considered

* 16-24 You are excessively sleepy, would recommend a medical consult