Snoring has long been a joke in our culture, but it can be far more serious than that. Snoring can be disruptive to marriages and families, and it can be a symptom of a condition called obstructive sleep apnea, or OSA. People with OSA appear to hold their breath repeatedly during the night, then abruptly begin breathing again, often with a snort. As a result, these people do not get enough oxygen as they sleep and may wake with morning headaches. Also, they are not able to maintain the deeper restful stages of sleep and wake feeling unrefreshed. Sometimes, they wake feeling more tired than when they went to bed. OSA often leads to excessive daytime sleepiness, dozing off inappropriately, falling asleep when working or driving, lowered energy levels, memory loss, and depression and anxiety. OSA has even been linked to death by cardiovascular disease. OSA elevates blood pressure, aggravates diabetes, and can cause gastroesophageal reflux disorder (GERD, or heartburn). And most of the chronic pain disorders such as fibromyalgia, chronic fatigue syndrome, and multiple sclerosis (MS) can be aggravated by OSA. Even the immune system can be suppressed by inadequate quality sleep.

The first step is to call our office for an examination, as an accurate diagnosis is essential to appropriate treatment of a sleep disorder. Depending on the examination results, we may need to refer you for further medical evaluation. Often an overnight sleep study, called a polysomnogram, needs to be scheduled at a sleep center. In some cases, overnight home testing can be done.

Frequently, we provide effective treatment of snoring and OSA easily and painlessly, with special appliances that look somewhat like orthodontic retainers and which are worn inside the mouth at night. Oral appliances often can substitute for the mechanical CPAP nightstand machines and nose masks that many people use. Oral appliances are easy to wear and care for, and are extremely portable. They can be worn camping, in remote cabins, and when traveling. With oral appliances, it is possible to sleep quietly and restfully, even on an airplane.

In particularly severe cases where even CPAP is not effective, oral appliances often can be combined with CPAP for double benefit. Surgery may be recommended in some OSA cases, especially when large tonsils or adenoids are involved.

Denial and embarrassment are common reasons for OSA to go undiagnosed and untreated. The person with symptoms of a sleep disorder may refuse to believe that he or she snores, and may be offended by a confrontation. We can provide additional information and support and help you locate a sleep center, if needed.