Obstructive Sleep Apnea Syndrome

A good day starts with a good sleep.

Sleep is a state of physical and mental rest. In a normal sleep; body temperature, blood pressure, respiratory rate, other body functions decrease. Sleep has two parts, non-rem and rem. There are 4-5 cycles during a normal sleep. Problems in sleep cause systemic diseases. Quality of life decreases.

SNORE: It occurs with relaxation of the upper airways and disruption of the muscular mechanism. If left untreated, it will progress to Apnea.

Causes of snoring:Obesity, alcohol, smoking, sleeping with open mouth, dirty-dusty air.

As a result of snoring; daytime sleepiness, occupational accidents, loss of performance, depression, family problems and a decrease in quality of life are observed. In addition, oxidative stress occurs as a result of hypoxia. With the increase of free radicals, the basis for cancer is prepared.

Snoring treatment; If there is no intranasal congestion, soft palate and uvula operations give 1% positive results. It will come back again. If there is congestion in the nose, it should be done by otolaryngologists.

First-line treatment is an intraoral appliance.

Even a single tooth loss must be completed. When it is not completed, the muscle becomes weak and the jaw goes back. Both of these are causes of snoring.

APNE: 10 seconds and/or longer lift-off stops at least 5 times per hour during sleep. It is definitely accompanied by clenching (bruxism). The teeth wear down and their guidance is lost. There are abrasions on the neck parts of the teeth. The lower jaw goes back, the vertical dimension decreases. Masseter muscle hypertrophy is very common. Teeth are visible on the tongue. Getting away from broxism (clenching) is difficult. Because it stimulates the pleasure center in the brain. Endorphins and dopamine are released. For this reason, it will constantly increase if no action is taken. The vertical dimension decreases, apnea begins.


Non-surgical treatments:

– Avoidance of risk factors and regulation of life; For this, it is recommended to control weight, do sports, stay away from alcohol and cigarettes.

-Nasal valve dilator. It is 30% effective. It supports the main treatment.

– Behavioral modifications required; These are sleeping position and sleep hygiene training.

-Positive airway pressure provides a solution if compliance can be achieved. Oral appliance is recommended for those who cannot adapt.

– Oral Appliance: It is prepared by the dentist with the measurement taken by placing the lower jaw in a special position.

Benefit appears the next day.

The treatment of the Oral Appliance is as follows:

– Increases the activity of relaxed muscles.

– It opens the airway.

-Prevents posterior pharyngeal wall collapses during the night.

-It ensures the lower jaw to be positioned in the correct place.

What does Sleep Hygiene mean?

– Fixed sleep time

– Sleeping position, nightwear, positioning pillow and regulation…

– Exercise

– Medicines; stimulants, alcohol, smoking.

– Bedroom layout: Computer, TV etc. shouldn’t be.

– Pay attention to variable business hours.

– Jet lag.

-Changes in lighting and/or heating.

– Medication side effects.

– Chronic or acute pain.

hypopnea; reduction of airflow and oxygen desaturation of more than 4%.

Oxygen desaturation; decrease in oxygen saturation. (80%)

Oxygen saturation; the fullness of the amount of oxygen carried in the blood. (min 80%)

The questions we ask for diagnosis are as follows:

Do you snore?

Are you holding your breath?

Do you have daytime sleepiness?

Have you witnessed your snoring and apnea?

Do you have a tension problem?

Gender ?

Neck size?

Age ?

Obesity ?

Do you have a stuffy nose?

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