Nocturnal snoring and apnea

want to stop snoring? You know that in the U.S. there is the boom of mobile devices for the night?

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Everyone can benefit from the mobile devices of last generation.

The snoring and nocturnal apnea

go to the Center for orofacial pain

The snoring difficult case for the passage of air through the first airway during sleep. The resulting vibration of soft tissue is the cause of the characteristic sound. Relaxation during sleep the muscles of the mouth, tongue and throat, making it more difficult passage air.
Further reduced the airway becomes more difficult breathing during sleep for up to become nocturnal apnea (you stop breathing for a few seconds).

In all clinical studies published in the literature, apparatus "anti" have shown a large percentage of success in more than 95% the snoring is reduced significantly and in 50% of cases is eliminated (American Sleep Disorders Association) .
The devices used are the mobile stage of the jaw, before you get to sleep, which create more space between the tongue and pharynx, facilitating the course of the air.

What are the causes of reduction of patency?

• At any level of the airways: tumors
• Nasal cavity: septal deviation, polyps, turbinate hypertrophy, mucous congestion
• Rinofaringe: hypertrophy adenoidea
• Istmo mouth: hypertrophy or edema of the tonsils and palace velopendulo
• Oropharynx and ipofaringe: Lingual retrusione for micrognatia retrognatia and macroglossia, lingual tonsil hypertrophy or fall back language to excessive loss of muscle tone, hypertrophy of lingual tonsils in particular in smokers
• Stuffed with fat at any level that induces both an increase in thickness of the tissue with a consequent reduction in patency, which increased laxity resulting in lower inhalation resistance, especially forced, and their deformation in the direction of the inspiratory flow that leads them to further reduce the size of the airways
• Incoordinazione muscle agonists and antagonists of the upper airway, they are normally in charge of maintaining the patency of the airway during the respiratory cycle
• Malfunctioning sensory receptor selective high airway.

What are the most affected

are largely

• all stakeholders have a mandibular retrusione
• those who have closed the nasal cavity due to polyps or the deviation of nasal septum
• who, already having a disturbed sleep for other reasons, make use of sleeping pills
• those who have a deeper sleep induced by alcohol, by fatigue and a dinner too, with reduction of excessive muscle tone and therefore Lingual

therapy

• Treatment Gnathology: MAD (mandibular advancement device). The most recent international studies highlight that the treatment of APNEE can not do dall'avanzamento of the tongue, jaw and dell 'osso hyoid bone. This is possible through the use of a mandibular advancement device night (always advisable as a first step, even if it spreads to the maxillo-facial surgery in more severe cases).
• Lifestyle: Avoid sleeping pills, alcohol evening, especially evening meals, lose weight, stop smoking to avoid Lingual tonsil hypertrophy
  Body position during sleep is recommended that the position of the side.
• Medical therapy: treatment of gastroesophageal reflux can often be a result of APNEE night, diet, nasal decongestant spray, nasal plasters.
• Devices: CPAP and BIPAP (Bi level PAP) devices that are blowing air into the airways by nasal mask. The statistics show that about 20% of patients are forced to anatomical problems, to solve the problem of APNEE night (osas) exclusively with such equipment.
• Surgical treatment is based on three lines of action: 1) improving nasal patency (turbinectomia, correction septal deviation, adenoidectomy) 2) to improve the patency of the throat (soft palate resection, uvulo-palato-pharyngeal-plastic, tonsillectomy) 3) advancing the mandible, the jaw, the tongue and hyoid bone bone: MMO (maxillo-mandibular advancement osteotomy).

what types of mobile devices?

Mobile devices used to treat apnea and snoring at night are basically of two types:

1. Equipment for the repositioning front of the jaw (U.S. dall'FDA approved for the treatment dell'apnea night)
2. Equipment for the front riposizinamento language (not approved 'by FDA for dell'apnea night)

among those belonging to Group 1, there are different types of advancement of the jaw and not all of those recommendations led to good results. E 'should be able to use devices that enable the activation of progress and progressive using a standardized protocol that allows to assess the improvements obtained. Do not forget that similar apprecchi may have the undesirable effect of changing the occlusion of the patient and therefore should be handled by expert hands and aware.

costs

Appliances that can be used, as the cost varies between 500 euros (appliances that can not be adjusted) up to 1500 euro (appliances with adjustable forward and with pistons hevvy duty to bruxisti); in Studio you will be recommended for the equipment best suited to your needs.

Snoring: The Diagnosis

To diagnose the roncopatia may be the family doctor. For a more detailed study we will still go to a specialist, which could also require a sleep study (polisonnografia). It 'worth noting that before the diagnosis is made, the sooner you will begin therapy: a curated roncopatia time limit the damage and enjoy the more quiet and serene nights.