Are you feeling tired all the time….
Sleepy during the day…..
Allergies, ear and sinus infections,
Weight gain, cardio-vascular disease, fibromyalgia, GERD and on and on and on……
A Million Dollar Question is – How are you sleeping at night?
The sleep – breathing – health connection is a paradigm shift. Could there be a link between mouth breathing, nose breathing and Sleep patterns? And taking it a step further into the proper development of the upper jaw and nasal passages – can this be monitored or corrected with an early intervention?
Dentists can detect the Airway Obstruction much earlier than physicians. Children who grind their teeth, are mouth breathers, and suffer from chronic ear infections – could this be an Airway issue? In some studies, the esophageal pressure measures predicted ADHD and peer/conduct disorders in children and subsequent studies showing that one year after tonsillectomy and adenoidectomy, 50% of children diagnosed with ADHD before the surgery, no longer displayed symptoms. This is where we can see a huge impact by monitoring the development of the face and upper jaw in children leading to a proper functioning airway.
One of the challenges in Sleep Medicine is the proper diagnosis. Sleep Apnea and Obstructive Sleep Apnea (OSA) have different markers for diagnosis and hence the CPAPs and other appliances like Mandibular Advancement Appliance (MAA) are not the solution for everyone. In adults the CPAP compliance is poor and has not shown any improvement in health conditions such as Heart disease and Diabetes. Can we actually quantify the cycles of REM and Non-REM sleep. The Non-REM sleep is where the body is healing and recalibrating all the physiologic systems and the REM sleep is where the Mind is healing. Sleep interruptions such as snoring cause an increase in the Heart rate, a surge of cortisol levels, and a state of arousal and sympathetic activity. These sleep arousals/restless sleep manifests as adrenal fatigue, weight gain, chronic stress and increased inflammation in the body. In order to lose weight we need to get adequate Non-REM sleep. Excess cortisol also stimulates the production of deep abdominal fat cells – vicious cycle of lower serotonin levels causing increased craving for carbs, less desire to exercise, changes in Leptin (feeling full) and Ghrelin (hunger) hormones. Click on the link … to watch the video….
In the end, it is really significant to evaluate every patient for airway and breathing– adults and children. A comprehensive exam will lead to an accurate diagnosis and a referral to the right team of specialists for intervention and cure.