Snoring and Sleep Apnoea clinic
At JME Dental we provide a free screening appointment for custom-fit anti-snoring devices for snoring and sleep apnoea patients. This is one of the least expensive and most successful medical treatments to stop snoring and enhance the quality of your sleep.
What is Snoring?
Loud and frequent snoring can be a nuisance to sleep partners and can possibly disturb the whole household. Snoring is quite common with 30% of adults snoring and 60% of men over 60 years being habitual snorers. Snoring is caused by a decrease in muscle tone of the muscles in the back of your mouth and throat, this allows the muscle to collapse which causes the noise when you are inhaling as you sleep. Snoring may be made worse when you are lying supine and after late evening alcohol consumption.
What is Obstructive Sleep Apnoea (OSA)?
Snoring can be a symptom of a condition called obstructive sleep apnoea. 30 – 50% of asymptomatic snorers will have some degree of Sleep Apnoea. Sleep Apnoea occurs if the muscles in the throat narrow to a critical level. Breathing is reduced leaving oxygen levels low and this allows carbon dioxide levels to rise. The breathing centre in the brain is activated to partially awaken the patient to trigger the muscles to tone again and for breathing to return to normal.
Illustration shows narrowing of the muscles in the throat during a sleep Apnoea episode
What are the health implications of Obstructive Sleep Apnoea?
Increased daytime tiredness as your brain awakens many times during the night
Exacerbation of heart disease and high blood pressure
Nocturnal Bruxism (tooth grinding at night)
GORD (gastro-oesophageal reflux disorder)
Insulin dependant diabetes
Who is the most risk of sleep apnoea?
- Male or female in middle age
Patients with High Blood Pressure
Alcohol and sedative consumption(especially in late evening)
- Nasal and sinus problems
What treatment options are available for Obstructive Sleep Apnoea?
CPAP (continuous positive airway Pressure)
Mandibular repositioning device
Upper airway Surgery
What lifestyle changes can help you stop snoring?
Weight Loss: can reduce fatty tissue in the back of the throat and decrease snoring.
Exercise: regular exercise can also tone the muscles in your throat, which in turn can lead to less snoring.
- Quit Smoking: Smoking causes airways to be blocked by irritating the membranes in the nose and throat.
- Avoid: alcohol, sleeping pills, and dairy products especially before bedtime, because they relax the muscles in the throat and interfere with breathing. Talk to your doctor about any prescription medications you’re taking, as some encourage a deeper level of sleep which can make snoring worse.
- Positional Therapy: Create a bedtime routine which can help you sleep better and reduce snoring. Sleep on your side: Avoid sleeping on your back, as gravity makes it more likely for your tongue and soft tissues to drop and obstruct your airway.
What can JME Dental do to help?
Dentists cannot diagnose obstructive sleep Apnoea (OSA), they are however in a prime position to identify at risk patients and screen these patients for the appropriate referral to a sleep specialist. Appropriately trained Dentists can provide primary treatment for snoring and mild cases of OSA, as well as second line treatment for more severe cases of OSA under the instruction of a sleep specialist if first line treatment such as CPAP fails due to poor compliance.
What treatment does JME Dental offer to snorers?
At JME we can assess the suitability of patients for treatment with a mandibular advancement device (MAD) and can arrange an adequate follow up treatment to monitor the effects of such devices. Mandibular advancement devices are well tolerated and effective in the treatment of snoring and they can enhance the patients quality of sleep.
At JME Dental we can provide these appliances to be worn in your mouth at night. These appliances open your airway by bringing your lower jaw or your tongue forward during sleep. This helps open the airway, allowing regular breathing without snoring. These appliances can help reduce or even eliminate snoring, allowing you to have the decent night's sleep you deserve.
What are the fees?
Our practice offers an initial trial device at a reduced fee of €450. This price includes an initial information visit, a complete Dental consultation with x-rays and to ensure there is no outstanding treatment required before an oral appliance may be placed. It also allows us to screen our patients for suitability of treatment. This fee includes close follow up for one year post appliance fit to monitor patients perceived results and compliance. Many clinic including ours offer permanent solutions to patients at prices of €1200-€1600. However, this approach is not ideal for many patients as there is no way of knowing if a patient is going to be compliant and continue wear of the device or if the device will be successful for each patient. For this reason modern dental technology has manufactured new trial devices for snoring and OSA.