Curing Sleep Apnea Part-2

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What is Sleep Apnea and How to cure it?- Part 2

• Presented by
• Michael Rowarth
• Quit Snoring Solution
• 642102735600
• info_at_quitsnoringsolution.com
• https//www.quitsnoringsolution.com/

2
Measuring Sleep Apnea

• AHI (Apnea-Hypopnea Index) The
• number of apneas and hypopneas
• that occur per hour.
• Mild 5 and lt 15 events/hr
• Moderate 15 and 30 events/hr
• Severe gt 30 events/hr

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Pediatric OSA

• Frequently overlooked as a problem.
• Child often becomes overactive, rather than
  sleepy. Some become hyperactive and are diagnosed
  ADHD.
• Symptoms include 1) Restless sleep 2) Loud
  snoring 3) Nightmares 4) Morning headaches 5)
  Behavioral problems 6) Bedwetting 7) Gets
• tired easily 8) Wakes up tired 9)
  Concentration problems 10) Is irritated.
• Most common causes 1) Enlarged tonsils and
  adenoids 2) Narrow maxilla 3) Obesity.

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When are Oral Appliances (OAs) indicated?

• In the AASM (American Academy of Sleep
  Medicine) report in the February, 2006 issue of
  SLEEP , Practice Parameters for the Treatment of
  Snoring and Obstructive Sleep Apnea with Oral
  Appliances An Update for 2005 , it states

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When are Oral Appliances (OAs) indicated?

• 1) OAs are appropriate for use in patients
  with primary snoring who
• do not respond to or are not appropriate
  candidates for treatment
• with behavioral measures such as weight
  loss or sleep-position
• change.

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When are Oral Appliances (OAs) indicated?

• 2) Although not as efficacious as CPAP, OAs are
  indicated for use in patients with mild or
  moderate OSA who prefer OAs to CPAP, or who do
  not respond to CPAP, are not appropriate
  candidates for CPAP, or who fail treatment
  attempts with CPAP or treatment with behavioral
  measures such as weight loss or sleep-position
  change.

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When are Oral Appliances (OAs) indicated?

• 3) Reviewed studies of patients with severe OSA
  demonstrated treatment success (variably defined)
  with OAs on an average of 34.3 13.5...CPAP is
  indicated whenever possible for patients with
  severe OSA before considering OAs.

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Appliance Therapy vs. nCPAP in OSA

• The article looked at carefully controlled
  studies in which both CPAP
• and OAs were carefully titrated (adjusted).
• Conclusion There is no clinically relevant
  difference between a
• MAD Mandibular Advancement Device and nCPAP in
  the
• treatment of mild/moderate OSA when both
  treatment modalities
• are titrated adjusted objectively.

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How do you titrate objectively?

• After the patient is comfortable with the
  appliance, additional
• advancement is slowly introduced.
• While this is occurring,subjective reports and
  tests (e.g.,Epworth Sleepiness Scale) are used to
  assess progress.
• Once subjective relief of symptoms is achieved or
  the limit of what the TMJs and/or musculature
  will allow is reached, a sleep test is needed to
  quantify results.
• If indicated, we use the Medibyte portable home
  sleep test
• monitor to quantify results before
  referring the patient back to
• their primary care physician or sleep
  physician for whatever
• sleep test they deem necessary.

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The Silent Treatment
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The Silent Treatment

• The Silent Treatment, stop snoring solutions
  tongue trainer device is uniquely designed to
  allow complete control over the position in which
  the tongue is held.
• This stop snoring mouthpiece and OSA prevention
  will comfortably hold the tongue in position and
  prevent it from drifting back and blocking the
  airway while sleeping.
• It is the new effective, affordable and harm free
  technology, which, experts agree, looks set to
  become the market leader in self-fit snoring and
  OSA control devices.

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Contact Us

• Quit Snoring Solution
• 642102735600
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• https//www.quitsnoringsolution.com/
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