Beyond the Barriers: Obstructive Sleep Apnea Treatments

Beyond the Barriers: Obstructive Sleep Apnea Treatments

November 3, 2019 51 By Ewald Bahringer


(Music)
Access Health correspondent Amber Milt
brings us the latest in a treatment
alternative for Obstructive Sleep Apnea and snoring.
Take a look. According to the National
Institutes of Health, an estimated 12 to
18 million adults in the u.s. suffer
from sleep apnea and a whopping 37
million Americans suffer from snoring.
The rest of us that are living with said
snores, well apparently we’re not getting
the rest we need either. Thankfully here
with more information and the latest
technology is Doctor Sodeifi, board-certified oral and
maxillofacial surgeon who’s been in practice
since 2003. Welcome Doctor. Thanks
for having me. Okay so right off the ba,t what
causes snoring? The causes are with
some sort of narrowing in the upper airway.
Those narrowings could be due to nasal
anatomy such as deviated septum. It
could be due to large tongue or mandibles
which is a lower jaw being set too far
back. Allergic related symptoms, it
could be due to weight gain, aging can
have an effect on it, as a soft tissue
in the oral cavity becomes more floppy
and loose and also at the same time
the muscular tone decreases. The
consequence of that would be some of the
health manifestations of it as the
snoring becomes more progressively
significant and maybe developing the sleep
apnea. Which can lead to hypertension
with potentially development of
coronary artery disease more risk of a
heart attack, more risk of a brain
stroke or development of diabetes. How do
you even know if you’re snoring? It
depends on how much the snoring is affecting
your hygiene obviously throughout the
course of your night. Some of the
symptoms for more significant snoring could
be daytime sleepiness, it could be
having headaches in the morning when
you wake up, finding out that you cannot
concentrate the way you used to, lack of
memory, or even in the more severe cases
people can have depression and mood
swings. Alright so if we think that we
might have a sleep breathing disorder,
how do we get diagnosed for that? The
first step is to see your doctor and
they are going to take a history, the
relevance of the history is significant
and then they’re going to do a physical exam.
Your phyiscal exam will be looking at your
vital signs and other factors which can
be affected by snoring as well but
beyond that by looking at your anatomy
of your facial skeleton, oral cavity and
your nose. Yhey’re going to look for some
of the information that I mentioned
earlier and then they’re going to refer
you to have a sleep study done. Okay so
now for diagnosed with sleep breathing
disorders or sleep apnea like all hope
isn’t lost right there’s treatment
options but what are some of the goals
of those treatments? Well the goal is to
restore ventilation, that means restore
breathing, allow the air to go into your
lungs without too much resistance. The
gold standard so far, for in this country
for sleep apnea cases has been CPAP. The
CPAP is a machine that you have a mask
associated with essentially it’s a pump.
You put the mask on your nose, on your
mouth and then with a strap behind your
head that gives a positive airway
pressure but as you can imagine it’s not
a comfortable device. The biggest
challenge is compliance. More than 50% of
the patients who would benefit from that
device do not tolerate it. So that’s the
one modality. The next step would be
considered now what becoming
more popular, which is mandible advancement device. Which is
the device we have here, is similar to that
but there are different types of
mandibular advancement devices out there
that you can consider. And finally for
severe cases they become surgical
options. Now you brought today what looks
like the mouth guard type of treatment
device. That’s right. So this is very
similar to other type of mouth guards and I
am also a person who uses this and part
of the reason I became interested in it
because they made an effective
difference for me. I have been using mandibular
advancement devices now for over three years
but what the challenge was majority
of these mandibular advancement devices
depend on you still breathing into your
nose. They bring your jaw forward, they
bring your tongue forward but they require
you to have an open nostril. What’s
different with this unique patented
technology by Oventus, is that this 3D
titanium printed device allows generation of
these delicate chambers which let
the air tasks through your oral cavity
and be directly delivered to the back
of your nose. So even when you have your
mouth closed and you draw a a breath, still
allows you to breathe to your mouth.
So if your nose gets congested as a
result of allergies or when you lay down,
the air diverts to the front of this and
it passes so you really have a second nose.
So this equaliberalization that takes place between your nose
and oral cavity is your much decrease
airway resistance. And as a traveler I
mean right off the bat, I’m realizing
this is extremely portable. So how
effective is this? Oventus has done some
really good clinical studies on here.
They have found that 100% of the patients
experience significant decrease in the
amount of snoring that they do and over
82% stop snoring. You want to reach out
to your doctor and because these are
oral devices many times it will be also
your dentist who would have to be
involved in this because they are the
ones who make it. I would recommend in
depending on where you live you reach
out to the website for Oventus and find
out who the providers are. They can tell
you who actually has been trained to
provide you with this device in your
community. I’ve got to just say one thing,
cause I have to wear a mouth guard. These
are custom designed to fit each person
so they’re going to be comfortable, right?
They are, they are, custom designed for
each particular person and then you know
there are measurements that are done by
your provider. That’s why this is by
prescription only. You cannot actually go
out there and buy on your own. Not
everyone is a candidate. If someone has,
there are some people with certain
dental related issues that may not be a
candidate or people who are missing
teeth that have dentures they cannot
wear these. So your dentist can
help you figure this out and but majority of the people are
candidates for it. Well thank you so much
Dr. This o2 vent sounds like something
that husband and wives are probably
going to be thanking you. It’s gonna help
relationships state. That’s absolutely
what we want and if you want more
information on the o2 vent you can visit
their website at OventusMedical.com
and as always you can Access all the
important information we discussed today
by going to our website AccessHealth.TV
(Music)