Curing Sleep Apnea part-2

1. Presented by: Michael Rowarth Quit Snoring Solution +642102735600 info@quitsnoringsolution.com https://www.quitsnoringsolution.com/ What is Sleep Apnea and How to cure it?- Part 2

2. AHI (Apnea-Hypopnea Index): The number of apneas and hypopneas that occur per hour. Mild: ≥ 5 and < 15 events/hr Moderate: ≥ 15 and ≤ 30 events/hr Severe: > 30 events/hr Measuring Sleep Apnea

3. 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. Pediatric OSA

4. 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: When are Oral Appliances (OA’s) indicated?

5. 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. When are Oral Appliances (OA’s) indicated?

6. 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. When are Oral Appliances (OA’s) indicated?

7. 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. When are Oral Appliances (OA’s) indicated?

8. 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. Appliance Therapy vs. nCPAP in OSA

9. 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. How do you “titrate objectively”?

10. The Silent Treatment

11. 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. The Silent Treatment

12. Quit Snoring Solution +642102735600 info@quitsnoringsolution.com https://www.quitsnoringsolution.com/ Social Accounts https://www.facebook.com/zzzzstop https://plus.google.com/u/0/105407621845869869388 https://twitter.com/quit_snoring Contact Us