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(503) 765-7300

Sleep Apnea Dentistry
Lake Oswego, OR


Sleep Apnea - Nicholas Dose, DMD - Lake Oswego, OR

A Good Night's Rest

At our Lake Oswego practice, we understand what it's like to have a bad night's sleep. We know what it's like to get out of bed to start the day, when you have not slept a wink all night. The rest of your day is spent in a complete haze and compensating with cup after cup of coffee. You are tired enough to pass out and yet, as soon as you get to bed, you cannot seem to shut off. How are you supposed to function without sleep? The truth is, you can't. Sleep deprivation is a real condition that affects a huge majority of the population. Sometimes it is caused by stress, inconsistent scheduling, or in the case of patients who have "always had trouble sleeping" they may be suffering from an undiagnosed sleep disorder.

Without at least eight hours of sleep a night, you become at risk for low productivity in the workplace, high vulnerability to illness, inability to heal from injuries, aggressive and impulsive behavior and even dangerous driving habits. Should you get pulled over for the way you are driving, "I'm just tired" is not an accepted excuse. The law considers sleepy driving just as dangerous as drunk driving. If you consistently sleep less than eight hours a night, Dr. Nicholas Dose is here to help you get back on a healthy sleep schedule.

Sleep Disordered Breathing

Sleep Disordered Breathing or SDB is one of the most common causes for lack of sleep. Sleep Disordered Breathing causes the patient to suffer from a variety of breathing struggles including snoring, trouble breathing or lack of breathing all together. Imagine what holding your breath for minutes at a time feels like. SDB could be causing you to hold your breath while you are asleep. It's no wonder you wake up with a headache and cannot fall back asleep.

Sleep Disordered Breathing is caused by a collapsed airway. Collapsed airways disrupt the amount of air you are capable of taking in at any given time. Depending on the severity of your condition your symptoms could progressively get worse, resulting in louder, more frequent snoring, fewer breaths taken while asleep, shallow breathing or lack or breathing all together. Dr. Nicholas Dose works with patients suffering from SDB to open their airways and breathe easier from right here in Lake Oswego.

Obstructive Sleep Apnea

You may think your partner is simply just a loud snorer. While this is inconvenient, it is not a disturbing problem. What you may not know is snoring is caused by air trying to force itself through a narrow airway. When a patient sleeps with their jaw open, their tongue could fall back into the throat, making the airway narrower and the snoring louder. When the tongue falls back in this way, it is not only annoying to listen to, it is dangerous. If your partner is a constant, loud snorer, this may be a symptom of Obstructive Sleep Apnea or OSA.

Obstructive Sleep Apnea is a condition where the patient's airway has completely collapsed, thus obstructing airflow to the lungs. If the patient tries to breath, their airway closes even tighter. Patients who experience Obstructive Sleep Apnea are at risk for more than just a bad night's rest. They could also suffer from impotence, morning headaches, high blood pressure, depression, heartburn, heart attack and even strokes. Let Dr. Dose ease these symptoms for a safer, healthier night's sleep; call us today at 503-765-7300 to schedule your appointment!

Roughly 80% of the population who has sleep apnea has OSA, so there is a good chance that f you have sleep apnea, we can treat you with a TAP device. TAP devices are made to be worn in your mouth while you sleep at night. They consist of two arches of plastic that hold your lower jaw in a forward position, preventing it from slipping to the back of your throat while you are sleeping. This solves the mechanical problem that OSA presents.

Patients who experience obstructive sleep apnea are at risk for more than just a bad night's rest. They could also have impotence, morning headaches, high blood pressure, depression, heartburn, heart attack and even strokes. Let Dr. Dose ease these symptoms for a safer, healthier night's sleep; call us today at 503-765-7300 to schedule your appointment!

Central Sleep Apnea

Central sleep apnea (CSA) is a less common form of sleep apnea that affects roughly 20% of those who have the disorder. Whereas OSA is an issue that arises when the airway is physically blocked, CSA is an issue that arises when the brain doesn’t send the correct signals to breathe to the rest of your body.

Breathing is part of your autonomic nervous system, which is a fancy way of describing the things that seem to happen involuntarily in the body. Other autonomic functions in the body include the beating of your heart and the functions of organs in the body. Your body relies on your brain to activate the muscles responsible for breathing. When you experience CSA, it’s because your brain has stopped sending the order to breathe to the muscles responsible for the job.

CSA is a more complex issue than OSA because we can’t fix it by simply splinting your lower jaw. Sleep health professionals can’t even it by forcing the brain to send those signals to your muscles – it is too complex an issue to tackle head-on. Instead, the most common way that CSA is treated is via a workaround. You have probably heard of CPAP machine, which is a machine that produces a Continuous Positive Airway Pressure for the patient while they are asleep. CPAP machines continuously pump a steady stream of oxygen rich air into your airway as you sleep. When you stop breathing, the CPAP machine keeps the steady stream of air running, keeping your lungs full of oxygen rich air.

We cannot treat those with CSA, but we do have great relationships with sleep specialists and medical professionals who are experts in the treatment of CSA.

Complex Sleep Apnea Syndrome

Complex sleep apnea syndrome affects a very small portion of those who are diagnosed with sleep apnea. Complex sleep apnea is a hybrid of CSA and OSA, where the airway of the patient is obstructed, and the brain will intermittently cease sending signals to breathe to the muscles that control breathing.

At Nicholas Dose, DMD - Family Dental Care, we cannot treat those with complex sleep apnea syndrome, but we can refer you to a medical expert of sleep therapy professional who can!

Why You Should Seek Treatment For Sleep Apnea

Many people tend to avoid having medical issues diagnosed for no discernable reason. Sometimes it feels like there is too much on their plate, and they put off coming in for diagnosis because they figure they will have more time later. Others are afraid of the potential bill that will follow diagnosis. While there are plenty of ways to justify putting off treatment, none of them compare to the dangers of allowing serious issues like sleep apnea to continue. So, what is the worst that can happen if you allow your sleep apnea to continue?

REM Sleep Is Critical

REM stands for Rapid Eye Movement, which is a stage of sleep where we experience a significant amount of rest and recovery. To understand REM sleep and how it works, it’s important to understand how sleep cycles work.

There are three stages of non-REM sleep, each of which lasts for between 5 and 15 minutes. You will go through these three stages of non-REM sleep before you enter into REM sleep.
•  Stage 1:Closed eyes, easily awoken. Can last from 5 to 10 minutes.
•  Stage 2:Light sleep. Your body temperature begins to drop, and your heart rate will start to slow down.
•  Stage 3:Deep sleep. Non REM (NREM) deep sleep is the stage where you are harder to wake. Your body will repair and regrow tissues during this stage.

REM sleep usually starts 90 minutes after you fall asleep. Your first cycle of REM sleep will be short (maybe 10 minutes), and each successive cycle will grow longer, usually ending in an hour long REM cycle at the end of the night. While you are in REM sleep, your eyes move rapidly, and you dream.

REM sleep is critical to feeling rested and well during the day. If you have sleep apnea and rarely enter REM sleep some of the side effects that you experience may include:
•  Irritability
•  Difficulty concentrating
•  Anxiety
•  Hallucinations
•  Increased appetite
•  Depression
•  Aggression
•  Increased response time

Being REM sleep deprived is somewhat similar to being intoxicated.

Snoring Leads To Divorce

Strangely enough, studies have shown that having a bed partner can be beneficial to sleep patterns. So, assuming all is right, you stand a good chance of having a better sleep if you share the bed with someone. What if everything is not right? Queue the snoring partner. When you share the bed with someone who snores, there is a high probability that your sleep will suffer. So, not only is the person who is snoring suffering from the effects of their snoring (sleep apnea), but the partner to that person has their nightly sleep ruined as well.

Roughly 1/3 of couples report that their relationship suffers due to snoring. It’s not surprising that the most common reason for couples sleeping separately is snoring.

Snoring and sleep apnea go hand in hand, so if you snore, there is a good chance that you also have sleep apnea. If you sleep alone, you are only hurting yourself by letting your sleep apnea continue to affect your sleep. If you share a room with your partner, you can easily ruin their sleep with your snoring. The bed partner of snorers may wake up several times per hour throughout the night. This means that even though they do not have sleep apnea, they will experience a night very similar to that of someone who has sleep apnea. They don’t get to see the benefits of REM sleep, and they don’t get to experience a meaningful sleep.

The result of two partners who never receive a good night sleep is not pretty. Both partners can experience a significant rise in blood pressure over the years from the stress of waking frequently. Both partners will experience a rise in the risk of health issues like stroke, heart disease, kidney disease, and even dementia.

When just one partner doesn’t get enough sleep, the stress that the relationship experiences is often significant. When both partners are losing sleep, the stress on the relationship can be devastating. When tensions start to run high, consider coming in to have a no obligation consultation on sleep apnea. A study at The Sleep Disorders Center at Ruh University Medical Center ran a test to determine how badly a husband is snoring could impact marital satisfaction. This study found, not surprisingly, that married couples who have a partner with sleep apnea experience significantly higher divorce rates. Don’t allow your marriage to suffer because of your sleep apnea, call us today at (503) 765-7300 to schedule an appointment.

Call us today
(503) 765-7300
Nicholas Dose, DMD
601 1st Street Suite A
Lake Oswego, OR 97034-2370


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Nicholas Dose DMD, 601 1st Street, Lake Oswego, OR, 97034-2370 - Tags: sleep apnea Lake Oswego OR; Sleep Apnea; Nicholas Dose DMD PC Lake Oswego OR; (503) 765-7300; www.lakeoswegodentalcare.com; 12/5/2017