Did You Know: Sleep Apnea Cases Climb as Age and Obesity Numbers Grow

As you know, while many people think they are getting enough sleep, they are actually not. Why? Because they might still wake up exhausted due to sleep apnea. Still, to this day, many patients’ sleep apnea goes undiagnosed, which further worsens their overall health, as well as sleeping patterns. As dentists it is our duty to identify potential cases of sleep apnea in our patients because as the population ages and obesity grows, sleep apnea cases continue to climb.

The Classic Sign

Many adults display the classic signs of loud snoring and broken sleep for years without even knowing their airways have been obstructed. Their sleeping partner might think, “Oh, it’s just snoring,” and not bother to research this any further. Or, they might do the classic “middle of the night elbow jab” that hints at, “roll over.” Either way, it is important to identify snoring as a potential sign of sleep apnea. After all, it is better to be safe than miss out on preventing further complications.

The Numbers are Rising

Year after year we are noticing that sleep apnea cases are climbing because the population is aging and obesity figures are growing. In relation to the past decade, there has been a significant jump in the number of people being diagnosed with nighttime respiratory problems and sleeping disorders.

One connection in the rise of these numbers is because there is a link between aging and the propensity of the airway to collapse. As with most parts of our bodies as we age, the structures within the body start to get a bit floppy. This, too, occurs with the upper airways.  And, as you are aware, sleep apnea means the muscles in the upper airway relax and the passage of air becomes obstructed at times—slowing or briefly halting oxygen getting to the lungs.

Additionally, as people age, we often see that there is a significant expansion in waistlines. As people gain weight, increased fat deposits within the upper airway and to increased incidents of sleep apnea. Obesity is often one of the leading causes of sleep apnea, which means it is important to inform our patients of weight loss and how important it is to remain active and healthy.

Oral Appliance Therapy

To help your patients find relief from their sleep apnea symptoms, oral appliance therapy might be the best option. However, before treatment can begin it is important for your patients to get a diagnosis from a sleep physician. This is where your working relationship with the medical community will come into play.

If you have any questions about sleep apnea or the process of diagnosis, please contact Dr. Mayoor Patel for more information.

Sleep Apnea and MS: Is There a Connection?

There is another connection I would like to take a closer look at: Sleep apnea and MS. This is a connection that has not been talked about in too much detail, but it appears to be one we might want to begin to pay closer attention to.

Fatigue

Fatigue and sleep complaints are commonly experienced by those living with multiple sclerosis (MS), which is an autoimmune disorder that affects the brain and spinal cord. A recent study suggested that while depression plays a role in MS-related fatigue, sleep disturbance is the biggest contributor—that is where sleep apnea comes into the picture.

An explanation for sleep-related fatigue experienced by those living with MS had something to do with obstructive sleep apnea. According to the study, sleep apnea was prevalent in people with MS. It also suggests that OSA may be a contributor to the fatigue that is one of the most common and debilitating symptoms of MS. It is definitely worth keeping an eye on and potentially improving symptoms through the treatment of sleep apnea. While sleep apnea treatment can’t eliminate MS, it can hopefully help with the increased fatigue portion of symptoms.

What is the Connection?

As stated before, sleep apnea is a serious medical condition that is characterized by frequent pauses in breathing while a person is asleep. After the breathing pauses, the person’s lungs catch up by taking deep gasps of air. Some nights a person may even snore violently or choke from oxygen deprivation. The nerve spasms associated with MS are often the causes of related sleep apnea. If a person suffers from sleep apnea, it should be addressed immediately to prevent long-term damage to the body.

Approximately one-fifth of MS patients surveyed had OSA and more than half were found to have an elevated risk for OSA based on screenings. Because fatigue is a common symptom of MS, it might pose as an excuse as to why they cannot sleep at night. However, this mistake needs to be avoided because many times the lack of sleep can be linked to something bigger. OSA can often be easily and effectively treated with oral appliance therapy to not only relieve sleep apnea symptoms, but potentially improve MS symptoms, too.

If you have a patient ha has been diagnosed with MS, it may be a good idea to discuss the possibility of OSA, especially if they are experiencing fatigue. For more information on sleep apnea, please contact my office today. While we continue to learn more about this connection, let’s continue to keep an eye it—you might be just what your patient needs to find some relief.

Dr. Patel Receives His RPSGT Certification

It’s official! Dr. Mayoor Patel recently received his RPSGT certification, which makes him the second dentist in the country (maybe even the world) to receive this certification! Isn’t that great? RPSGT is a trademarked designation that is assigned to sleep technicians who have successfully passed the RPSGT Exam. Recipients must also have adhered to recertification policies. Upon completion of each, RPSGT can be placed after their name—Dr. Patel has completed this.

What is RPSGT?

Being involved in sleep medicine is important and the RPSGT certification helps to solidify that importance. The Registered Polysomnographic Technologist (RPSGT) is an internationally recognized credential that represents the highest certification in the field for the health care professionals who clinically assess patients with sleep disorders.

The Board of Registered Polysomnographic Technologists sets the credentialing standards for the RPSGT credential and develops, maintains and administers the examination for all applicants. By administering the examination, the BRPT ensures that RPSGTs hold the highest level of core knowledge, skills, abilities and attributes possible.

How Do You Become a RPSGT?

To become a certified RPSGT, one must:

  • Have necessary clinical experience
  • Hold a Basic Life Support (BLS) Certification or its equivalent
  • Adhere to the BRPT Standards of Conduct
  • Pass the RPSGT credentialing exam

Dr. Patel has completed all of the steps listed above, which has allowed him to receive the certification of RPSGT! Dr. Patel is honored to have received this certification and to be the second dentist in the country to receive such an honor. To learn more about the RPSGT Credentials, please visit the Board of Registered Polysomnographic Technologists.

Who is Part of the Sleep Treatment Process?

When it comes to treating sleep apnea and other sleep breathing disorders, it is important to understand who each member of your team is. While we have mentioned this before, it is always a good idea to refresh your memory of just what each member does. Let’s meet he members of a sleep team, so you can better understand who is there to help in the diagnosis and treatment of your patients:

Board Certified Sleep Medicine Physician

A board certified sleep medicine physician has the necessary skills to diagnose and treat sleep disorders. If you suspect your patient might be suffering from a sleep disorder, the first person you should contact is your local sleep medicine physician. Each sleep medicine specialist has received special training that can prevent serious life-threatening diseases and improve your quality of life.

The Sleep Technologist

A sleep technologist will assist in the evaluation and follow-up care of patients with sleep disorders—they interact directly with the patients. They will assist the sleep medicine physician with diagnostic tests, including in-lab sleep studies, multiple sleep latency testing (MSLT) and the maintenance of wakefulness testing (MWT). A sleep technologist will also score sleep tests prior to the physician’s interpretation, while also assisting patients with their home sleep tests.

Advance Practice Nurse/Physician Assistant

Nurses and physicians assist the sleep medicine physician in providing care for your sleep patients. Their roles will vary by state, but both typically practice within the scope of practice as defined by a state licensing board.

Sleep Surgeon

Also known as an otolaryngologist, a sleep surgeon has a specific interest in treating snoring and obstructive sleep apnea. Sleep surgeons work closely with a board certified sleep physician to provide proper care for patients who cannot tolerate CPAP therapy. The sleep surgeon can discuss with your patient each surgery option available.

Behavioral Sleep Medicine Specialist

Mental health professionals that have training in behavioral sleep medicine can work with patients to address the behavioral, psychological and physiological factors that might be interfering with their sleep. A behavioral sleep medicine specialist will use cognitive-behavioral therapy to attempt to eliminate habits, behaviors and environmental disruptions that stand in the way of optimal rest.

As a dental sleep medicine specialist, you can often recognize a sleeping problem before it worsens. You can also provide effective treatment for your patients. Dr. Mayoor Patel is available to help teach and guide you in your role as a dental sleep medicine specialist and how you can successfully treat your patients.