Posts Tagged ‘sleep apnea’

6 Reasons You’re Not Waking Refreshed – Newton, Wellesley, MA

6 Reasons you’re not waking up refreshed

According to an article in Prevention Magazine, here are the top 6 reasons why you may not be getting adequate REM sleep in order to wake up refreshed.  According the Dr. Ryne Johnson, prosthodontist and managing partner at Newton Wellesley Dental Partners, “people are surprised to learn that two dentally-related items are causing them to sleep poorly”.  He treats many people with simple oral appliances, worn at night, to combat bad ‘habits’ that are affecting sleep.

You grind your teeth at night

If you wake up with a headache, it's most likely because you've been clenching your jaw or grinding your teeth overnight, said Kathy Gruver, PhD, a massage therapist in Santa Monica, CA. Research shows that massage can help with symptoms, so apply some gentle pressure and/or a warm, damp cloth to the jaw area right before you go to sleep and as soon as you wake up in the AM to help break the cycle. Also consider seeing your dentist for a mouth guard, which keeps your teeth from grinding down.Project1

You have undiagnosed sleep apnea.

Half of all adult women have some type of sleep apnea, according to a 2012 study. (Women between the ages of 20 and 44 have a 25 percent chance of having sleep apnea, which also affects 56 percent of women ages 45 to 54 and 75 percent of women ages 55 to 70.) With this condition, "patients briefly stop breathing multiple times through the night, which leads to poor sleep quality," explains Dr. Johnson.  Sleep apnea is especially common in women as they go through perimenopause, when they mistakenly assume that their frequent night awakenings are a result of hot flashes. As a result, you'll often wake up exhausted, even if you've theoretically gotten plenty of sleep. The best way to diagnose sleep apnea is via a sleep study—at-home devices can pick up only severe cases. Mild cases can often be treated with weight loss and alcohol avoidance before bedtime, but if you've got a moderate to severe case, you'll need to use an oral appliance made by your dentist or in severe cases, a device like a CPAP, an oxygen tube under the nose that emits mild air pressure to keep the airways open.

Other reasons:

You read your Kindle before bed

You sleep in a bad position

Your pillow is of poor quality

You have a nightcap

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Original article: prevention magazine Artwork:

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Big Tonsils & Sleep Apnea – Newton, Wellesley, MA

Dr. Ryne Johnson, prosthodontist & managing partner at Newton Wellesley Dental Partners, came across a new study that found that the size of a person's tonsils may indicate their risk for obstructive sleep apnea, a condition in which blocked upper airways cause breathing to stop and restart repeatedly during sleep. Tongue indentations, or teeth imprints on the tongue that suggest it's too big for the mouth, may also be a sign. Big Tonsils & Sleep Apnea More than 18 million adults in the United States are affected by OSA. Since people with the condition are often suffering from interrupted and reduced sleep, it can lead to fatigue, irritability, and trouble concentrating. In severe cases, the disorder can lead to learning and memory difficulties, heart attack, congestive heart failure, cardiac arrhythmia, stroke or depression, the National Sleep Foundation reports. To reach their conclusions, the researchers examined 200 patients. Patients were screened for known and potential OSA risk factors including neck circumference, body weight, blood pressure and the size of their tongue, tonsils and uvula. Of these 200 participants, researchers concluded that 23 percent were at risk for OSA, with 80 percent of those being male. Obesity, large tonsils and tongue indentations were the most common factors among people who were deemed high risk. The findings are particularly important in the way they lend themselves to dental practice and education. While dentists won't be able to formally diagnose OSA in patients, equipping them with the knowledge to screen for it could potentially save many cases from going undiagnosed. The University at Buffalo points out that a dentist who recognizes an enlarged tongue or tonsils can suggest a patient visit a sleep specialist.  "Dentists see into their patient's mouths more than physicians do and the signs are easy to identify.” Dr. Johnson has been treating sleep apnea cases for many years using a SUADE appliance. For additional information or other blog topics, visit: Original article: Artwork:  

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Sleep Apnea – treatment via a dental appliance

Dr. Ryne Johnson, prosthodontist at Newton Wellesley Dental Partners has been treating sleep apnea and finding success with something besides c-pap therapy (which involves putting a mask on overnight). Project1 A 54 year-old patient (name withheld for HIPAA compliance), wakes up every day ready to put his life on the line as a Newton police officer, but there was something draining his energy. "I was constantly fatigued and my wife and co-workers would say, 'Hey, you snore really loud,'” reports one of the city’s top-cops. That snoring revealed a bigger problem: sleep apnea. "The soft palate or the tongue will collapse and actually stop the air from moving," explains Dr. Johnson. "picture a garden hose kinked with no flow -- that's sleep apnea." Dr. Johnson reports an increase in the number of sleep apnea appliances done in his practice and he's finding success at treating it with something known as SUAD appliance. "What they do is limit the ability for one to open typically and it gently holds the lower jaw forward in a position to get the tongue out of the airway," says Dr. Johnson. “The small device is placed inside the mouth during sleep, which is much easier to tolerate for patients who tried the traditional and cumbersome c-pap. "It's night and day," according to the patients Dr. Johnson works with on these sleep apnea appliances.  For one of Newton’s ‘finest’, "I wake up in the morning. I feel refreshed. I didn't even realize how tired I was all the time until my body adjusted to it. It literally changed my life completely." For additional information visit:  

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