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The Impact of Sleep Apnea on Teeth Grinding and Oral Health

The Impact of Sleep Apnea on Teeth Grinding and Oral Health

Dr. Vinita Tekchandani

Dr. Vinita Tekchandani Masters Degree In Oral & Maxillofacial Pathology

October 13th, 2023

Sleep apnea, commonly accompanied by snoring and daytime fatigue, has stirred considerable debate regarding its impact on oral health. Nevertheless, recent research has firmly established a direct connection.

Keep reading this post to delve into the true ramifications of sleep apnea on oral hygiene and overall health, exploring the potential risks associated with this sleep disorder. Also, sleep apnea syndrome (OSAS) is a sleep disorder that is often associated with bruxism, and one of its causes is dental malocclusions. This article will try to better understand this link, starting from the description of sleep apnea syndrome.

What is sleep apnea?

The correct medical name for sleep apnea is obstructive sleep apnea syndrome (abbreviated as OSAS). It is a chronic pathology that consists of frequent interruptions in breathing during sleep. Such interruptions last less than 10 seconds and usually lead to the momentary awakening of the sufferer. A very short-lived awakening, which is not remembered the following morning but which still interrupts the flow of rest. It’s all due to the narrowing of the upper airways.

Evidently, sleep apnea may initially appear inconsequential, yet its repercussions on one’s well-being are profound. Individuals afflicted by it often endure fatigue, grapple with daytime drowsiness, and wrestle with debilitating migraines stemming from insufficient rest. Additionally, there is a heightened prevalence of cardiovascular ailments among those afflicted with OSAS.

Sleep apnea: symptoms and causes

Sleep apnea commonly manifests through loud snoring, yet it concurrently induces nighttime breathing interruptions, excessive daytime sleepiness, morning headaches, or sudden awakening with gasps. The origin of sleep apnea can be attributed to the physical obstruction of air passages during sleep, a consequence of the relaxation of muscles in the posterior throat. Additionally, airway blockage may arise from the enlargement of certain anatomical structures.

Luckily, there are several treatments that can effectively help treat this condition. Treatments like CPAP machines and changes like sleeping on your side instead of your back.

What is the relationship between sleep apnea and oral health?

The correlation between sleep apnea and oral hygiene is frequently underestimated. Recent investigations have indicated that individuals with untreated sleep apnea may encounter various additional oral health complications, such as oral dryness and dental decay. 

This predicament arises due to insufficient air circulation within the body, resulting in compromised nocturnal respiration. Thankfully, individuals contending with apneas can find relief through appropriate treatment. Nevertheless, it is of utmost importance to prioritize preventive measures by consistently scheduling dental check-ups to detect any potential issues early on. 

Inadequate sleep patterns have been associated with a decline in saliva generation, serving as a natural antimicrobial defense mechanism responsible for maintaining oral cleanliness by washing away food debris, especially in crevices between teeth and other challenging-to-access spots. Moreover, snoring episodes, coupled with instances of interrupted breath, may result in parched oral cavities owing to the disruption in oxygen delivery to the salivary glands. Addressing sleep apnea emerges not only as a pivotal step in symptom mitigation but also as a crucial measure to safeguard oral hygiene over an extended duration. 

The connection between sleep apnea and teeth

The causes of obstructive sleep apnea syndrome can be different. In many cases, the risk factors coexist. Overweight and obesity must be put first. Frequent alcohol consumption and smoking also have a strong impact, as does the use of drugs to promote sleep and relaxation.

However, the teeth and jaw can also play a role. In fact, in the case of dental malocclusions, the airways can be obstructed and hinder breathing. This is what happens, for example, in cases of poor mandibular development or a contracted palate. This also explains the correlation between OSAS and bruxism, scientifically observed in at least 1 case out of 4. In the event of breathing obstruction, in fact, grinding the teeth is the response (wrong but automatic) with which the body tries to remedy the jaw forward and allow a greater flow of air.

Tips to maintain good oral hygiene if you suffer from sleep apnea

Establishing and maintaining impeccable oral hygiene holds universal importance, but it assumes even greater significance for those afflicted by apnea. A clean oral cavity can offer respite from apnea symptoms and effectively manage them. For optimal results, adhere to a stringent oral care regimen, encompassing tooth brushing, flossing, or the use of interdental brushes post-meals to eradicate surplus bacteria that may exacerbate the condition.

Additionally, integrating a tongue cleaner into your daily routine is highly recommended to deter the buildup of food residue in your mouth. Regular visits to the dentist are equally crucial, as they facilitate early detection of potential issues before they escalate into serious complications.

Furthermore, it’s imperative to closely monitor your dietary choices if you are grappling with sleep apnea. opt for a nutrition regimen that is devoid of excessive sugars and acidic edibles to safeguard against dental deterioration. The presence of sugary and acidic substances can erode tooth enamel, rendering your teeth more vulnerable to cavities. Ensuring a consistent intake of water throughout the day is also beneficial in upholding oral well-being. Adequate hydration fosters saliva production, a crucial factor in neutralizing acids and averting the discomfort of dry mouth.

It’s also noteworthy that some individuals afflicted with sleep apnea may incorporate oral appliances or dental devices into their treatment regimen. These specialized contraptions are specifically engineered to facilitate airway openness during slumber, thus diminishing the gravity of apnea episodes. Meticulous maintenance is imperative; a regular cleaning regimen and adherence to your healthcare provider’s directives are vital to guarantee their efficacy.

Beyond oral hygiene, tackling the root causes of sleep apnea can exert a favorable influence on both your oral health and overall vitality. For instance, in cases where dental misalignments or jaw anomalies contribute to your sleep apnea, a consultation with a dentist or orthodontist could yield potential remedies, including orthodontic interventions or surgical interventions.

Finally, the incorporation of mouthwash aids in reducing oral bacteria while providing a refreshing breath.

Conclusion

To conclude, the nexus between sleep apnea and oral health is an influential one that should not be underestimated. By diligently tending to their oral hygiene, embracing medical treatments or lifestyle adjustments to tackle sleep apnea, and embracing a holistic approach to health, individuals contending with sleep apnea can elevate their overall quality of life and well-being while fortifying their oral hygiene. 

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