July 31st, 2018

// Crooked Teeth, Extra Pounds And Other Surprising Culprits Wrecking Your Sleep

Crooked Teeth, Extra Pounds And Other Surprising

Culprits Wrecking Your Sleep

There’s nothing like waking refreshed after a good night’s sleep.


For too many people, though, it doesn’t happen enough – if at all.


“No one really knows why we sleep, but we do know that sleep is essential for survival and that 70 million Americans suffer from a sleep problem,” says Dr. Daniel Klauer, DDS, author of Achieve Your Victory: Solutions for TMD and Sleep Apnea  (www.drdanielklauer.com).


The inability to log enough hours of shuteye each night is more than just an annoyance. Conditions that prevent or affect sleep can lead to a cascade of negative health consequences, says Klauer, whose dental practice makes sleep breathing disorders a focus.


“A sleep breathing disorder can cause someone to stop breathing, either partially or completely, when they’re sleeping,” Klauer says. “That can result in daytime sleepiness or fatigue that often reduces quality of life and inability to function throughout the day.”


The most common such disorder is obstructive sleep apnea, which can lead to other health problems, including chronic diseases, such as diabetes, and even death. He says he see more men who have sleep symptoms than women.


A number of factors, some less surprising than others, can contribute to obstructive sleep apnea, Klauer says. Those include:

  • Crooked teeth. If you have crooked teeth, that’s an indication your tongue doesn’t have the space it needs inside the mouth. “When there’s not enough room, the tongue can obstruct the airway,” Klauer says. Of course, even people with straight teeth can have obstructive breathing, he says. It’s just less likely for them.
  • Improper jaw development. If the maxilla (upper jawbone) and mandible (lower jaw) aren’t fully developed forward and wide, the dimensions of your airway will be reduced.
  • Swollen tonsils and adenoids. Tonsils and adenoids are lymphatic tissue that rest in the back of the throat and nasal cavity. If they become swollen, they take up space within the airway and cause breathing problems.
  • Weight issues. Obesity causes increased fat deposition in the soft-tissue passages of the airway and decreased muscle tone. That makes it more difficult to breathe and increases the chances of an airway collapse at night, Klauer says.

Once you’ve determined what problem is causing your obstructive sleep apnea, the next step is to look for solutions. Klauer says the first line of treatment for patients with mild to moderate symptoms is a Continuous Positive Airway Pressure (CPAP) machine or Oral Appliance Therapy.


CPAP Therapy requires wearing a mask on your face at night that blows air through your nose to keep your airway from collapsing at night.

Oral Appliance Therapy requires wearing a customized oral appliance. This appliance serves to physiologically prevent the collapse of your airway by stabilizing your lower jaw, tongue, and soft palate.


If these efforts don’t work, surgical options may be necessary, Klauer says. Regardless, it’s important to address the issue, not only because of the health concerns, but also because of the importance of rest.


“The quality of sleep ultimately determines the quality of life,” Klauer says. “Sleep gives the body a chance to rest, recover and rejuvenate. It is the body’s way of filling the tank back up with gas.”



About Dr. Daniel Klauer, DDS

Dr. Daniel Klauer, DDS, is author of Achieve Your Victory: Solutions for TMD and Sleep Apnea (www.tmjsleepindiana.com). Since 2013, Dr. Klauer has limited his practice to treating patients with craniofacial pain, TMD, and sleep breathing disorders. Dr. Klauer is board certified with the American Board of Dental Sleep Medicine, American Board of Craniofacial Pain, and the American Board of Craniofacial Dental Sleep Medicine. He is diplomate eligible with the American Board of Orofacial Pain. He attended the University of Notre Dame and was a member of the Big East Championship Varsity Golf Team. After graduating from the University of Notre Dame, Dr. Klauer earned his doctor of dental surgery degree (DDS) from Ohio State University.



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