Maxillary Hypoplasia: A Cosmetic Problem With Postural Physiologic Implications Including Sleep Apnea

Dr. Shapira Blog, Breathing problems can cause TMJ, Sleep, TMJ 0 Comments

Question from Jeff:

I was told I have maxillary hypoplasia. I cannot show any teeth when i smile. I don’t want to re-arrange my face and have it go numb. Pls tell me of all other options

Dr Shapira Reply:

Dear Jeff.
There are numerous methods to address your  cosmetic problem.  The first is to do nothing as you can function for a lifetime with maxillary hypoplasia.  There are some common medical concerns related to maxillary hypoplasia .  There is usually a nasopharyngeal airway restriction associated with Max Hypo.  During the day this can lead to forward head posture and over time lead to other problems including back pain, neck pain and numbness of the hands and arms.  This same airway restriction can lead to sleep  apnea and snoring at night.  RERAs or UARS are a milder form of apnea and all can lead to heart problems, endocrine problems increased weight, cognition problems etc.
Cosmetic approaches can vary based on examination and is based on several factors.  As you know maxilary advancement carries a risk and is a major surgical procedure.  It is possible to do a Rapid maxillary expansion and anteriorization with a surgical assist which is a much less invasive procedure and movement is done orthopdically.
The DNA Appliance utilizes Epigenetic Orthopedics to grow bone and AIRWAY orthopedically and pneumopedically.  There are limits to intraoral movement but 
use of headgear (reverse pull) can be incorporated.  I am in Illinois and do many DNA and RNA cases but if the condition is extreme Dr Martha Cortes in NYC is probably the premiere DNA practitioner in the world and I have sent he patients who commute to NY for treatment.
There is no reason that you can’t use an overlat denture on your maxilla to give and excellent look without actually correcting the problem.  Snap in Smile treatment can give you an instant makeover for minimal cost.   Depending on the degree of hypoplasia and the costs you want to incur it is possible to do a reconstruction with veneers, onlays and crowns to build the teeth out to a full smile.  There will be increased thickness and a tendency to have some food retention after eating, usually a minor problem but some patients find it annoying.
In my practice I offer cosmetic only solutions but my preference is to achieve ideal airway and physiology as an integral component of cosmetic reconstruction. A large portion of my patients have been treated for sleep disorders, TMJ disorders, chronic neck,back or head pain and the cosmetics are used as a finishing technique.  Most patients get the best cosmetic results when they are built on a platform of health.
The use of Physiologic Dentistry and the diagnostic aids they provide are essential in finding the best position regardless of the type of treatment decided on.

Do I Have a Sleep Disorder?

Dr. Shapira Sleep Disorder 0 Comments

A sleep disorder has to be taken seriously…

sleep-disorder-chicagoIf you find yourself constantly battling fatigue, feeling as if your sleep is disrupted on a nightly basis, or if your family complains about your snoring, you could have an underlying sleep disorder. There are several, common sleep issues that plague many individuals, robbing them of a good night’s rest and leaving them sleep-deprived.

When sleep doesn’t come easily or if you never seem to fall into that deep restful state, a more serious problem could be at the heart of the matter.

Your symptoms are your clue

Sleep disorders are a major problem in the United States. In fact, over 40 million Americans suffer from a some kind of chronic disorder that disrupts their sleeping patterns. Doubly disturbing is in many cases it goes undiagnosed.

To determine if you are one of the millions, it’s important to pay attention to your symptoms. The following are common symptoms for many people who struggle to get the required amount of quality sleep on a nightly basis:

  • Snoring
  • Gasping for breath in the middle of the night
  • Always feeling tired, regardless of how much sleep you get
  • Waking with a morning headache
  • Bruxism and/or jaw pain
  • Having a lack of energy
  • Finding it difficult to maintain concentration
  • Short term memory loss
  • Unexplained weight gain
  • Increased blood pressure
  • Gatric reflux and related sinus issues
  • Awakening multiple times during the night

If any of these symptoms apply to you, we recommend you seek help to pinpoint the source of your problem before you find yourself dealing with more serious health concerns.

Why treat your sleep disorder?

Everyone has a sleepless night on occasion. However, when it happens on a regular basis for an extended period of time, it can wreak havoc on your health. People with untreated sleep disorders are at a greater risk of developing:

  • Diabetes
  • Obesity
  • Cardiovascular problems
  • Depression
  • Stroke
  • Memory loss
  • Cancer
  • Premature aging and early onset age-related disorders
  • Associated with earlier onset of Alzheimer’s and Dementia in patients at risk

In addition to these medical conditions, the sleep deprivation that comes with a sleep disorder can impact your safety, job performance, and relationships.

Which sleep disorder is plaguing you?

There are many types of disorders that hinder a person’s ability to sleep well.

Insomnia

There are two primary types of insomnia, sleep onset insomnia and maintenance insomnia

Onset Insomnia is a very common problem faced by Americans. People with onset insomnia have difficulty falling asleep. People with maintenance insomnia wake up and can’t get back to sleep. They are very different disorders and both can occur in the same individual. As a result, they don’t get adequate sleep or have poor-quality sleep leading to a multitude of medical problems.

  • Acute insomnia (lasting a few days to a few weeks) is usually due to stress, family pressures or a traumatic event.
  • Chronic insomnia (lasting a month or longer) is usually a symptom of an underlying problem or side effect of a medication.
  • Maintenance insomnia is usual the result of another primary sleep disorder such as sleep apnea or restless legs.

Narcolepsy

Narcolepsy is another common disorder that involves sudden onset of sleep at any time. People who suffer from narcolepsy often have vivid dreams because they fall into REM sleep quickly and wake up from it suddenly.

Researchers suspect low levels of Hypocretin (hi-po-KREET-in), a brain chemical that helps keep you wakeful is the cause of narcolepsy. So far, what causes the low levels isn’t well understood.

While, currently there is no cure for narcolepsy, symptoms can be alleviated through medication and lifestyle changes.

Restless leg syndrome (RLS)

Restless leg syndrome involves a condition that causes a strong urge to move your legs. It occurs because of unpleasant feelings in your legs that are relieved when you move them. These feelings are described by suffers as:

  • Creeping
  • Crawling
  • Pulling
  • Itching
  • Tingling
  • Burning
  • Aching
  • Electric

Some people also feel this in their arms because these feeling tend to happen when you’re at rest they can keep you awake.

Periodic leg movements in sleep actually causes disturbed sleep frequently leading to awakenings and is most common in patients with RLS.

Upper airway resistance syndrome (UARS) may exacerbate or cause restless legs during sleep. Fibromyalgia can also occur from disturbed sleep caused by UARS as can other chronic pain disorders. There is a specific sleep marker for Fibromyalgia called Alpha Intrusion into Delta Sleep, this is awake brain waves during deep sleep and can be caused by numerous sleep disorders.

Treatment for restless leg syndrome usually involves lifestyle changes or medication. If it is caused airway obstruction it may disappear with treating of snoring or sleep apnea.

Sleep Apnea , UARS, RERAs and Snoring

Sleep apnea is another serious condition that impedes sleep. Many people who suffer from this condition are not even aware that they have a problem. This disorder usually stems from an obstruction of the airway at night that causes the victim to be jerked awake after the body stops breathing.

Frequently patients think they wake multiple time to urinate and are unaware of the far more serious underlying causes.

These episodes can happen hundreds of times during the night and last up to a minute in duration. It’s a serious condition that robs the body of essential oxygen and places a major burden on the heart. Snoring can be an indicator of sleep apnea.

Snoring can cause serious problems in the absence of apnea. Patients who snore have a 300% increase in Motor Vehicle Accidents and severe snoring can lead to atherosclerosis of the carotid arteries that supply blood to the brain.

Snoring, Upper Airway Resistance Syndrome, RERAs respiratory-related arousals hypopnea and apnea are variations in the severity of upper airway obstructions during sleep.

Sleep apnea can be treated with continuous positive airway pressure (CPAP), surgery or sleep orthotics that help keep the airways open.

Live the Better Life that comes with Better Sleep

In many cases, disorders involving your sleep can be addressed through lifestyle changes.

Eliminating stress, increasing exercise, and losing weight may get to the source of your sleepless nights. Meditation and massage may be helpful, as well as establishing a regular, sleep pattern. Prescription medication from your doctor can also help.

In the case of sleep apnea, a sleep airway orthotic fitted by a expert Sleep Apnea Dentist or Physiologic TMJ treatment can help realign your jaw to keep your airway from closing while you sleep. The DNA Appliance and Epigenetic Orthodontics may permanently correct your sleep disorder while improving your appearance and posture.

Whatever your sleep disorder, it’s important to pinpoint the cause and get the correct treatment. Without restful sleep, your health will suffer.

Sleep Disorders and Health Problems

Dr. Shapira Other Health Problems cause by lack of sleep 0 Comments

Good sleep is a key to a healthy life

sleep-disorders-and-health-problemsDo you think you are sleeping well enough? Do you lie awake at night sometimes unable to get to sleep or find yourself constantly tired with either morning headaches or chronic headaches during the daytime? These can all be symptoms of a sleep disorder, like sleep apnea, which can have a lot of effect on your long term health if nothing is done about it. Good sleep is a key to a healthy life!

If you fail to get enough sleep, day in day out, you take the risk of developing a serious illness.

Some of these illnesses include;

  • Heart disease
  • Stroke
  • High blood pressure
  • Depression
  • Diabetes
  • Thyroid function
  • weight gain, slow metabolism and inability to lose weight
  • decreased cognitive function
  • motor vehicle accidents

Problems sleeping are not always caused by a sleeping disorder and may be related to something in your lifestyle. There are some cases when people are unable to get a good night’s sleep. These could include things like exam pressure, relationship break ups, teenage children issues, money problems, unemployment, health of a parent and so on. In many cases these eventually sort themselves out and you and your sleep patterns return to normal. Another important cause of poor sleep is poor sleep hygiene.  This can be exposure to TV, computers or excess light in the evening.  It can also be disturbances in the bedroom.

It is important you work out what is the root cause of your inability to get enough sleep, before it starts to ruin your health.

Sleep disorders and health problems are linked

If you have trouble sleeping, but don’t have any obvious reasons why you are always tired, you should get an evaluation by a health professional to see if you have sleep apnea. Sleep apnea, if left untreated, can have long term consequences for your health. In particular, it has been linked to greater stress on your heart and circulatory system. Serious heart disease problems like high blood pressure, stroke and even heart failure can result from stress on the cardiovascular system.

In addition, being constantly tired with no relief in sight can make you depressed. Research has linked the disorder to a greater susceptibility to type 2 diabetes. This is partly due to the effect of sleep apnea on increasing obesity and poor diet choices when depressed and tired.

Two health gains for the price of one

One of the better outcomes of getting effective treatment for sleep apnea is that you will be able to sleep more easily. You will snore less and be more energetic during the day. Ultimately, being more relaxed and energetic will help you to ward off any serious illnesses which have been linked to sleep disorders.

Sleep apnea treatment has a double bonus, then. It gives you back the ability to sleep, as well as safeguarding your long term health.

Protect your health with unobstructed sleep

If you have the symptoms of sleep apnea or another sleep disorder, then you should have a thorough evaluation to make sure that no other lifestyle factors are affecting your ability to sleep. These may need to be addressed as well as looking for ways that can be used to help you sleep better.

Our dental practice can you with an effective device that can help to relieve the symptoms of sleep apnea and help to protect your long term health with unobstructed sleep.