Hidden Health Risks: Sleep Apnea and Brain Abnomalities


Can A Child Have Sleep Apnea?

Treatment of childhood OSA actually reverses brain abnormalities!

Sleep Apnea, a sleep disorder that too often goes undiagnosed and untreated, does not limit itself to a specific portion of the population. A common misperception is that OSA only affects middle aged, overweight men. However, it is a disorder that affects an estimated 12 to 28 million Americans, including women and children.

Sleep Apnea affects children too!

According to the American Academy of Family Physicians:

“Obstructive sleep-disordered breathing is common in children. From 3 percent to 12 percent of children snore, while obstructive sleep apnea syndrome affects 1 percent to 10 percent of children. The majority of these children have mild symptoms, and many outgrow the condition. Consequences of untreated obstructive sleep apnea include failure to thrive, enuresis, attention-deficit disorder, behavior problems, poor academic performance, and cardiopulmonary disease. “

A recent article published in ScienceDaily highlights the positive effects of treatment of Obstructive Sleep Apnea in children, detailing the relationship between OSA and brain abnormalities in children aged 8-11 due to neural network damage. The article highlights a recent study that shows the reversal of these abnormalities when properly treated.

The article reports, “‘OSA is known to be associated with deficits in attention, cognition, and executive function,” said lead author Ann Halbower, MD, Associate Professor at the Children’s Hospital Sleep Center and University of Colorado Denver. In the study, the treatment of OSA is related to improvements in attention and verbal memory. The authors of the study also speculate that the earlier the disorder is diagnosed and treated, the quicker the improvements to these executive brain functions.

‘”Our results point to the importance of early diagnosis and treatment of OSA in children, as it could potentially have profound effects on their development.”’

For anyone, going undiagnosed and untreated can increase many hidden health risks of Obstructive Sleep Apnea, including diabetes, stroke and cancer. Treatment of OSA helps to decrease these related health risks. We cannot stress this enough, and so we screen all of our patients for Obstructive Sleep Apnea, hoping to detect any airway related problems and helping all of our patients maintain their health and wellness.

If you have any questions about sleep apnea and your health, please call us at 908-359-6655.

(Image: FreeDigitalPhotos.net)

 

RESOURCES AND LINKS

Read the original article in ScienceDaily

The American Academy of Family Physicians Journal Article About Sleep Apnea in Children

Diagnosis and Treatment of Childhood Sleep Apnea

For Your Health: Sleeping in Sync with Your Partner

Sleep Disorders and Sleep Problems

“A 2005 survey by the non-profit advocacy group National Sleep Foundation found that more than a quarter of co-habitating American adults lose sleep from their partner’s sleep issues, and nearly one in four adults spend the night in separate beds or bedrooms because of those problems.”

       -Huffington Post

Sleep problems affect your sleep partner too!There are many sleep issues that can affect not just the person with the problem, but also the person sleeping (or trying to sleep) next to them.  From the noise of snoring, grinding and sleep talking to nighttime ninja fights with those who thrash in their sleep, sleeping partners can suffer from a lack of sleep.

Percentage of Americans suffering from sleep problems:

  • Thrashing 0.5%
  • Sleep Walking   3.6%
  • Sleep Talking    5%
  • Grinding Teeth/Bruxism   8%
  • Chronic Insomnia 10-15%
  • Snoring   59%

Of all of these problems, snoring is by far the most common and widespread, keeping partners from getting a good night of restful sleep.  The lack of sleep can affect their daily life, their ability to concentrate, their attitude and mood, even their health.  According to the Huffington Post article Sleep Problems, “The health benefits of sleep go far beyond feeling rested the next day. Insufficient sleep has been linked with numerous chronic conditions, including diabetes, cardiovascular disease and depression. So much so that the Centers for Disease Control and Prevention now considers getting sufficient ZZZs — from seven to nine hours per night — an important matter of public health.”

What exactly can you do if your partner’s sleep problems or sleep disorder is becoming your own sleep problem?

Couples have many ways of dealing with these sleep problems.  As mentioned above, almost 25% of American couples have gone so far as to sleep in separate rooms or beds.  If the problems are affecting the couple’s health and relationship, there are ways that professionals can help, depending on the issue.  Sleep studies, medications, behavioral therapy, nighttime orthotics and snoring appliances may help bring some nighttime rest depending on the specific problem.  Sometimes the solution can be as small as rearranging the sleep environment to help promote more restful sleep.

The solutions vary greatly depending on the problems, and whether they are due to a full-blown sleep disorder or just a few minor, manageable symptoms.  However, no matter how minor it may seem, if your sleep is being affected by your partner’s sleeping problems, there will be a toll on your physical and emotional health — as well your relationship.

If you have any questions about how sleep problems and disorders can affect your health we’ll be happy to send pertinent information to you.  If you would like to make an appointment for a sleep apnea screening, please call 908-359-6655.

LINKS AND RESOURCES

2005 Sleep Survey by the Sleep Foundation: 

Sleep Problems: How Your And Your Partner Can Sleep In Sync

WebMD: What to Do When Your Sleep Partner Has a Sleep Disorder

Learn more about the hidden health risks of sleep disorders in our series of articles and posts about Sleep Apnea

 

For Your Health-Smoking Kills Good Bacteria in the Mouth

Smoking Kills Good Bacteria in the MouthSmoking and Oral Health: Disrupting the Body’s Balance

We all know that smoking affects oral health, increasing the risk of oral cancer and gum disease as well as staining teeth.  What you may not know is that smoking disrupts the natural balance of microbial ecosystems in the body by killing good bacteria in the mouth and weakening the immune system.

As reported by ScienceDaily, “According to a new study, smoking causes the body to turn against its own helpful bacteria, leaving smokers more vulnerable to disease”.

There is a certain amount of healthy bacteria that lives throughout the body, including the mouth.  The study, published in the Journal of Infection and Immunity and cited by ScienceDaily shows that the “the mouth of a smoker is a much more chaotic, diverse ecosystem – and is much more susceptible to invasion by harmful bacteria” than the mouth of a non-smoker.

Bacterial Biofilms

The healthy or good bacteria forms protective biofilms and helps to fight off the bad bacteria.  For those who smoke, it is harder for these bacterial ecosystems to regrow after cleanings.  Without these protective biofilms, harmful bacteria can proliferate much faster in the mouth of a smoker than a non-smoker.

“By contrast [with non-smokers],” said Kumar, “smokers start getting colonized by pathogens — bacteria that we know are harmful — within 24 hours. It takes longer for smokers to form a stable microbial community, and when they do, it’s a pathogen-rich community.”  In addition, the natural immune system of a smoker fights off the good bacteria, treating it as harmful instead of helpful, making it more difficult to maintain a balance.  Often, this immune response, which is at much higher levels than non-smokers, can lead to periodontal or gum disease and even bone loss.

This study adds to the list of the dangers and health risks of smoking and helps to illustrate one of the possible reasons that gum disease is higher in smokers than non-smokers.  If you would like more information on how we can help you with your oral health please call our office at 908-359-6655.

 

LINKS AND RESOURCES

Read the ScienceDaily’s full article

Want to Feel Great and Lose Some Weight?

Experiencing the “Clean” Nutritional Cleanse

As many of you know, I generally try to eat well and stay fit.  This habit is owed at least in part to my father, who was very careful to avoid red meat beginning in the 60’s (yes, the 1960’s) in an attempt to minimize his arthritic knee pain.  I inherited both his arthritic knees and his obsession with eating well and staying in shape.

So, since early this spring, my knees had been killing me.  And, the weight I had gained over the holidays did not come off so easily this year.  I just didn’t feel 100%.  It so happens that a dentist who is on an internet forum, which I read daily, mentioned a nutritional program that he tried and for which he had high praise.  So, I checked it out and followed the three week nutritional cleanse described in the book.

In short, the results for me were near amazing.  The first week was tough as almost everything that I normally ingested was forbidden.  I was tired, weak and hungry!

But, by the end of the third week, I had tremendous energy, felt wonderful and lost twelve pounds and a couple of inches off my gut!

The basic idea is to clean out all the bad stuff which had accumulated as a result of the foods and junk that I have been eating.  Then, after the initial three weeks, one-by-one reintroduce foods and so determine which ones make me feel “bad” and need to be permanently eliminated.

The name of the book which describes this program is Clean by Alejandro Junger, MD.

It is certainly worth a look as the number of people who have had success with this program is quite impressive as has my personal experience.  In the process of sticking to this regimen, you are forced to take a hard look at what you have been putting in your body and why.  For me, the big revelations were that we ingest simply because of habit and overdo because we think that if a little is good, more will be better…

My recommendation?  If you want to feel really good and could lose a few pounds, give this program a try.  Feel free to call me if I can be of any help.  You can reach me at the office at 908.359.6655 or via the new website at www.DesignsForDentalHealth.com.

 

 

 

 

Oral Health = A Healthy You!

Dental Cleanings Help Ensure Your Overall Health

Regular dental cleanings and examinations help ensure your overall health

We’ve posted about this before, but cannot over-stress the importance of the connection between your dental health and your general health.  No part of the body functions in isolation – everything is connected.  So it should come as no surprise that the health of your mouth affects the health of the rest of your body.  And, maintaining your oral health helps to preserve your overall health and well-being.

Beginning with the basics, proper brushing and flossing, in conjunction with regular dental cleanings and checkups, help to control the level of harmful bacteria in your mouth. Certain bacteria, if left unchecked, can cause cavities and periodontal disease and contribute to more serious health problems such as heart disease, stroke and clogged arteries.  The mouth is a gateway to the body, and bacteria in the mouth can enter the bloodstream and travel throughout the body triggering inflammation or infection. Dental examinations help to reveal some of these underlying health issues as dentists are trained to recognize the signs and symptoms which are displayed in the head, neck, mouth and throat.  Proper examinations are true oral medicine, and the best dentists are excellent diagnosticians – they love to figure out what’s going on and why.

Not only can your oral health affect the health of the rest of your body, but there are medical conditions that can affect your oral health.  For example, those with diabetes have a higher risk of developing infections.  Gum disease is a bacterial infection which can more easily get out of control in a diabetic patient, especially one whose blood sugar is not controlled.  Also, unbalanced hormone levels during pregnancy commonly result in gingivitis which, in turn, increases the risks of low-birth weight and premature births.

The oral-body connection is a two-way street. Oral health affects your overall health and wellness including the immune system, which helps to protect the health of your mouth, teeth, and gums.  Proper brushing and flossing along with professional cleanings and checkups preserves your healthy smile and is an integral part of your optimum health equation. Eating good foods, maintaining your weight, exercising regularly, and living a happy life are fundamental factors of the equation as well.  Prevention is key – all maladies are more easily healed when discovered early.  Living a healthy lifestyle becomes more popular every year among aging baby-boomers as well as vibrant 20-somethings.  All it takes is a little knowledge, a little discipline, and a little desire!

Click to read more about the link between oral and overall health and the benefits exercise can have on your oral health.

Dental Benefits Encourage Overall Health

Employee benefit plans usually focus on health insurance, but a recent article from Benefits Pro highlights the health benefits of dental plans.  Those with dental insurance are twice as likely to maintain a schedule of regular cleanings and dental examinations, which can actually cut the cost of medical coverage in the long term, because of the relationship between proper dental hygiene and overall health.  According to the article:

“Diabetes, heart disease, blindness and pregnancy complications can all be affected by dental hygiene and impact overall health costs. In fact, the National Institute of Health estimated in 2007 that $174 billion in direct and indirect expenses were created by diabetics, and those suffering from diabetes are 2.3 times more likely to have higher medical costs than people without diabetes. The diabetic population is growing, Sherman says, but with good oral hygiene, it is easier to control one’s insulin levels.”

Besides the ability to cut costs on medical coverage through better overall health, dental plans also assure that an employee is less likely to have a dental emergency and be in pain or leave work, as they may if they have not had the proper preventive care.

To learn more about how dental benefits encourage better overall health, READ THE FULL ARTICLE BY BENEFITSPRO

May is National High Blood Pressure Education Month

So, this month, ALL of our patients will have their blood pressures measured and evaluated.  We’ll also check your blood oxygen levels and pulse rates.  Not only can High Blood Pressure (HBP) have devastating affects on your health, but it is frequently associated with Obstructive Sleep Apnea (OSA), especially if your HBP is resistant to standard treatment.

OSA is a sleep disorder involving your airway which can result in a series of medical issues over time.  OSA often exists unknown, undetected and undiagnosed to the patient, increasing the risks of further medical complications.  We screen every patient for OSA and treat it in conjunction with sleep doctors using custom dental sleep appliances.

Want to make an appointment?  Call us at 908-359-6655.

To learn more about High Blood Pressure and its associated health risks and treatments visit the National Heart, Lung, and Blood Institute Health Information Center’s Website.

UN Mercury Free Treaty Seeks to Phase Out Metal Amalgam

Mercury Free Dentistry May Soon Be Required By UN Treaty

Mercury Free Dentistry

Dr. Nadler has offered only mercury free dentistry for over 20 years!

The American Dental Association officially states that the mercury in amalgam fillings is safe. Be that as it may, our office has taken no chances with your health, having offered only metal-free fillings for the past twenty plus years. While several countries have banned the use of amalgam fillings, its use in the U.S. is still prevalent. A recent report by the Concord East/West consulting firm stating that 32 tons of dental mercury is used annually in the U.S. Besides possible health effects, there is concern over the environmental impact of amalgam fillings. According to the E.P.A., “approximately 50 percent of mercury entering local waste treatment plants comes from dental amalgam waste”, costing taxpayers an additional $41 per filling for environmental costs, cleanup and waste treatment.

However, all of this may soon change. As reported by foxnews.com, by next year, the United Nations Environmental Programme will have completed the text of a legally binding, global treaty on mercury pollution. The treaty is supported by the U.S. State Department, and will serve to phase out the use of products containing mercury. Amalgam fillings on are on the treaty’s list of products to be phased out. If the treaty passes all dentists may be facing a global mandate to stop the use of silver amalgam fillings completely.

The treaty and the phase out of amalgam in dental restorations are not without controversy. The treaty is supported by organizations such as the World Health Organization, but others see it as a scare tactic used simply to enforce further regulations. There is ongoing debate among dental and other health professionals about the possible health risks of mercury exposure from amalgam fillings and whether the mercury present in the fillings is enough to cause any risk.

If the treaty passes, whether or not there are in fact health risks related to the use of mercury in fillings, dentists across the country and the entire world will be affected and forced to change their treatment choices. The ADA “has expressed the view that any proposed ‘phase-down’ of dental amalgam should be linked to a ‘phase-up’ of dental preventive programs. We have also focused on the safety of dental amalgam, the need for further dental materials research and the proper management of dental amalgam waste”, addressing both health and environmental factors in its response.

The next conference of the UNEP to discuss the progress of the “mercury free treaty” will be held in June.

LINKS AND RESOURCES

Read more about the proposed U.N. “mercury-free” treaty 

More on the environmental impacts of mercury fillings from the International Academy of Oral Medicine and Toxicology

ADA Leadership Report response to the UN treaty meetings

NOTE: Originally posted April 24th, 2012

Can Mouth Guards Boost Sports Performance?

Lebron James wears a mouth guard when playing.

Athlete LeBron James uses a mouth guard to protect his mouth. Could it also help make him play better?

Some mouth guard manufacturers have claimed in the past that their appliances could boost sports performance and now there is evidence supporting this statement. A recent article published on Medscape Dentistry and Oral Health and a study published by the Journal of the American Dental Association claim that mouth guards worn during athletic activity may do more than just protect the teeth.

One study found that athletes wearing a mouth guard inhale more oxygen and exhale more carbon dioxide with each breath than athletes who do not wear a mouth guard, whether the athletes without a mouth guard breath through their noses or mouths. Another report claims that biting on something hard helps to reduce levels of the stress hormone cortisol, potentially improving the ability to exercise without fatigue. In yet another study, testing the Pure Power Mouthguard brand “mouth guards were custom designed to put each athlete’s teeth in ideal occlusion. The effect…is similar to wearing orthotics, and getting the user’s jaws aligned can improve the alignment of the rest of the body.” In this study athletes wearing the mouth guards were able to jump a bit farther, bench press slightly faster, and score somewhat higher on Wingate anaerobic tests than those not wearing them.

I have actually seen several demonstrations where improvements in strength and flexibility are seen just by repositioning the jaw. That must be why many professional atheletes like LeBron James wear them. And the ideal jaw position is the same one that we use when treating patients who have TMJ problems. Regardless of the ability of mouth guards to boost athletic ability, they are important to protect against injuries to the teeth during sports activities.

If you currently use or are considering getting a mouth guard, the American Dental Association recommends a custom-made guard from your dentist for the most protection and the best fit. They are more expensive than stock types or boil-and-bites because they are created from a custom dental impression so they fit better, are more comfortable and are more likely to stay in place.

Click to read more basic information about the use of mouth guards on the ADA website. 

Considering getting a custom-made mouth guard? Have questions for Dr. Nadler about mouth guards? Please give us a call at 908-359-6655 or visit our website @ www.DesignsForDentalHealth.com.

NOTE: Originally posted December 2nd, 2011

What You Need To Know About Oral Cancer

Basic Description of Oral Cancer

Cancer can affect any part of the mouth including the lips, gums, cheeks, tongue and hard or soft palate. The most common symptom of cancer is a sore in the mouth that bleeds easily and does not heal. Another common sign of oral cancer is pain or numbness, which does not go away, or a change in the way the teeth fit together. Other signs and symptoms of oral cancer include:

-A lump or thickening in the cheek
-A white or red patch on the gums, tongue, tonsil or lining of the mouth
-A sore throat or a feeling that something is caught in the throat
-Difficulties in chewing, swallowing, speaking or moving the tongue or jaw
-A color change of the oral tissues

Who is at Risk?

Close to 37,000 Americans will be diagnosed with oral or pharyngeal cancer this year. It will cause over 8,000 deaths, killing roughly one person per hour, 24 hours a day. Of those newly diagnosed individuals, only slightly more than half will be alive in five years (around 57%).

Gender – Oral cancers are about twice as common in men than women. This is because men are more likely to use tobacco and alcohol over long periods of time and in large enough quantities to cause these cancers.

Age – The likelihood of developing oral cancer increases with age, especially after age 35. Half of all oral cancers are diagnosed in people older than 62.

Tobacco and Alcohol – About 80% of patients with oral cancers use tobacco. The risk of developing these cancers increases with the amount smoked or chewed and the duration of the habit.

About 70% of al patients with oral cancers drink alcohol frequently. These cancers are much more common in drinkers than non-drinkers.
The combination of smoking and drinking heavily raises a person’s risk much more than either by itself.

Sun Exposure – Many patients with cancers of the lip have outdoor jobs associated with prolonged exposure to sunlight.

Diet – A diet low in fruits and vegetables is associated with an increased risk of developing this cancer.

HPV Infection – According to a recent article in Time (October 5, 2011), the number of head and neck cancers linked to the sexually transmitted human papilloma virus (HPV) has increased sharply over the past two decades. This virus may account for more cancers than tobacco or alcohol, a new study finds. Overall, the risk was greatest and rising in men. HPV is best known as the virus that causes cervical cancer in women, but because of better screening, the rate of such cancers has declined. The good news is that patients with HPV-positive oral cancers have better survival rates than those with cancer due to other causes, possibly because their tumors have less genetic damage, which makes them more responsive to treatment.

Bottom Line

One of the real dangers of this cancer is that, in its early stages, it can go unnoticed. It can be painless, and few physical changes may be obvious. The good news is that your dentist or doctor can, in many cases, see or feel the tissue changes, or the actual cancer while it is still very small, or in its earliest stages. It may appear as a white or reed patch, or a small ulcer similar to a canker sore. Because so many benign changes occur in the mouth, it is important to have any sore or discolored area of your mouth, which does not heal in 14 days, looked at by a professional. Other symptoms include: a lump or mass which can be felt inside the mouth or neck, pain or difficulty swallowing, speaking, or chewing, any wart-like masses, hoarseness which lasts for a long time, or any numbness.

The only way to know for sure is to do a biopsy of the site. This procedure is not painful or expensive, and takes little time. It is important to have a diagnosis as early as possible, and your medical doctor or dentist may refer you to a specialist to have the biopsy performed.

Conclusion

Most oral cancers could be prevented if people did not use tobacco or drink heavily. Quitting tobacco and limiting alcohol use sharply reduces any risk of developing oral cancer, even after years of use. Many oral cancers may be found early by a combination of routine screening exams by a doctor or dentist or by self-examination.

NOTE: Originally posted October 14th, 2011