Orthodontics & Dental Hygiene

Sleep Apnea

Obstructive Sleep Apnea

Your sleep impacts every aspect of your health and daily life. Sleeping well helps you look, feel and perform your best. But a sleep problem can be harmful to your health and well-being. One of the most common sleep problems is obstructive sleep apnea. Learn more about the warning signs and how you can get help.

About Obstructive Sleep Apnea


Nearly 30 million adults in the U.S. have obstructive sleep apnea (OSA), which can cause them to stop breathing hundreds of times a night for anywhere from a few seconds to more than a minute.

Sleep apnea is a chronic condition that occurs when your muscles relax during sleep, allowing soft tissue to collapse and block the airway. As a result, repeated breathing pauses occur, which often reduce your oxygen levels. These breathing pauses are followed by brief awakenings that disturb your sleep.

Common signs of sleep apnea include snoring and gasping or choking sounds during sleep. Like snoring, sleep apnea is more common in men, but it can occur in women too, especially during and after menopause. Having excess body weight, a narrow airway or misaligned jaw all increase the risk of sleep apnea.

Is Treating OSA Important?
Treating obstructive sleep apnea is incredibly important to your health. When left untreated, sleep apnea often causes excessive daytime sleepiness or fatigue, as well as morning headaches and memory loss. Sleep apnea also is a threat to your safety as it increases your risk of drowsy driving and workplace accidents. Untreated sleep apnea raises your risk for serious health problems. These include:

  • High blood pressure
  • Stroke
  • Heart disease
  • Diabetes
  • Chronic acid reflux
  • Erectile dysfunction

Severe, untreated sleep apnea even increases your risk of death.

How is OSA Diagnosed?
Kleinheinz Dentistry is proud to offer a Free Sleep Study. Call our office for more information. 704-542-6003.

How is OSA Treated?

Dr. Kleinheinz can discuss treatment options with you. We will provide a FREE SLEEP STUDY at your convenience.

  • Oral appliance therapy uses a mouth guard-like device - worn only during sleep - to maintain an open, unobstructed airway.

Research shows that oral appliance therapy is an effective treatment option for snoring and obstructive sleep apnea. An oral appliance is worn in the mouth only while you sleep and fits like a sports mouth guard or an orthodontic retainer. Oral appliances support your jaw in a forward position to help maintain an open upper airway.

Many patients consider a sleep apnea appliance to be more comfortable to wear than a CPAP mask. Oral appliances also are quiet, portable and easy to care for.

If you decide that oral appliance therapy is the best treatment option for you, then Dr. Kleinheinz will recommend a prescription for you to receive a custom-made sleep apnea appliance. More than 100 oral appliances have received FDA clearance. We prescribe and make the FDA approved appliances. Oral appliance therapy is covered by many medical insurance plans. We will do a complete benefits check upon your scheduled appointment.

Healthy vs unhealthy.

You already know that maintaining good oral hygiene is important for everyone — but when you're having orthodontic treatment, it's even more critical. Why? Because, while the appliances (such as braces or clear aligners) you may need to wear during treatment are very effective in correcting misaligned teeth, they can also trap food particles easily. Keeping your teeth (and your appliances) clean is a little harder — but you can do it! Here's a look at why good oral hygiene is so important during orthodontic treatment, and some tips on how you can keep it up.

The major enemy of oral health is plaque. Food that becomes trapped near tooth surfaces can lead to the formation of plaque — a thin coating of microorganisms and organic debris (biofilm) containing potentially harmful bacteria. Braces or other appliances make it harder to remove plaque. The bacteria in plaque digest the sugars in food, producing acids which may erode teeth and irritate gums. This can cause cavities, white spots on teeth, gum disease and bad breath.

Keeping plaque under control is one of the most effective means of maintaining strong, healthy teeth and gums. There are three general ways to do it: through diet, daily maintenance, and regular professional care. Taken all together, they're your teeth's best defense.

Diet and Decay

Controlling your diet involves avoiding foods that could increase your risk of developing tooth decay. That means cutting down or eliminating foods with an excess of sugar, like soda, sweets, and ice cream. It also means avoiding foods that could easily become stuck in your braces, like toffee, gum, licorice and caramels.

Foods that are very hard or extremely sticky can also cause physical damage to orthodontic appliances. Certainly braces or retainers with broken wires or loose brackets aren't working to straighten your teeth! You should avoid foods like hard candies or nuts, beef jerky and hard pizza crust. Keep eating healthy foods like carrots and apples — but cut them into bite-sized pieces first! And don't chew on ice, pencils, or your nails: these habits can cause damage to your appliances, and even result in chipped teeth!

Daily Maintenance

You know how important brushing and flossing are for keeping a healthy smile — especially now that you're in orthodontic treatment. But sometimes it's harder to clean your teeth effectively around an appliance's brackets and wires. Here are some tools and tips you can try for better tooth cleaning.

Either a soft-bristle or a bi-level toothbrush (one with longer bristles on the edges and shorter ones in the middle) can be effective in plaque removal — even with braces. An electric toothbrush can also be used, on a moderate setting. For hard-to-clean areas, try an interdental brush, or proxabrush. The small bristles of this special tooth-cleaning aid, which is shaped like a pipe cleaner, can get in between wires, brackets and teeth. With gentle and persistent effort, it's possible to reach into the smallest nooks and crannies, and control plaque buildup.

You should floss at least once a day during orthodontic treatment. While it's a little harder to do with braces, there are some special products available — including floss threaders and particular kinds of floss — that can help you get the floss between wires and gum line. The office staff will review proper brushing and flossing techniques with you when your braces are put on — but if you ever have questions, don't hesitate to ask!

Depending on your situation, an in-office or at-home supplemental fluoride treatment may be recommended to boost your cavity resistance. An antiseptic rinse may also be recommended, to ease minor gum inflammation or irritation.

If you have a retainer, it should be brushed daily, the same way you brush your teeth. A cleaning solution may be recommended — but never put hot water on your retainer, because it can distort the soft plastic and make it unusable! And always keep it in a case when it's not in your mouth.

Professional Care

During orthodontic treatment, it's as important as ever to make sure your teeth stay healthy with thorough examinations, cleanings and preventive care. Your orthodontic treatment is a team effort where everyone has an important role to play. And the team has just one goal: giving you a winning smile.

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