Snoring Causes and Solutions

Snoring Causes & Solutions The Superstore for Everything Snore www.SnoreMart.com

IntroductionThis educational booklet is written for people who suffer fromsleep disordered breathing and their sleeping partners. It canalso be used for discussion with your health care provider.In the following pages, you will discover a simple overview ofsleep disordered breathing. To find your solution, it’s good tohave a basic understanding of causes of snoring and the rangeof sleep disordered breathing.The great news is that snoring can be tamed and your life can beimproved overnight. There is no single treatment that works foreveryone. But everyone CAN find a solution that works for them.Most treatments in this booklet can be used to successfully treatthe entire range of sleep disordered breathing. Whether you findyour solution with the Dentist, the Physician or SnoreMart.com,your life will be improved. Warmest regards, Patrick Tessier, MBA Founder of SnoreMart Disclaimer: This guide is not intended to be a substitute for professionalmedical advice, prevention, diagnosis or treatment. Always seek the adviceof your physician or other qualified health providers with any questionsregarding a medical condition.Legend: Available from Available from your Dentist your Physician Available at SnoreMart.comwww.SnoreMart.com

Snoring CausesSnoring is very common, with about half the adult populationsnoring at least occasionally. In fact, it is difficult to find peoplenot affected by snoring. Almost everyone has a story to share.There are many serious negative effects associated withsnoring ranging from sleep deprivation for the partner toobstructive sleep apnea for the snorer.Causes of SnoringSnoring is the harsh sound you hear when the snorer inhalesduring sleep. Air travels past the soft, flexible structures such asthe palate, uvula, tonsils and tongue. When sleeping, the softtissues at the back of the throat relax, the jaw and the attachedtongue fall back and the airway is significantly more narrow. Asair goes through this narrow passage, pressure and velocityincrease, causing the tissues to vibrate.Normal Breathing Snoring Sleep Apnea (OSA) No Blockage Partial Blockage Complete BlockageThere are many factors that affect snoring including:• Sleeping position • Obesity• Nasal congestion • Muscle relaxers & Alcohol• Enlarged throat tissues • Smoking & throat irritants• Small lower jaw • Mouth breathing 877-252-7317

Snoring CausesSleep Disordered BreathingSleep disordered breathing is the medical term for anythingfrom simple snoring to severe obstructive sleep apnea. As thecondition becomes worse, it can cross the line from simplesnoring to obstructive sleep apnea.As many as 90 million Americans snore occasionally. It isestimated that less than 2 million suffer severe sleep apnea. Sleep Disordered Breathing Snoring Obstructive Sleep Apnea90 millionOccasional Regular Upper Airway Mild Moderate Severe Snoring Snoring Resistance Sleep Sleep Sleep Syndrome Apnea Apnea Apnea AHI: < 5 AHI: 5-15 AHI: 15-30 AHI: > 30Sleep apnea can also be present in the form of Central sleepapnea or a hybrid of both central and obstructive sleep apnea.Central sleep apnea originates in the brain, which fails to sendproper signals to the breathing muscles. www.SnoreMart.com

Snoring CausesSnoring vs. Obstructive Sleep ApneaSleep Disordered Breathing is broken down in two categories:snoring and obstructive sleep apnea. Then further categorizedinto three major sub-groups. These sub-groups are defined bythe Apnea–Hypopnea Index (AHI). AHI is measured with a homesleep test (HST) or a Laboratory sleep study (PSG)Apnea event = 80-100% reduction in airflow with stoppage of breathing for 10 seconds or more. = 50-80% reduction of airflow with stoppageHypopnea event of breathing for 10 seconds or more. = (Number of apnea + hypopnea events) / hourAHISnoringBenign snoring is not considered a medical condition, but it is thecause of serious negative health issues from sleep deprivationto marital discord. Treatment to eliminate snoring can havenumerous benefits. Snoring ..................... < 5 AHIObstructive Sleep Apnea (OSA)OSA is a medical condition that can shorten your life. It has manyrelated serious health issues. OSA is supported by most medicalinsurances and several branches of the medical community,including Dentistry. Mild............................. 5-15 AHI Moderate...............15-30 AHI Severe....................... > 30 AHI 877-252-7317

Sleep TestingThere are a number of testing options available to gain insightto your condition. Below are the simple tests to get you started. SnoreLab For the snorer in denial, record them with this innovative app for an iPhone. Nothing like the embarrassment of hearing yourself snore to provoke action! Questionnaires Three short quizzes can start your discovery process: STOPBang, Epworth and Berlin questionnaires.STOP-BANG Sleep Apnea Questionnaire Chung F et al Anesthesiology 2008 and BJA 2012 STOP Yes No Yes NoDo you SNORE loudly (louder than talking or loud Yes Noenough to be heard through closed doors)? Yes NoDo you often feel TIRED, fatigued, or sleepy duringdaytime?Has anyone OBSERVED you stop breathing duringyour sleep?Do you have or are you being treated for high bloodPRESSURE? BANG Yes No Yes NoBMI more than 35kg/m2? Yes NoAGE over 50 years old? Yes NoNECK circumference > 16 inches (40cm)?GENDER: Male? TOTAL SCORENumber of Yes answers : Risk of Obstructive Sleep Apnea 0-2 : Low 3-4: Intermediate 5-8: Highwww.SnoreMart.com

Sleep TestingHome sleep testing can be used for informational anddiagnostic purposes. They are accepted by health careproviders and actually preferred by most insurance companies. Home Sleep Testing - Private Professional sleep testing from the comfort of your own bed. Inexpensive, accurate 2 night study using a type III device. Interpreted by a board certified MD. Results are private, only sent to you. Home Sleep Testing - Insurance Get financial help from your medical insurance for this world class HST. Record for 2 nights to get an accurate test result. Interpreted by a board certified MD. We do all the paperwork. Laboratory Sleep Testing (PSG) A supervised overnight sleep test is the gold standard for a variety of sleep disorders. Qualified technicians insure the data collected is accurate. Results are read and interpreted by a board certified MD. This is also know as polysomnogram testing or PSG. 877-252-7317

Treatment OverviewThis guide groups the available treatments by the intendedresults, all of which are documented to reduce or eliminatesleep disordered breathing symptoms. Most treatments can beeffective for the entire range of sleep disordered breathing, fromsnoring to obstructive sleep apnea.Lifestyle Changes Eliminate the Noise Weight Loss Sleep in different rooms Bariatric Surgery (Lap Band) Cover-up with Therapeutic Noise Ear Plugs Stop Smoking Avoid Alcohol or Muscle relaxers Tighten the ThroatOpen the Nose Throat Exercise Homeopathic Astringents Nose Dilators Chin Straps Open the Airway Reduce Nasal Congestion nasent Classic Chin Straps Winx Sleep Therapy System Oral Appliances Septoplasty Surgery Tongue Retention Device Don’t Sleep on the Back Non-Custom Oral Appliances Custom Oral Appliances Mechanical Devices EPAP Tennis Ball - Free CPAP SlumberBump Surgical Remetee Bumper Belt Pillar Procedure Zzoma Belt SomnoPlasty (Radio Frequency) Anti-Snore Pillows UPPP Uvulopalatopharyngoplasty TransOral Robotic Surgery Electronic Devices Tracheostomy iRollover Inspire Upper Airway Stimulation Night Shift Jaw Repositioning (Oral Surgery) NightBalance Legend: Available at Available from Available fromSnoreMart.com your Dentist your Physicianwww.SnoreMart.com

Lifestyle ChangesWeight LossThe #1 most effective treatment. A popular medicalsolution is Bariatric Surgery - (Lap Band)Stop SmokingSmoke irritates and inflames the tissue in the throat, shrinkingthe airway and contributing to snoring.Avoid Alcohol or Muscle RelaxersDrinking before bed will relax the throat muscles and almostalways contribute to snoring. Ask a camper. Eliminate the NoiseSleep in Different Rooms25% of married couples end up sleeping separately. Just askTom Cruise or Judge Judy. They built “snoratoriums”.Cover with Therapeutic NoiseSound therapy using a special sound machines invokingsoothing sounds from nature are great.Ear PlugsSimple and effective. Foam or silicone ear plugs lowerthe decibels in the room & allow you to get some sleep. 877-252-7317 www.SnoreMart.com

Tighten the ThroatThroat ExercisesStrengthen the throat muscles reduces tissue size.Playing the didgeridoo is a proven solution.Homeopathic AstringentsHerbal based astringents have been documented to shrinktissue since the 1300s. Still works today. Open the NoseNasal DilatorsMore effective than nose strips, these devices open the nasalpassage from the inside. Amazing results! Available in S/M/LChin StrapsSimple and effective. By keeping your mouth closed, you areforced to breathe through your nose. nastent Classicnastent™ is a soft, tube-shaped medical device that isinserted from the nose to the uvula. Simple and effective.Winx Sleep Therapy SystemThis device creates a negative pressure in the oral cavity,which opens the airway for nasal breathing.Septoplasty SurgeryCorrective surgery for a deviated septum. Opens thenasal passage permanently. www.SnoreMart.com

Don’t Sleep on the Back Tennis Ball Cheap, quick and super effective. Tape a ball on the back of a tee shirt. (see the free video on www.SnoreMart.com) SlumberBump Designed by a Utah Dentist, this device comes in two sizes and even has an extention belt available. Remetee Bumper Belt A big step up from the tennis ball solution. Designed in Canada and comes in S/M/L/XL Zzoma Belt Developed by a Doctor, this one-size-fits-all belt produces documented results. Anti-Snore Pillows Built to encourage side sleeping, these comfortable pillows come is several designs iRollover Developed in a Chicago Sleep Lab, plays your recording to encourage your sleeping partner to “ROLL OVER” Night Shift Worn on the back of the neck, Night Shift vibrates when you start to back-sleep. Clinically validated NightBalance Active sleep position sensor which trains patients using gentle vibrations to not sleep on their back. 877-252-7317

Open the AirwayOral AppliancesThe American Academy of Sleep Medicine (AASM) recommends oralappliances as the first line of therapy for the entire range of sleep disorderedbreathing, except severe sleep apnea. Tongue Retention Device This device is placed in front of the teeth and the tongue is retained in the little bulb. It is recommended for people that experience jaw pain (TMJ) or do not have a full set of healthy teeth (Wear full / partial dentures or have loose teeth). Non-Custom Oral Appliance The single most popular snore prevention product. These inexpensive devices work much the same as a custom device. SnoreRx and SnoreMD are adjustable and use a heat molded fitting process. ZQuiet can be used right out of the box. Custom Oral Appliance Most professionals and patients alike consider a custom oral appliance to be the best treatment for the largest range of sleep disordered breathing. Obtained from a Dentist with advanced training in Dental Sleep Medicine. They fit perfectly and are long lasting. With over 100 products available, you have some choices. Your Dentist will know which is the best for you. In addition to Dental Laboratory fabricated devices, your Dentist can also build a short term device right in the practice for a much reduced cost. These devices are best for snoring through moderate OSA. To find a Dentist near you: www.SnoreMart.com/doctor www.SnoreMart.com

Open the AirwayEPAPExpiratory Positive Airway Pressure is a new treatment protocoldeveloped at Stanford University.As you breathe in, the patented MicroValve Technology opens,allowing you to breathe in normally. As you breathe out, theMicroValves close to create a gentle pressure that naturally opensyour nasal airway and relieves snoring. Comes in two versions:Theravent from SnoreMart or ProVent from your health careprovider. Both versions involve covering your nose with thesmall valve device.CPAPCPAP, which stands for Continuous Positive Airway Pressurewas developed in the 1980s. It is a pneumatic splint for thenasopharyngeal airway. It is absolutely the gold standard fortreating obstructive sleep apnea. CPAP has come a long wayssince the 1980s, but the fundamental design is consistent.Other versions include: BiPAP - which varies the pressure breathing in and out AutoPAP - Which automatically adjusts the pressure for you.There are a variety of masks to improve comfort. Nasal pillowsare popular. You can also add humidifiers.The biggest downside is wearing the mask. In fact, 40%of patients prescribed CPAP therapy end up refusing thetreatment.If you have been diagnosed with severe obstructive sleepapnea, it’s a life saver. 877-252-7317

Open the AirwayThe following is a list of the most common surgical procedures. PIllar Procedure In about 20 mins, under local anesthetic, a doctor uses a sterile device to place 3-5 tiny implants to support & stiffen the palate. SomnoPlasty Under local anesthetic, the doctor uses a small electrode to deliver RF energy under the target tissue. After 6-8 weeks, the healing process shrinks and stiffens the tissue. Uvulopalatopharyngoplasty (UPPP) A common procedure involves removal of tissue in the throat. Typically removes the tonsils and surfaces of the soft palate and uvula. Transoral Robotic Surgery (Tors Bot) Minimally invasive robotic surgery using a da Vinci surgical robot machine. Uses a high-definition, magnified camera for precise surgery at the base of the tongue (BOT). Tracheostomy One of the oldest procedures, it consists of inserting a tube to serve as the airway. This is a life saver in extreme cases. Inspire Upper Airway Stimulation Completely implanted, it continuously monitors your breathing patterns. Delivers mild stimulation to key airway muscles. Jaw Repositioning Surgery Maxillomandibular advancement or BiMax permanently moves the upper and lower jaw forward with oral surgery. www.SnoreMart.com

For More InformationYou can obtain more information regarding sleep disorderedbreathing and treatments from the following web sites American Academy of Dental Sleep Medicine www.aadsm.org American Academy of Sleep Medicine www.aasmnet.org American Sleep Apnea Association www.sleepapnea.org National Sleep Foundation www.sleepfoundation.org American Academy of Craniofacial Pain www.aacfp.orgFor comments or questions regarding information in this booklet SnoreMart, Inc. 877-252-7317 [email protected] www.snoremart.com Personalized reprints for Professionals can be obtained from SnoreMart [email protected] 425-250-6290 © 2015- SnoreMart Inc. All rights reserved. No part of this booklet may be reproduced in any manner without written permission from SnoreMart, Inc. 877-252-7317

The Superstore for Everything Snore www.SnoreMart.com