Request an APPOINTMENT English Contact +34 965 124 365 THE CLINIC OUR TEAM SPECIALTIES KRANION CLINIC BLOG CONTACT START Oral sleep medicine What is sleep apnea? The Apnea / hypopnea of Sleep (OSAS) is coupled with insomnia, one of the most frequent nocturnal disorders, affecting between 4-6% of the population. The OSA is the repetitive occurrence of respiratory pauses during sleep clinically manifested by the appearance of shortness of breath associated with snoring and breathing brief stoppages presence (apneas). Snoring and apneas are usually associated with micro-awakenings that are not usually perceived by the patient, although they end up causing a fractional and poorly restorative sleep that is related to the appearance of fatigue and numbness during the day. Likewise, the lack of proper ventilation in the upper airway is usually associated with low levels of oxygen in the blood, which will end up aggravating or causing high blood pressure, ischemic heart disease, cardiac arrhythmias or cerebrovascular accidents. In the drawing on the left, a correct passage of air can be seen at the level of the oropharynx. The drawing on the right shows an obstruction of the oropharynx (due to the fall of the tongue and descent of the palate) that leads to a decrease in air flow and the appearance of snoring or apnea. Although OSAHS is caused by an obstruction in the upper airway, there are many other factors that increase its predisposition: La obesidad y el sobrepeso son el principal factor de riesgo dado que la acumulación de grasa alrededor de la faringe la torna más colapsable. Edad avanzada y sexo masculino. Tabaco, alcohol y sedantes por su acción depresora sobre el sistema respiratorio. Factores posturales, como dormir boca arriba. Alteraciones anatómicas, como tener cuello corto o la mandíbula pequeña y retrasada respecto al maxilar. Alteraciones en la orofaringe, como presentar una gran lengua (macroglosia), un paladar blando descendido o tener una amígdalas grandes e inflamadas. Alteraciones metabólicas como presentar hipotiroidismo, acromegalia y síndrome metabólico. Symptoms of obstructive sleep apnea usually appear gradually and worsen over the years. The presence of a fragmented sleep and the low levels of oxygen in the blood that occur during the different respiratory arrests (apnea) will cause the following symptoms: Excessive drowsiness or daytime sleepiness. Loud snoring that interrupts sleep, accompanied by shortness of breath and choking , caused by lack of air during sleep. Unrefreshing sleep. Night awakenings are accompanied by body movements. Lack of concentration and memory loss. Headache in the morning and irritability in the morning. Chronic tiredness The diagnosisof this disorder is based on a study of the structure of sleep. This study consists of a complete interview and clinical examination, which will be complemented with the performance of a cephalometric study and a nocturnal respiratory polygraphy (Apnealink® system) that studies the nocturnal respiratory and cardiac parameters, obtaining an analysis of the apneic episodes, of the snoring and variations in oxygen saturation. On certain occasions, it will be necessary to request more sophisticated complementary tests from other medical professionals to complement our diagnosis, such as a nocturnal polysomnography performed by the neurophysiologist, skull scans, Sleep study using nocturnal polygraphy at the patient's home (Apnealink®) showing successive apneas (in red) and hypopneas (in blue), as well as drops (desaturations) in blood oxygen and snoring. The treatment of OSAHS is multidisciplinary and varies according to the specific conditions of each patient, ranging from conservative to surgical measures. At the Kranion Clinic, conservative treatments are carried out through postural therapies, sleep hygiene techniques and the placement of intraoral orthopedic devices, also called Mandibular Advancement Devices (MAD). AMD improves airflow by advancing the jaw by preventing the tongue from obstructing the airway. The choice of intraoral prostheses as the first option for the treatment of OSAHS patients is due to their innocuousness, easy handling and their reversible and favorable action on the part of the patients. Our specialists Dra. Victoria Lòpez Iñesta. Degree in Dentistry from the CEU Cardenal Herrera University of Valencia. Master in sleep medicine and physiology. Advanced training course and clinical residency in Occlusion, Craniomandibular Dysfunction and Orofacial Pain at Kranion Clinic. Dedicación preferente a la Odontología Restauradora, Rehabilitación Oral y Estética Dental, habiendo hecho cursos de formación continuada con distintos especialistas en dicho campo: Dr. Mauro Fredeani, Dra. Francesca Vailati, Dr. Vicente Berbís, Dr. Manuel Cueto, Dr. Andrea Ricci, Dr. Ernest Mallat, Dr. Iñaki Gamborena. Dr. José Manuel Torres Hortelano Licenciado en Odontología por la Universidad Complutense de Madrid - 1992. Doctor “cum laude” en Odontología por la Universidad de Valencia - 2005 Postgrado en Patología de la ATM por el Hospital General Gregorio Marañón de Madrid - 1995. Certificate of training in Orofacial Pain. University of Medicine and Dentistry of New Jersey (USA) - 1999. Diplomate by the American Board of Orofacial Pain - 2000. Presidente de la XIV Reunión Anual de la SEDCYDO en Alicante - 2003. Profesor colaborador de los Cursos de Formación Continuada de la SEDCYDO. Experto en Ozonoterapia - Curso de Ozonoterapia en el Centro de Investigaciones del Ozono de la Habana (Cuba) - 2011. Co-director del Curso de Formación Avanzada en Oclusión, Disfunción Craneomandibular, Dolor Orofacial y Medicina Oral del Sueño Profesor del Título de Especialista Universitario en Implantología Oral de la Universidad Miguel Hernández de Elche-Alicante Co-conferenciante en los cursos de Formación Continuada del Ilustre Consejo General: El papel del odontoestomatólogo en el diagnóstico y tratamiento de la roncopatía y el Síndrome de Apnea-Hipopnea Obstructiva del Sueño. Miembro de la Sociedad Española de Disfunción Craneomandibular y Dolor Orofacial (SEDCYDO). Miembro de la European Academy of Craniomandibular Disorders (EACD). Miembro de la American Academy of Orofacial Pain (AAOP). Miembro de la International Association for Dental Reseach (IADR). Miembro de la Sociedad Española del Dolor (SED). Miembro de la Sociedad Española de Medicina Oral del Sueño (SEMODS). Miembro de la Asociación Española de Profesionales Médicos en Ozonoterapia (AEPROMO). Ha impartido cursos y conferencias sobre Disfunción Craneomandibular, Dolor Orofacial, Bruxismo y Medicina Oral del Sueño en España. Autor de varias publicaciones científicas en su campo. Práctica exclusiva en Disfunción Craneomandibular, Dolor Orofacial y Medicina Oral del Sueño en Clínica Kranion – Alicante. Amplíe esta información Unidad del Sueño de la Clínica Vistahermosa Sociedad Española de Sueño American Academy of Dental Sleep Disorders Contactar con CLÍNICA KRANION Calle Callosa del Segura, 1 Entlo 03005 Alicante +34 965 124 365 atencionpaciente@clinicakranion.com Novedades en Clínica Kranion Curso de Formación avanzada en Oclusión, Disfunción Craneomandibular, Dolor Orofacial y Medicina Oral del Sueño Signos y síntomas de alerta ante un cuadro de disfunción craneomandibular Autocuidados para pacientes con disfunción craneomandibular Dental hygiene tips: daily brushing and flossing 2015 © CLÍNICA KRANION Calle Callosa del Segura, 1 Entlo 03005 Alicante Telephone: +34 965 124 365 Mobile: 615 560 570 Fax: +34 965 135 546 Email: atencionpaciente@clinicakranion.com Monday to Friday from 9:00 a.m. to 8:30 p.m. Follow us on: Terms of Use / Privacy Notice