The Superstore for Everything Snore

Snoring Causes & Solutions

www.SnoreMart.com

www.SnoreMart.com

Introduction

Disclaimer: This guide is not intended to be a substitute for professional medical advice, prevention, diagnosis or treatment. Always seek the advice of your physician or other qualified health providers with any questions regarding a medical condition.

This educational booklet is written for people who suffer from sleep disordered breathing and their sleeping partners. It can also be used for discussion with your health care provider.

In the following pages, you will discover a simple overview of sleep disordered breathing. To find your solution, it’s good to have a basic understanding of causes of snoring and the range of sleep disordered breathing.

The great news is that snoring can be tamed and your life can be improved overnight. There is no single treatment that works for everyone. But everyone CAN find a solution that works for them.

Most treatments in this booklet can be used to successfully treat the entire range of sleep disordered breathing. Whether you find your solution with the Dentist, the Physician or SnoreMart.com, your life will be improved.

Warmest regards,

Patrick Tessier, MBA Founder of SnoreMart

Available at SnoreMart.com

Available from your Dentist

Available from your Physician

Legend:

Snoring is very common, with about half the adult population snoring at least occasionally. In fact, it is difficult to find people not affected by snoring. Almost everyone has a story to share.

There are many serious negative effects associated with snoring ranging from sleep deprivation for the partner to obstructive sleep apnea for the snorer.

Causes of Snoring Snoring is the harsh sound you hear when the snorer inhales during sleep. Air travels past the soft, flexible structures such as the palate, uvula, tonsils and tongue. When sleeping, the soft tissues at the back of the throat relax, the jaw and the attached tongue fall back and the airway is significantly more narrow. As air goes through this narrow passage, pressure and velocity increase, causing the tissues to vibrate.

877-252-7317

Snoring Causes

Sleep Apnea (OSA)Complete Blockage

SnoringPartial Blockage

There are many factors that affect snoring including:

• Sleeping position• Nasal congestion• Enlarged throat tissues• Small lower jaw

• Obesity• Muscle relaxers & Alcohol• Smoking & throat irritants• Mouth breathing

Normal BreathingNo Blockage

Snoring Causes

www.SnoreMart.com

Sleep Disordered Breathing Sleep disordered breathing is the medical term for anything from simple snoring to severe obstructive sleep apnea. As the condition becomes worse, it can cross the line from simple snoring to obstructive sleep apnea.

As many as 90 million Americans snore occasionally. It is estimated that less than 2 million suffer severe sleep apnea.

Mild Sleep

Apnea

AHI: 5-15

Moderate Sleep

Apnea

AHI: 15-30

Severe Sleep

Apnea

AHI: > 30

Occasional Snoring

RegularSnoring

AHI: < 5

Upper AirwayResistanceSyndrome

Snoring Obstructive Sleep Apnea

90 million

Sleep Disordered Breathing

Sleep apnea can also be present in the form of Central sleep apnea or a hybrid of both central and obstructive sleep apnea. Central sleep apnea originates in the brain, which fails to send proper signals to the breathing muscles.

877-252-7317

Snoring Causes

Snoring vs. Obstructive Sleep Apnea Sleep Disordered Breathing is broken down in two categories: snoring and obstructive sleep apnea. Then further categorized into three major sub-groups. These sub-groups are defined by the Apnea–Hypopnea Index (AHI). AHI is measured with a home sleep test (HST) or a Laboratory sleep study (PSG)

Apnea event = 80-100% reduction in airflow with stoppage of breathing for 10 seconds or more. Hypopnea event = 50-80% reduction of airflow with stoppage of breathing for 10 seconds or more. AHI = (Number of apnea + hypopnea events) / hour

Snoring Benign snoring is not considered a medical condition, but it is the cause of serious negative health issues from sleep deprivation to marital discord. Treatment to eliminate snoring can have numerous benefits.

Snoring ..................... < 5 AHI

Obstructive Sleep Apnea (OSA)OSA is a medical condition that can shorten your life. It has many related serious health issues. OSA is supported by most medical insurances and several branches of the medical community, including Dentistry.

Mild............................. 5-15 AHIModerate...............15-30 AHISevere....................... > 30 AHI

www.SnoreMart.com

Sleep TestingThere are a number of testing options available to gain insight to your condition. Below are the simple tests to get you started.

SnoreLabFor the snorer in denial, record them with this innovative app for an iPhone. Nothing like the embarrassment of hearing yourself snore to provoke action!

QuestionnairesThree 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

Do you SNORE loudly (louder than talking or loud enough to be heard through closed doors)?

Yes No

Do you often feel TIRED, fatigued, or sleepy during daytime?

Yes No

Has anyone OBSERVED you stop breathing during your sleep?

Yes No

Do you have or are you being treated for high blood PRESSURE?

Yes No

BANG

BMI more than 35kg/m2? Yes No

AGE over 50 years old? Yes No

NECK circumference > 16 inches (40cm)? Yes No

GENDER: Male? Yes No

TOTAL SCORE

Number of Yes answers : Risk of Obstructive Sleep Apnea0-2 : Low 3-4: Intermediate 5-8: High

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

Home Sleep Testing - PrivateProfessional 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.

Sleep Testing

Home sleep testing can be used for informational and diagnostic purposes. They are accepted by health care providers and actually preferred by most insurance companies.

Home Sleep Testing - InsuranceGet 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.

Treatment Overview

www.SnoreMart.com

This guide groups the available treatments by the intended results, all of which are documented to reduce or eliminate sleep disordered breathing symptoms. Most treatments can be effective for the entire range of sleep disordered breathing, from snoring to obstructive sleep apnea.

Lifestyle ChangesWeight Loss Bariatric Surgery (Lap Band)Stop SmokingAvoid Alcohol or Muscle relaxers

Open the NoseNose Dilators Chin StrapsReduce Nasal Congestion nasent ClassicWinx Sleep Therapy SystemSeptoplasty Surgery

Don’t Sleep on the BackMechanical Devices Tennis Ball - Free SlumberBump Remetee Bumper Belt Zzoma Belt Anti-Snore PillowsElectronic Devices iRollover Night Shift NightBalance

Eliminate the NoiseSleep in different roomsCover-up with Therapeutic Noise

Ear Plugs

Tighten the Throat Throat ExerciseHomeopathic Astringents

Open the AirwayChin StrapsOral Appliances Tongue Retention Device Non-Custom Oral Appliances Custom Oral AppliancesEPAP CPAP Surgical Pillar Procedure SomnoPlasty (Radio Frequency) UPPP Uvulopalatopharyngoplasty TransOral Robotic Surgery Tracheostomy Inspire Upper Airway Stimulation Jaw Repositioning (Oral Surgery)

Available at SnoreMart.com

Available from your Dentist

Available from your Physician

Legend:

Weight LossThe #1 most effective treatment. A popular medical solution is Bariatric Surgery - (Lap Band)

Cover with Therapeutic NoiseSound therapy using a special sound machines invoking soothing sounds from nature are great.

Sleep in Different Rooms25% of married couples end up sleeping separately. Just ask Tom Cruise or Judge Judy. They built “snoratoriums”.

www.SnoreMart.com877-252-7317

Lifestyle Changes

Eliminate the Noise

Stop SmokingSmoke irritates and inflames the tissue in the throat, shrinking the airway and contributing to snoring.

Avoid Alcohol or Muscle RelaxersDrinking before bed will relax the throat muscles and almost always contribute to snoring. Ask a camper.

Ear PlugsSimple and effective. Foam or silicone ear plugs lower the decibels in the room & allow you to get some sleep.

Throat ExercisesStrengthen the throat muscles reduces tissue size. Playing the didgeridoo is a proven solution.

Winx Sleep Therapy SystemThis device creates a negative pressure in the oral cavity, which opens the airway for nasal breathing.

www.SnoreMart.com

Tighten the Throat

Open the Nose

Homeopathic AstringentsHerbal based astringents have been documented to shrink tissue since the 1300s. Still works today.

Chin StrapsSimple and effective. By keeping your mouth closed, you are forced to breathe through your nose.

Nasal DilatorsMore effective than nose strips, these devices open the nasal passage from the inside. Amazing results! Available in S/M/L

Septoplasty SurgeryCorrective surgery for a deviated septum. Opens the nasal passage permanently.

nastent Classicnastent™ is a soft, tube-shaped medical device that is inserted from the nose to the uvula. Simple and effective.

Night ShiftWorn on the back of the neck, Night Shift vibrates when you start to back-sleep. Clinically validated

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)

877-252-7317

Don’t Sleep on the Back

Remetee Bumper BeltA big step up from the tennis ball solution. Designed in Canada and comes in S/M/L/XL

NightBalanceActive sleep position sensor which trains patients using gentle vibrations to not sleep on their back.

iRolloverDeveloped in a Chicago Sleep Lab, plays your recording to encourage your sleeping partner to “ROLL OVER”

Anti-Snore PillowsBuilt to encourage side sleeping, these comfortable pillows come is several designs

Zzoma BeltDeveloped by a Doctor, this one-size-fits-all belt produces documented results.

SlumberBump Designed by a Utah Dentist, this device comes in two sizes and even has an extention belt available.

www.SnoreMart.com

Open the Airway

Tongue Retention DeviceThis 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 ApplianceThe 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.

Oral Appliances

The American Academy of Sleep Medicine (AASM) recommends oral appliances as the first line of therapy for the entire range of sleep disordered breathing, except severe sleep apnea.

Custom Oral ApplianceMost 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 practicefor a much reduced cost.

These devices are best for snoring through moderate OSA.

To find a Dentist near you: www.SnoreMart.com/doctor

EPAPExpiratory Positive Airway Pressure is a new treatment protocol developed at Stanford University.

As you breathe in, the patented MicroValve Technology opens, allowing you to breathe in normally. As you breathe out, the MicroValves close to create a gentle pressure that naturally opens your nasal airway and relieves snoring. Comes in two versions: Theravent from SnoreMart or ProVent from your health care provider. Both versions involve covering your nose with the small valve device.

Open the Airway

877-252-7317

CPAPCPAP, which stands for Continuous Positive Airway Pressure was developed in the 1980s. It is a pneumatic splint for the nasopharyngeal airway. It is absolutely the gold standard for treating obstructive sleep apnea. CPAP has come a long ways since 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 pillows are popular. You can also add humidifiers.

The biggest downside is wearing the mask. In fact, 40% of patients prescribed CPAP therapy end up refusing the treatment.

If you have been diagnosed with severe obstructive sleep apnea, it’s a life saver.

PIllar ProcedureIn about 20 mins, under local anesthetic, a doctor uses a sterile device to place 3-5 tiny implants to support & stiffen the palate.

Open the Airway

www.SnoreMart.com

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.

Jaw Repositioning SurgeryMaxillomandibular advancement or BiMax permanently moves the upper and lower jaw forward with oral surgery.

TracheostomyOne of the oldest procedures, it consists of inserting a tube to serve as the airway. This is a life saver in extreme cases.

The following is a list of the most common surgical procedures.

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).

Inspire Upper Airway StimulationCompletely implanted, it continuously monitors your breathing patterns. Delivers mild stimulation to key airway muscles.

877-252-7317

For More Information

You can obtain more information regarding sleep disordered breathing and treatments from the following web sites

American Academy of Dental Sleep Medicinewww.aadsm.org

American Academy of Sleep Medicine

www.aasmnet.org

American Sleep Apnea Associationwww.sleepapnea.org

National Sleep Foundationwww.sleepfoundation.org

American Academy of Craniofacial Painwww.aacfp.org

For comments or questions regarding information in this bookletSnoreMart, Inc.877-252-7317

support@snoremart.comwww.snoremart.com

Personalized reprints for Professionals can be obtained from SnoreMart

patrick@snoremart.com 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.

www.SnoreMart.com

The Superstore for Everything Snore