Sleep Apnea Treatment in Montréal, QC

Loud snoring during sleep can disrupt a good night’s rest, not only for you but also for someone you love. Understandably, chronic snoring is a problem that needs to be resolved. 

From a medical standpoint, snoring also presents several serious concerns. If you or someone you love snores nightly and is struggling with other symptoms, such as forgetfulness or excessive daytime fatigue, you may want to explore the possibility that they may be suffering from sleep apnea. 

Dr. Slepchik and his highly accredited staff specialize in various aspects of general dentistry. They have a lot of experience working with patients who suffer from sleep apnea and can help you find the appropriate treatment. 

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What Is Sleep Apnea?

The most common form of sleep apnea (and the form Dr. Slepchik treats) is obstructive sleep apnea. It occurs when the muscles in the back of the throat relax. These muscles support all surrounding tissues, such as the tonsils and the walls of the throat. 

When the muscles relax, the airway narrows or closes. Your brain senses this inability to breathe and briefly wakes you from sleep to reopen the airway. These lapses in sleep are usually so brief that you don’t even remember them. Actions during a lapse can involve a snorting, choking, or gasping sound and can repeat as many as 30 times per hour all night.

Other types of sleep apnea include central sleep apnea and complex sleep apnea. 

Causes of Sleep Apnea

Sleep apnea can have various causes, such as:

  • Enlarged tonsils or adenoids
  • Cardiovascular problems
  • Obesity
  • Abnormally relaxed throat and tongue muscles 
  • Nasal congestion
  • Smoking
  • Family history

Health Effects of Untreated Sleep Apnea

Sleep apnea deprives the brain and body of necessary oxygen. It also increases the release of stress hormones on an ongoing basis. In conjunction with severe sleep deprivation, these effects of sleep apnea present serious health concerns. Untreated sleep apnea is a factor in heart disease, heart attack, stroke, and death. It is essential to find a solution to this problem.

How to Know If You Have Sleep Apnea

There are several indications that you may have sleep apnea. Some may only be noticed by a partner or loved one who sleeps next to you. A person with sleep apnea may exhibit the following symptoms such as:

  • Loud snoring
  • Momentary pauses in snoring, which indicate a lack of respiration
  • Restless sleep
  • Significant daytime sleepiness, difficulty staying awake
  • Falling asleep at stoplights or while watching television
  • Moodiness or persistent irritability
  • Decreased productivity
  • Increased clumsiness and accidents
  • Problems with anxiety or depression
  • Diminished personal relationships
  • Morning headaches and sore throat

Sleep Apnea Treatment Options

Historically, sleep apnea has been treated with CPAP therapy. CPAP stands for continuous positive airway pressure. This technique resolves symptoms by delivering air into the airway while a person sleeps. It involves wearing a face or nasal mask that attaches to a small device via a hose.

Now, many patients have been managing obstructive sleep apnea using an oral appliance made by their dentist. Oral appliance therapy works by gently manipulating the lower jaw into a forward position that supports an open airway. The devices are small, comfortable, and effective at reducing or ending sleep apnea symptoms.

Oral appliance therapy is more than just convenient. These devices are custom-fitted for comfort and effectiveness, allowing for a restful night’s sleep without the intrusive components of CPAP treatments. You can often experience immediate relief from symptoms like loud snoring and interrupted sleep. Oral appliances are also portable and easy to clean, making them ideal for travel and daily use. 

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Factors That Can Increase Your Risk of Sleep Apnea

Obstructive sleep apnea relates to excess weight around the throat when muscles relax at rest. Therefore, factors that affect fatty and muscle tissue can increase your risk of this type of sleep apnea. Factors to consider include:

  • General weight: The heavier you are, the more fatty tissue you will have around your neck pressing against the airway.
  • Neck circumference: Generally, healthy people with a large neck circumference are more likely to have excess muscle or fatty tissue around the throat.
  • Naturally narrow airway: The airway may naturally be smaller or narrowed by tonsils and adenoids, glands situated in the throat.
  • Age and gender factors: Studies suggest that three times more men develop obstructive sleep apnea than women. The condition also occurs more in older individuals, likely due to the decline of muscle tone that occurs with age.
  • Smoking: Sleep apnea is three times more common in smokers than in non-smokers. This is due to fluid retention and inflammation in the airway.
  • Sedative use: People who take sedatives as sleep aids may relax to the extent of closing off their airways. Remember, alcohol qualifies as a sedative also.
  • Nasal obstruction: People with a deviated septum or chronic nasal congestion are more likely to develop sleep apnea.

Why Choose Lenny Slepchik, D.D.S.?

Lenny Slepchik, D.D.S., is a distinguished dental professional in downtown Montreal, renowned for his comprehensive and compassionate approach to dental care. With over three decades of experience, Dr. Slepchik has built a reputation for excellence in general and cosmetic dentistry. His commitment to staying at the forefront of dental advancements ensures that his patients receive the latest and most effective treatments. 

Dr. Slepchik takes the time to listen to each patient's concerns and works collaboratively to develop customized treatment plans that meet their needs and goals. Dr. Slepchik's friendly and approachable demeanor helps patients feel at ease, whether they are visiting for routine check-ups or more complex procedures. His passion for dentistry and genuine care for his patients make Dr. Slepchik the ideal choice for anyone seeking high-quality dental care.

What Our Patients Say

"I've been a patient for 30 years. Exceptional expertise. Exceptional staff. Exceptionally friendly, caring and knowledgeable. The latest appliance (Panthera) has resolved my snoring and sleep apnea issues. I now sleep through the night, waking up rested and refreshed. Thank you team Slepchik!!"

- Patricia C.

"I don’t wake up several times a night. My joint and muscle pain has stopped. The SAD is the best investment I have EVER made."

- a happy Dr. Slepchik patient

"Dr. Slepchik, I want to speak with you. Ever since I received my Sleep Apnea Device (SAD) from your office, I have more energy. I’ve been told that my snoring which had caused my partner to sleep in another room no longer exists. Thank you so much."

- a happy patient

Frequently Asked Questions

When Should I See Someone About My Sleep Apnea?

We all have problems sleeping from time to time. However, certain signs indicate you may have not just occasional insomnia but sleep apnea. You should see a doctor if you notice symptoms that are having a negative or even dangerous impact on your life. These symptoms could be:

  • You regularly experience difficulty sleeping
  • You are often tired during the day, even if you slept for at least seven hours the night before
  • You have a reduced or impaired ability to perform regular daytime activities
  • Your partner has told you that you snore loudly and sometimes seem to stop breathing
  • You fall asleep when driving
  • You struggle to stay awake when inactive, such as when watching TV or reading
  • You have difficulty paying attention or concentrating at work, school, or home
  • You have performance problems at work or school
  • Your memory seems to be off
  • Your ability to respond seems slow
  • You have difficulty controlling your emotions
  • You feel the need to take a nap almost every day

What Lifestyle Changes Can I Make to Reverse Sleep Apnea?

Professional medical associations recommend a few strategies to help you if you suffer from sleep apnea. 

Keep in mind that you can begin treatment, whether CPAP or D-SAD (oral appliance therapy) and stop this intervention at any time if your situation improves with changes in your lifestyle. Some of the ways you can improve sleep apnea are:

  • Avoiding alcohol and sedatives: Sedatives of any kind, including some anti-anxiety medications, may cause deep physical relaxation so that the airway is more likely to close while sleeping.
  • Lose weight: This strategy will only work if your obstructive sleep apnea is caused by obesity. In this instance, moderate weight loss may reduce the pressure of the neck tissue on your airway during sleep.
  • Exercise: Some studies suggest that, besides aiding in weight loss, regular exercise can improve poor-quality sleep and help manage your sleep apnea.
  • Sleep elevated or on your side: When you sleep on your back, your tongue is more likely to block the back of your throat. Sleeping on your side might help if obesity is not a contributing factor.
  • Consider nasal treatments: Depending on the factors contributing to your sleep apnea, such as nasal congestion, you might benefit from using a nasal spray or decongestant medication. Only do this under the supervision of your physician. Some medications may have a sedative effect, adding to rather than decreasing apnea episodes.

How Is Sleep Apnea Diagnosed?

A doctor may diagnose sleep apnea during a comprehensive consultation and discussion of symptoms. We can typically confirm the suspected diagnosis and type of sleep apnea through a sleep study. 

Doctors and dentists often prescribe home sleep studies to diagnose sleep apnea. These studies are less involved than those in a formal sleep lab and more comfortable since you sleep in your own bed. This familiarity can promote deeper sleep and more accurate results.

During a home sleep study, you apply comfortable monitors before bed and follow your usual routine. These monitors measure vitals like breathing patterns, oxygen levels, and the rise and fall of your chest. The focus is on your breathing parameters, which indicate sleep apnea.

It's important to understand how home sleep studies work and their limitations. For instance, if a sensor falls off during sleep, your results may be inaccurate. If your symptoms persist despite normal results, Dr. Slepchik may recommend further testing.

How Do I Clean and Maintain My Sleep Apnea Oral Appliance?

To clean and maintain your sleep apnea oral appliance, rinse it with lukewarm water after each use. Use a soft toothbrush and mild soap to gently scrub the device, avoiding abrasive cleaners that can damage it. Soak the appliance in a denture cleaner once a week for a deeper clean. 

Store it in a dry, ventilated case when not in use to prevent bacterial growth and keep it in good condition. Regularly check for signs of wear and tear, and schedule routine check-ups with your dentist to ensure it remains effective.

Is Sleep Apnea Hereditary?

Yes, sleep apnea can have a hereditary component. If you have a family history of sleep apnea, you may be at a higher risk of developing the condition. Genetic factors can influence the size and shape of your airway, your propensity for obesity, and other traits that contribute to sleep apnea. However, lifestyle and environmental factors also play significant roles in its development.

What Should I Do if My Sleep Apnea Symptoms Return After Treatment?

If your sleep apnea symptoms return after treatment, schedule an appointment with Dr. Slepchik. It's essential to reassess your condition to determine the cause of the recurrence. Changes in weight, lifestyle, or the effectiveness of your treatment device may need to be addressed. Dr. Slepchik may adjust your current treatment, suggest a different oral appliance, or recommend additional tests to ensure you receive the best possible care.

Can Allergies Worsen Sleep Apnea?

Yes, allergies can worsen sleep apnea. Allergies cause nasal congestion and inflammation, which can obstruct airflow and exacerbate sleep apnea symptoms. Managing your allergies through medications, avoiding allergens, and using air purifiers can help reduce their impact on your sleep apnea. If nasal congestion persists, consult Dr. Slepchik for additional treatment options to keep your airway clear and maintain effective sleep apnea management.

How Can I Improve My Sleep Hygiene to Help with Sleep Apnea?

To improve sleep hygiene and help manage sleep apnea, maintain a regular sleep schedule, create a relaxing bedtime routine, and optimize your sleep environment by keeping it dark, quiet, and cool. Limit caffeine and screen time before bed and exercise regularly, but avoid vigorous activity close to bedtime. These habits can promote restful sleep and alleviate sleep apnea symptoms.

Are There Any Exercises That Can Help Reduce Sleep Apnea Symptoms?

Yes, certain exercises can strengthen the muscles around your airway and reduce sleep apnea symptoms. Try tongue slides (sliding your tongue back against the roof of your mouth), pronouncing vowel sounds loudly, blowing through closed lips, jaw exercises (opening, closing, and moving side to side), and chewing exercises. These can help tone the muscles involved in breathing and keep your airway open during sleep.

Schedule A Consultation

Learn more about sleep apnea and how a convenient oral appliance can improve your health. Contact our downtown Montreal office at 514-875-7971 or email us at reception@smilesbydrslepchik.com to schedule a consultation appointment with Lenny Slepchik, DDS. We are located in Downtown Montreal, next to the Fairmont Queen Elizabeth Hotel across from Place Ville Marie. Metro McGill or Metro Bonaventure.

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“ I have been a patient of Dr. Slepchik’s dental practice for several years now, and I can’t express how grateful I am to have found such an outstanding dentist. From the moment I walked into the office, I felt welcomed and at ease. The entire team has consistently provided exceptional care, and I couldn’t be happier with my experience.”

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