Signs and Symptoms of Sleep Apnea

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Common Symptoms of Sleep Disorders

Headaches
TMJ Jaw joint pain
Forward neck posture
Jaw joint noise
Ear Congestion
Limited opening
Vertigo (dizziness)
Difficulty Swallowing
Tinnitus (ringing in the ear)
Loose teeth
Drifting teeth
Fractured teeth
Loss of molar teeth
Shortened teeth
Clenching/bruxing or grinding
Non-specific facial pain
Difficulty chewing
Difficulty swallowing
Tender sensitive teeth
​Diabetes
Metabolic syndrome
Neck pain
Postural problems
Paresthesia or tingling and numbness of fingers
Sensitivity to hot or cold
Insomnia
Erosion of the necks of the teeth
Erosion of the teeth
Over-closed bite
Breaking fillings or crowns
Mouth breathing
Faster breathing
Heavy breathing

Common Symptoms of  Upper Airway Resistance Syndrome (UARS)

​More frequent in women
Generally, younger persons who are not overweight
Chronic Fatigue
Daytime sleepiness
Night time arousals from sleep
​Insomnia
Light sleeper
UARS is characterized by RERAS (respiratory effort-related arousals)
Don't like to sleep on the back
Tired, groggy, loss of focus, concentration problems
Depression, no motivation
Cold hands and feet
Constipation and diarrhea
Indigestion
Acid reflux  GERD
Bloating
Laryngopharyngeal reflux, constant throat-clearing
Post nasal drip, hoarseness, and cough
Dysphagia, nasal stuffiness
23% have abnormal LOW blood pressure
Dizzy, especially when standing up
Migraines
Wild, vivid dreams or no dreams at all

Common Signs of Obstructive Sleep Apnea (OSA)

Lack of midface/lower face development
Lack of nasal breathing
Small upper jaw
Lower jaw retrudes to fit upper jaw
​Posterior cross-bites
​Wear facets on teeth
Muscle fatigue
Airway collapse
Forward head posture
Receded chin
Lack of defined chin/neck space (turkey neck)
Pinched and narrow nasal airways
​Deviated septum
High vault roof of the mouth
Low-hanging uvula and soft palate
Elongated uvula
Narrow tonsilar space
Oversized adenoids 
Narrow mouth arches
Crowded teeth
Scalloped tongue 
Tongue tie
Abnormal or low attachments of mouth frenums
Deep bite or overbite
Over-jet bite
Under-bite
Mandibular and maxillary tori  (bony growth projections on jaws)
Angular cheilosis (red and sore corners of the mouth)
Neck circumference greater than 17 "in men and 15" in women
Overweight
Age over menopause in women and any older age
High blood pressure
Stroke
ADHD in children
Mouth breathing.

Richard Downs, DDS