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Snoring and occlusion, can you explain it?
Posted on 04.17.2016 04:13 PM
By Mehron Haidari
In Occlusion
Good day docs. female pt about 45y.o, good OH, #18 mobility class II, no peirodontal problem, pocket depths around #18 are 2 and 3mm, #18 has class V restoration. No other tooth has any abnormal mobility, all have class 0 mobility. So I diag #18 as occlusal trauma. Put her on deprogrammer and sure enough #18 showed premature contacts on lateral movement. I adjusted the tooth. I received the attached text from her about 4 days later. Can someone explain? This is what she said.
"Ever since u adjusted my teeth my husband said I've been snoring less. Crazy. He said I've snored less in the past 4 days than in the last 4 years. Thanks u"
2 Comments
armando ponzi says on 04.19.2016 07:27 AM
Mehron, one possible explanation is repositioning of mandible mesially while it was initially retruded. If mandible during sleeping bend posteriorly toungue will follow occluding farinx and predisponing to snoring and sleep apnea. Your result immediately positive need to be checked in time as posture and occlusion tend to pull back to initial situation. Hope this could be helpful. Thanks for sharing this experience. Armando
Maurice Salama says on 04.19.2016 08:04 AM
Mehron; Always good to add images to your post like Panorex, Cephalometric, facial and occlusal views etc. etc. of your patient. Possibly as mentioned you removed an interference that had kept the mandible from positioning forward allowing for an upward and forward repositioning of the mandible at rest allowing for an increased airway. good luck Dr. Salama