Over the years I have written about the association of obstructive sleep apnea (OSA) and many other conditions including high blood pressure and cardiac disease. Recently, I was reminded that sleep apnea and dental issues are related. Now I have read about the association of dental health with cardiovascular health so in general this goes along with one of my usual phrases “everything is connected.” Physicians and dentists have come to realize that sleep, breathing, and dental health are all connected. This is a problem not just for adults but for children as well.
People who sleep poorly or who have OSA often breath through their mouth at night, which dries our saliva. Saliva is a natural defense against cavities and infection. Reduced saliva increases the risk of tooth decay, gum disease, and sensitivity. Poor sleep also raises stress hormones and systemic inflammation, weakening the immune system in the gums and making gingivitis and periodontal disease more likely. Sleep disorders are also linked to the changes in the normal mouth bacteria population that contribute to cavities and gum disease.
The connection between sleep and dental health works in both directions, which is why collaboration between sleep physicians and dentists has become an essential part of modern care. Sleep related interventions and oral appliance therapies are proving to be beneficial when introduced separately or together.
Talk to your sleep physician about any dental issues you are having and talk to your dentist about your sleep problems.
