The Connection Between Oral Health and Sleep Apnoea

Dr. Jena Ward

April 12, 2025

Sleep apnoea is a common yet serious sleep disorder affecting millions of Australians, significantly impacting their health and quality of life. Specifically, obstructive sleep apnoea (OSA) occurs when throat muscles intermittently relax and block the airway during sleep, causing breathing to repeatedly stop and start. Despite its prevalence, many individuals remain unaware they have it, highlighting the importance of understanding the connection between oral health and sleep apnoea for early detection and treatment.

Understanding Sleep Apnoea: Symptoms You Shouldn't Ignore

Recognising sleep apnoea early can help you seek assessment sooner. Chronic loud snoring is one of the most noticeable symptoms and often indicates airway obstruction. Another common sign is observed pauses in breathing, frequently reported by partners or family members who notice episodes where breathing briefly stops during sleep. Additionally, excessive daytime fatigue can signal disrupted sleep quality, even if you think you’re getting adequate rest at night.

Other symptoms such as morning headaches, irritability, mood swings, and difficulty concentrating can also be indicators. These issues often result from inadequate oxygen intake and fragmented sleep.

Identifying these symptoms early is important. Sleep apnoea is a medical condition, so if you experience these symptoms, promptly consult a health professional.

How Dental Health Reflects Sleep Apnoea

Your oral health can reveal signs that may be associated with sleep apnoea, making dentists a useful resource for early detection. Several oral health indicators are associated with sleep apnoea:

Teeth Grinding (Bruxism)

Teeth grinding, or bruxism, often occurs during sleep as the body’s subconscious attempt to reopen a partially blocked airway. This frequent grinding places excessive stress on teeth, causing noticeable wear, cracks, and even structural damage. According to a study published in the Journal of Clinical Sleep Medicine, bruxism is more prevalent among individuals diagnosed with obstructive sleep apnoea.

Enamel Erosion and Tooth Sensitivity

Continuous nighttime grinding and clenching related to obstructed breathing can lead to the erosion of tooth enamel. This enamel loss can increase the risk of tooth sensitivity, decay, and cavities, often presenting noticeable symptoms such as discomfort when consuming hot, cold, or sweet foods and beverages.

Tongue Indentations and Scalloping

Dentists frequently observe scalloping or indentations along the edges of the tongue, indicating repeated pressure against the teeth. This sign suggests the tongue repeatedly moves forward in attempts to clear the airway during obstructed breathing events.

Jaw Structure and Alignment

A small or recessed jaw (retrognathia) can predispose individuals to sleep apnoea by physically restricting airway space. Dentists can identify these anatomical features during regular examinations, which may support early intervention.

Regular dental visits offer valuable opportunities for early detection of sleep apnoea. Dentists are trained to recognise these subtle signs, and can play a role in the early identification of the condition.

The Role of Dental Professionals in Sleep Apnoea Diagnosis

Dentists are well positioned to identify signs of sleep apnoea during routine dental visits. They perform comprehensive oral examinations, carefully looking for subtle signs linked to sleep disorders. In many practices, including Skye Dental, screening questionnaires are used to evaluate the likelihood of sleep apnoea. These simple tools help guide patients towards further sleep assessments when necessary.

Dentists also work closely with sleep physicians, so patients receive a multidisciplinary approach with diagnosis and management tailored to their needs.

Dental Treatments for Sleep Apnoea: Oral Appliance Therapy

When obstructive sleep apnoea is diagnosed, dental professionals may offer non-invasive options such as oral appliance therapy. One option is the Mandibular Advancement Splint (MAS). This custom-made oral device works by gently repositioning your lower jaw forward, helping to keep your airway open through the night and reduce apnoea episodes.

Custom-fitted MAS devices are typically preferred over generic, over-the-counter alternatives for comfort, fit, and patient compliance. Oral devices also offer a practical alternative for patients who find continuous positive airway pressure (CPAP) machines uncomfortable or difficult to use consistently.

Oral devices may help manage symptoms for some patients, but outcomes depend on accurate diagnosis, precise fitting, and patient adherence to regular use.

What to Expect at Skye Dental

At Skye Dental, our focus is your health and comfort. The care process begins with a thorough consultation and assessment, evaluating your oral health alongside sleep apnoea symptoms to help determine a suitable treatment plan.

We create custom-made oral devices tailored for your comfort. Continuous care and regular follow-ups are part of our approach, so the appliance continues to suit your needs and any changes in your oral health.

Our dental team is here to support you through assessment and treatment.

Take the Next Step: Schedule Your Sleep Apnoea Consultation

If sleep apnoea may be affecting you, consider scheduling a consultation at Skye Dental. Our team can assist with assessment and, where appropriate, oral appliance therapy as part of your care.

Contact us today to arrange a sleep apnoea assessment.

About the author

Principal Dentist

Dr. Jena Ward

BSc. BOralH (Dent. Sci.) GDipDent (Hons.)

Dr. Jena Ward is the principal dentist and owner of Skye Dental. She graduated dentistry with first class honours from Griffith University. She received the Clinical Excellence in Endodontics award from Griffith University in 2012, following her extensive research. Previously she graduated with a BSc majoring in Biomedicine from Auckland University. After graduating she worked rurally, focusing on Neuromuscular, Aesthetic, Reconstructive and Implant Dentistry before opening Skye Dental. Jena keeps up to date with numerous conferences, and utilises current technology, including 3D CAD/CAM. Her areas of focus include Invisalign (an almost invisible option to straighten teeth), root canal therapy, and cosmetic dentistry, including Implants. She works with a lot of phobic patients, and offers Twilight Sedation.

Originally from Brisbane, raised in Hong Kong Jena has lived in eight different countries and relates easily to all patients. Her patients travel to see her, from interstate and even overseas. Jena enjoys spending time with her family, sailing and volunteering her dental services overseas in third world countries.

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