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 effective treatment.

Understanding Sleep Apnoea: Symptoms You Shouldn't Ignore

Recognising sleep apnoea early can substantially reduce associated health risks. 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 are also significant indicators. These issues often result from inadequate oxygen intake and fragmented sleep, leading to cognitive impairment and a decline in overall well-being.

Identifying these symptoms early is critical, as untreated sleep apnoea significantly increases risks for serious health conditions, including hypertension, heart disease, stroke, and type 2 diabetes. If you experience these symptoms, promptly consult a health professional.

How Dental Health Reflects Sleep Apnoea

Your oral health can reveal critical signs indicating sleep apnoea, making dentists an essential resource for early diagnosis. Several oral health indicators are closely 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 significantly 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 increases 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 risks during regular examinations, enabling early intervention strategies to mitigate sleep apnoea risks.

Regular dental visits offer valuable opportunities for early detection of sleep apnoea. Dentists are trained to recognise these subtle yet significant signs, playing an instrumental role in the early identification and management of the condition.

The Role of Dental Professionals in Sleep Apnoea Diagnosis

Dentists are strategically positioned to identify 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 yet effective tools help guide patients towards further sleep assessments when necessary.

Moreover, dentists collaborate closely with sleep specialists, ensuring a multidisciplinary approach that results in accurate diagnoses and effective treatments tailored specifically to patient needs.

Dental Treatments for Sleep Apnoea: Oral Appliance Therapy

When obstructive sleep apnoea is diagnosed, dental professionals offer a range of effective, non-invasive treatments, notably oral appliance therapy. One of the most effective treatments is the Mandibular Advancement Splint (MAS). This custom-made oral device works by gently repositioning your lower jaw forward, keeping your airway open throughout the night and reducing apnoea episodes.

Custom-fitted MAS devices are typically preferred over generic, over-the-counter alternatives due to superior comfort, improved effectiveness, and increased 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.

While oral dev ices can significantly improve sleep quality and alleviate symptoms, successful outcomes depend on accurate diagnosis, precise fitting, and patient adherence to regular usage.

What to Expect at Skye Dental

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

We specialise in creating custom-made oral devices specifically tailored for your comfort and effectiveness. Our commitment extends beyond initial fitting; continuous care and regular follow-ups are integral to our approach, ensuring the treatment remains effective and comfortable, adjusting to any changes in your condition or oral health.

Our experienced dental team is dedicated to providing safe, comfortable, and highly effective solutions that significantly enhance your sleep quality and overall health.

Take the Next Step: Schedule Your Sleep Apnoea Consultation

Don’t let sleep apnoea negatively impact your health and quality of life. Take the first step towards better sleep by scheduling a consultation at Skye Dental today. Our professional team is ready to assist you in achieving restful sleep and improved overall well-being through expert, personalised care.

Contact us today to arrange your comprehensive sleep apnoea assessment and begin your journey towards better sleep and health.

About the author

Dr. Jena Ward is the principal dentist and owner of Skye Dental. She graduated dentistry with first class honours from Griffith University. She won the award for Clinical Excellence in Endodontics following her extensive research into root canal therapy. 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 the latest technology, including 3D CAD/CAM. Her special interests 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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