Why would a dentist ask about my sleep?
A dentist asks about sleep because the mouth can show signs of what happens at night. Worn or chipped teeth can point to grinding, and a dry mouth on waking can mean you breathe through your mouth while you sleep. Snoring and daytime tiredness are worth mentioning too. On their own, these signs don’t prove anything is wrong with your sleep. They’re reasons to ask more questions and, where the pattern fits, to suggest you see your GP. You can skip any question you’d rather not answer.
Grinding during sleep has been linked with other sleep disorders, sleep apnoea among them (healthdirect, teeth grinding). That’s one reason grinding and snoring come up in the same conversation.
What is obstructive sleep apnoea?
Obstructive sleep apnoea is a condition in which the airway narrows or closes again and again during sleep. The usual signs are loud snoring, breathing that stops and starts, gasping awake, headaches in the morning and sleepiness during the day. Diagnosis is a doctor’s job, normally with a sleep study, and leaving sleep apnoea untreated is associated with other health problems (healthdirect, sleep apnoea). Snoring by itself doesn’t mean you have it. If you or a partner notice these signs, tell your GP, and mention them at your next dental visit.
When can an oral appliance help?
An oral appliance can help some adults with snoring or obstructive sleep apnoea, once a doctor has made the diagnosis. Known as a mandibular advancement splint, it’s made for your mouth and worn in bed, easing the lower jaw forward so the airway stays more open. Clinical guidelines support it for snoring alone, and for sleep apnoea when CPAP isn’t tolerated or someone prefers an alternative (Ramar et al., 2015). The Australian Dental Association’s position is that a doctor makes the first diagnosis and stays involved (ADA Policy 6.7).
An appliance can cause jaw discomfort or change how your teeth meet, so it needs regular reviews. You can read more about dental sleep care at Absolute Sleep, linked from our Dental Sleep Medicine page.
Is a grinding splint the same as a sleep appliance?
A grinding splint and a sleep appliance are different devices with different jobs. A grinding splint covers the teeth to help protect them from wear and chipping; it doesn’t treat sleep apnoea. A sleep appliance moves the lower jaw forward so the airway is less likely to narrow. Grinding, called bruxism, can wear or crack teeth and strain the jaw. Stress, poor sleep and certain medicines are among the possible triggers (healthdirect, teeth grinding). Because the two problems overlap, we ask about your sleep before suggesting either one.
What should I bring to a sleep conversation?
These help your dentist see the whole picture:
- a sleep study report or a letter from your doctor, if you have one;
- your medicines, including anything you take to sleep;
- what a partner has noticed, such as snoring, pauses or restless nights;
- CPAP settings or mask details, if you already use one.
