Snoring might seem like an ordinary part of sleep, but in children, it can sometimes signal underlying health concerns that warrant closer inspection. While occasional snoring is not uncommon and often harmless, frequent snoring in kids could indicate various issues that need to be addressed.

Understanding what to look for can help parents determine if their child’s snoring requires further investigation or professional advice. It is crucial to pay attention to the nature and frequency of the snoring, as well as any other accompanying symptoms. Some children may snore due to temporary conditions like a cold or allergies, but others might have more persistent issues that need medical evaluation.

Parents should be mindful of not just the snoring sounds but also any signs of disrupted sleep patterns. If your child appears restless, wakes up frequently or shows signs of breathing difficulties during sleep, these could be important indicators. Snoring accompanied by pauses in breathing, gasping or choking sounds can be particularly concerning and may suggest a more serious underlying problem.

Addressing snoring in children early on can prevent potential complications and contribute to better overall health and well-being. By staying observant and proactive, parents can help ensure their children get the restful, uninterrupted sleep they need for healthy growth and development.

At Sleep and TMJ Therapy, we consult with parents regarding the sleep issues with their children. It is important to note that we will often work with an ENT or specialist in sleep medicine to be sure their child is receiving the best treatment possible. Part of the determination in treatment involves examining the temporomandibular joints, the Mallampati score, addressing any asymmetries and looking at posture as well. These are just a few of the things we look at. It is important that you take a team approach to your child’s treatment — the dentist, the MD, the sleep doctor and possibly the myofunctional therapist.

Signs of Snoring in Children

Identifying snoring in children requires observing specific behaviors during their sleep. One of the most noticeable signs is noisy breathing, where you may hear consistent loud snoring sounds emanating from your child’s room. Pay close attention to whether these sounds are regular or if they vary in intensity.

Another key sign is pauses in breathing. These interruptions might be brief, but they are significant and could suggest a more serious sleep-related issue. If your child frequently stops breathing for a few seconds and then resumes with a gasp or choking sound, it is essential to take note.

Restlessness during sleep is another indicator. If your child is constantly moving, tossing or turning, it could be a sign that they are not getting restful sleep. This restlessness may be accompanied by frequent awakenings throughout the night.

Observe your child’s sleeping position. Some children who snore may sleep in unusual positions to try to alleviate the discomfort caused by airway obstruction. They might sleep with their neck extended or in a sitting position to improve airflow.

Morning headaches can also be a sign. If your child frequently complains of headaches upon waking, it might be linked to poor oxygen levels during sleep due to snoring. Additionally, excessive daytime sleepiness can be an indicator. If your child seems unusually tired during the day or has trouble staying awake in school, it could be related to disrupted sleep caused by snoring.

Another aspect to consider is your child’s behavior and mood. Persistent snoring and poor sleep can lead to irritability, mood swings and difficulty concentrating. If you notice these changes in behavior, it could be linked to their sleep quality.

Monitor for any signs of mouth breathing during the day. Children who breathe through their mouth rather than their nose are more likely to snore at night. This habit can also lead to other issues like dry mouth or sore throat upon waking.

Facial asymmetry is another sign that can be associated with snoring in children. If you notice any irregularities in your child’s facial structure, it might be related to chronic mouth breathing and airway obstruction, both of which can contribute to snoring.

Lastly, consider if your child has frequent colds or allergies. These can cause nasal congestion and make it harder for them to breathe through their nose, leading to increased snoring. Keeping an eye on these signs can help you identify if your child’s snoring needs further medical evaluation.

In so many of the child cases, the ALF appliance can help with opening the airway. The ALF will increase the vertical inside the oral cavity and also can begin to widen the arches to some extent to allow for more room for the tongue.

Potential Causes of Snoring

Snoring in children can stem from a variety of causes. One common cause is enlarged tonsils or adenoids, which can obstruct the airway and lead to noisy breathing during sleep. Additionally, allergies or colds can contribute to nasal congestion, making it more difficult for air to pass smoothly and increasing the likelihood of snoring. Other factors include weight issues and environmental influences. Studies indicate that children who are overweight are at a higher risk of snoring. Allergies can exacerbate the problem; when flare-ups occur, they can lead to inflammation in the nose and throat, increasing snoring risks. Exposure to environmental tobacco smoke is another contributing factor that has been linked with a higher risk of snoring in children.

In the past, parents would often say, “My child snores…it’s so cute!” but it really is not. Snoring causes damage to the throat and can lead to other health problems. The dentist is often the one who can help with this with a referral to a practice like us or talk with your child’s pediatrician.

Health Concerns Related to Snoring

Persistent snoring in children can impact their overall health significantly. One primary concern is the potential effect on sleep quality, which can lead to various cognitive and behavioral issues. Recent research indicates that habitual snoring is associated with cognitive impairment and behavior issues.

In some instances, snoring might be a sign of Obstructive Sleep Apnea (OSA), a disorder where the airway becomes blocked during sleep, leading to breathing interruptions. This condition can result in more serious health consequences. OSA in children has been connected to impaired brain development, reduced academic performance, cardiovascular issues such as high blood pressure, altered metabolism and behavioral problems.

Cognitive development is particularly vulnerable to poor sleep quality caused by persistent snoring. Children who do not get adequate, restful sleep may struggle with attention, memory and learning. These cognitive deficits can lead to difficulties in school, affecting their academic performance and long-term educational outcomes. Furthermore, the lack of proper sleep can exacerbate behavioral problems, including hyperactivity, irritability and difficulty concentrating.

Another health concern related to snoring in children is the risk of cardiovascular issues. Chronic snoring and sleep apnea can strain the heart and blood vessels, potentially leading to high blood pressure and other cardiovascular problems. Early intervention is crucial to mitigate these risks and ensure a healthy cardiovascular system as the child grows.

Metabolic issues are also linked to sleep disturbances caused by snoring. Disrupted sleep can affect hormones that regulate appetite and metabolism, potentially leading to weight gain and other metabolic disorders. This is particularly concerning given that obesity can further exacerbate snoring, creating a vicious cycle that can be challenging to break.

Behavioral and mood disorders are another significant concern. Children with disrupted sleep may experience mood swings, anxiety and depression. These emotional challenges can affect their relationships with family and peers, as well as their overall quality of life. Addressing snoring and improving sleep quality can help alleviate these behavioral and mood issues, promoting better emotional health.

In addition to cognitive and behavioral issues, children who snore frequently may also face developmental delays. Sleep is essential for growth and development and interrupted sleep can hinder these processes. Ensuring that children get sufficient, high-quality sleep is vital for their physical and cognitive development.

Finally, persistent snoring can also impact a child’s immune system. Poor sleep quality can weaken the immune response, making children more susceptible to infections and illnesses. A strong immune system is crucial for overall health and well-being, particularly in growing children. Addressing snoring can help improve sleep quality and, consequently, enhance the immune function.

When to Seek Medical Advice

Parents should be attentive to certain red flags when it comes to their child’s snoring. If the snoring is accompanied by frequent interruptions in breathing, such as pauses, gasps or choking sounds, it is essential to seek medical advice. These symptoms could indicate Obstructive Sleep Apnea (OSA) or other sleep-related disorders that require professional evaluation and treatment.

Daytime symptoms are also important to consider. If your child exhibits excessive daytime sleepiness, irritability or difficulty concentrating, these could be signs of inadequate sleep quality due to snoring. Persistent morning headaches or complaints of a sore throat and dry mouth upon waking are additional indicators that medical advice should be sought. These symptoms often suggest that the snoring is affecting the child’s overall sleep and health.

Another sign to watch for is unusual sleep positions. Children who sleep in positions that seem intended to open their airway, such as with their neck extended or in a sitting position, might be experiencing discomfort due to snoring. This compensatory behavior is a significant indicator of possible airway obstruction.

Behavioral changes are equally important. If you notice your child has become more irritable, experiences mood swings or shows signs of hyperactivity, it could be linked to poor sleep quality caused by snoring. These behavioral changes can impact their social interactions and performance in school.

Monitoring for facial asymmetry is also crucial. If you observe any irregularities in your child’s facial structure, it might be due to chronic mouth breathing and airway obstruction. These physical changes can develop over time and might be related to persistent snoring and its underlying causes.

It is also essential to consider any underlying health conditions that might contribute to snoring. For instance, if your child has frequent colds or allergies that lead to nasal congestion and you notice an increase in snoring during these periods, discussing these patterns with a healthcare provider is important. They might suggest treatments to alleviate congestion and improve airflow, thereby reducing snoring.

Weight is another factor that can contribute to snoring. If your child is overweight, this can increase the risk of snoring due to excess tissue around the throat that can obstruct the airway. A healthcare professional can offer guidance on weight management strategies to help mitigate this risk.

Finally, environmental factors should not be overlooked. Exposure to tobacco smoke, even secondhand, can contribute to snoring by irritating the airways. If your child is regularly exposed to smoke and has persistent snoring, it is important to discuss this with your doctor as well. They can provide advice on minimizing exposure and managing any related respiratory issues.

By being vigilant and proactive about these signs, parents can ensure their children receive the appropriate medical evaluation and care to address snoring and any associated health concerns.

Tips for Parents

Parents can play a vital role in managing and potentially reducing their child’s snoring by making a few adjustments at home. One effective approach is to maintain a regular sleep schedule. Ensuring that your child goes to bed and wakes up at the same time every day can promote better sleep hygiene and overall sleep quality.

Creating a comfortable sleep environment is also important. Make sure your child’s bedroom is cool, quiet and dark. Using a humidifier can help keep the air moist, which might alleviate some breathing issues that contribute to snoring.

Elevating your child’s head during sleep can improve airflow and reduce snoring. You can achieve this by slightly raising the head of their bed or using an extra pillow. However, make sure the elevation is not too high as it might cause neck strain.

Encouraging your child to sleep on their side instead of their back can also make a difference. Back sleeping can cause the tongue and soft tissues to fall back, blocking the airway and leading to snoring. Side sleeping can help keep the airway open. For some of our patients, there is a pillow called Medcline (found on Amazon, of course) that actually forces the person to sleep on their side and slightly elevated — this is a good sleeping position.

Addressing nasal congestion is another crucial step. Using saline nasal sprays or a nasal rinse can help clear nasal passages, making it easier for your child to breathe through their nose. Over-the-counter nasal strips can also be useful in keeping nasal passages open during sleep. In our office, we promote the ‘Mute’ nasal dilator that greatly opens the nasal passages to promote much better nasal breathing. This is very important to the formation of nitric oxide in the sinuses.

If allergies are a trigger, managing them effectively can reduce snoring. This might include using air purifiers, washing bedding frequently and keeping pets out of the bedroom. Allergy medications, as recommended by a healthcare provider, can also help.

A healthy diet and regular physical activity can contribute to better sleep and reduced snoring. Encourage your child to eat a balanced diet rich in fruits, vegetables and whole grains and to engage in regular exercise. This can help maintain a healthy weight, which is important as excess weight can contribute to airway obstruction and snoring.

For children who suffer from frequent colds or allergies, it is important to manage these conditions proactively. Ensure they are taking any prescribed medications as directed and consult with a healthcare provider for additional strategies to minimize symptoms.

Lastly, if your child is exposed to tobacco smoke, take steps to minimize this exposure. Not only does tobacco smoke irritate the airways, but it can also contribute to snoring and other respiratory issues.

By implementing these strategies, you can help your child achieve better sleep and reduce the occurrence of snoring, contributing to their overall health and well-being. Be sure to see a highly trained medical/dental professional who understands sleep-disordered breathing and how to treat this condition.

If your child is dealing with TMJ issues and you want to learn more about TMJ treatments in Falls Church, Virginia,  Dr. Jeffrey Brown and our team at Sleep & TMJ Therapy are prepared to help. Please call 703-821-1103 with your questions or to schedule a consultation with Dr. Brown. Your child deserves a good night’s sleep!

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Another aspect of having a tooth pulled out is that upon removal of the tooth, the bite on that side will experience an almost immediate collapse in which the jawbone (condyle) will now go more deeply into the socket. This is where a TMJ problem begins. When that condyle jams further up into the jaw socket, it will impinge on the articular disc that covers the condyle. This can cause a gradual displacement of the disc and subsequent TMJ disorder. If multiple teeth are removed this can readily lead to the discs being pushed way out of proper placement and this can be quite painful for so many people.

With periodontal disease, the bone and gum support around the tooth becomes weaker over time. This can lead to the tooth getting loose in the socket and it can no longer be a good vertical support for the jaw joints. Just like the foundation of a house, if it starts to rot away, the whole house can tip sideways. The jaw is similar. If the teeth become looser due to periodontal disease, this can destabilize the jaw joints and the discs in those joints can become damaged more readily. By maintaining good periodontal support for your teeth, this will help the jaw joints stay healthier and stronger.

Unfortunately, oral cancer should be mentioned in this blog. Cancer in the mouth can lead to loss of teeth and bone which of course can lead to loss of TMJ support. This is why it is so important to keep up with your dentist and at least yearly have them do an oral cancer screening. This screening only takes a few minutes, yet it could save your life and your health. So many people are very afraid of cancer but if detected early enough it is fairly easy to treat.

As Dental Health awareness month is April, be smart and reach out to your dentist about your dental health. Ask questions. Ask if they are checking for periodontal disease. Ask about cavities. And most importantly, ask if they are checking for any signs of oral cancer or other diseases.

The post How Oral Health Affects the TM Joints first appeared on Sleep & TMJ Therapy.

Why is sleep important? When the body does not sleep well, it is far more likely that disease processes can begin. As anyone knows, when your body is just tired all the time, it is far more likely you will catch the flu and infections are far more likely to set in. This is the case with cancer as well. When your body is debilitated from lack of sleep it is easier for cancer to set in.  There is now plenty of research to support this. If you simply Google ‘cancer from sleep apnea’ you will find that with moderate to severe sleep apnea, you are two and a half times more likely to develop cancer and three times more likely to die from cancer. This is a serious statement. What this means is that if you are not sleeping well, you are far more likely to contract kidney cancer, melanoma, breast cancer, and uterine cancer. Even though the risk of lung or colorectal cancers is less, it is just not worth the risk when you do not sleep well. TMJ disorder affects not only your joints but impacts the quality of sleep. A confirmation from UVA hospital’s research is that good sleep has been confirmed to be key to good health. With good sleep, the lymphatic system is regulated, and in turn, helps regulates many immune systems.

So, what is the message of this little blog? The message is to pay attention to your body. If the jaw joints are causing pain – headaches, neck or back pain, or even dizziness and tremors – then pay attention and have it looked at by someone who understands the situation. And this has now opened up another proverbial can of worms: Who do I see? TMJ disorder is so poorly understood that there is no consistency in diagnosis or treatment. So please stay tuned as the next blog will delve into the devious world of diagnosis and treatment.

The post Oral Cancer and TMD- Coincidence or Correlation? first appeared on Sleep & TMJ Therapy.

With the work that we do at Sleep and TMJ Therapy, it is important that we all work together as a team to provide you with the very best treatment possible. When it comes to your regular dentist, this means seeing him or her regularly for the dental cleanings and checkups. Sometimes we have you see them more often – like every three months instead of the normal six months. This helps keep the teeth cleaner and healthier when heavy buildup is present or there are periodontal issues. Since our appliances rest on the teeth, it is imperative that you keep those teeth as healthy as possible!

Another reason for maintaining good teeth and healthy gums is that if you are wearing ALF wires, there will be some degree of expansion of the arches and gaps could open between the back teeth. When gaps open up, it is more important than ever to use floss every day and see your dentist regularly enough. On the back end of treatment, we advise our patients that they may need some of these small gaps closed with a filling or onlay, depending on the situation. However, in most cases, once the ALF treatment is completed, the gaps usually close all by themselves as we notice the teeth moving forward over time. This occurs naturally when the teeth and gums are healthy.

As part of the finishing up of treatment, in some cases, it is necessary for your general dentist to do some crowns or overlays of certain teeth to make them taller. This is sometimes needed with root canaled teeth because they usually will not lift up doing ALF therapy. It is quite simple for this to be done, but much easier if your dentist is kept apprised of your situation during treatment and maintains the bone and gums during the transition process.

So, keep up with those dental cleanings while we work on the TMJ disorder. Your treatment is much easier when a “team approach” keeps things in order!

The post Why You Need Your Dentist While Undergoing TMD Treatment first appeared on Sleep & TMJ Therapy.