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Obstructive sleep apnea (OSA) occurs when your muscles relax during sleep, allowing soft tissue to collapse and block your airway. This can cause you to stop breathing for anywhere from a few seconds to almost a minute at a time. These breathing pauses are followed by brief awakenings that disturb your sleep – even if you don’t realize it!
Symptoms of obstructive sleep apnea include loud or frequent snoring or
silent pauses in breathing and choking or gasping sounds. Other common
symptoms include:
— Waking in the morning feeling unrefreshed
— Being tired during the day
— Morning headaches
— Waking up frequently at night to go to the bathroom
— Difficulty concentrating or remembering things
Dr. Dukes has been treating TMD patients in Santa Barbara for decades. He is a Diplomate of the American Board of Orofacial Pain and is recognized as a specialist in this discipline by the American Dental Association. He received his specialist training at UCLA School of Dentistry where he subsequently taught for ten years.
The jaw joint is one of the most complex joints in the body is located just in front of the ear opening. It is named after the Temporal bone that is a part of the skull located on the side of the head in front and above the ear. This bone has a socket at the base that the head of the mandible fits into, so it is called the Temporomandibular Joint, or TMJ. When this joint and/or the associated muscles do not work properly or cause pain, this condition is called Temporomandibular Disorder or TMD. TMD is part of a constellation of painful conditions called Orofacial Pain and headache is the most common symptom. In fact, research studies have shown that TMD is the root cause of most headaches.

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