Snoring (Rhonchopathy): Therapy

Therapy for rhonchopathy (snoring) depends on the cause.

General measures

  • More movement
  • Regular sleep wake rhythm
  • Side sleeping position prefer or avoid supine position!
    • Positional therapy: in supine-related snoring should be offered a therapy trial with supine prevention [S3 guideline].
  • Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day) – if possible, refrain from alcohol consumption in the evening.
  • Smokers should avoid tobacco consumption in the hours before bedtime or preferably stop smoking altogether.
  • Aim for normal weight! Determination of BMI (body mass index, body mass index) or body composition by means of electrical impedance analysis and, if necessary, participation in a medically supervised weight loss programFor obstructive sleep apnea (OSA), a positive effect of reducing excess weight has been scientifically proven.
  • Review of permanent medication due topossible effect on the existing disease.

Conventional non-surgical therapy methods

  • Mandibular advancement splints (synonyms: Mandibular advancement splint (UPS); snoring therapy device; snoring splint) are prescribed for sleep apnea syndrome when the severity is mild or the individual refuses CPAP positive pressure ventilation. This therapy system is prescribed by the physician in the sleep laboratory and fitted by the dentist. After an adjustment period of four to six weeks, the splint should be reviewed and any necessary adjustment should be made.Protrusion splints consist of two splint components, one for the upper jaw and one for the lower jaw, and a hinged connection that is also used to adjust the degree of protrusion (advancement from the lower jaw from the resting position). Note: UPS should only be considered if there is sufficient protrusive movement of the mandible (advancement from the mandible from the rest position) [S3 guideline]. The following requirements for the use of a UPS should be met:
    1. Sufficient number of fixed and healthy teeth per jaw or, alternatively, a sufficient number of load-bearing implants.
    2. Sufficient ability to mouth opening
    3. Inconspicuous clinical functional analysis (clinical and instrumental diagnostic procedures that provide information about the functional state of the craniomandibular system (masticatory system)).

    Tooth misalignment in healthy teeth as side effects could not be proven. However, dry mouth or increased salivation may occur as a result of snoring.

  • Nasal inlet dilators (small nasal bars that dilate the nasal inlet) to improve nasal breathing at night.
  • Ventilation therapy: CPAP, this stands for “continuous positive airway pressure” and means that the affected person is ventilated at night via a breathing mask with positive pressure (see below “CPAP positive pressure ventilation”)

Medical aids

  • Vest to prevent supine position

Nutritional medicine

  • Nutritional counseling based on nutritional analysis
  • Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
    • A total of 5 servings of fresh vegetables and fruit daily (≥ 400 g; 3 servings of vegetables and 2 servings of fruit).
    • Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
    • High-fiber diet (whole grains, vegetables).
  • Observance of the following special dietary recommendations:
    • Avoid alcohol and rich meals in the evening!
  • Other specific dietary recommendations depending on the cause of rhonchopathy (snoring).
  • Selection of appropriate foods based on the nutritional analysis.
  • See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
  • Detailed information on nutritional medicine you will receive from us.