Dr. Nicole G. Nalbandian (DDS, MS)
Do you ever wake up in the middle of the night gasping for air? Or have you had 8 hours of sleep and still woken up feeling exhausted? Are you constantly told that you snore in the middle of the night? If this sounds familiar, you may be one of the millions of Americans that suffer from sleep apnea.
Sleep apnea is more than just a condition that causes snoring and disrupts those sleeping near you, it is a condition where your body is chronically deprived of oxygen throughout the night due to an obstructed airway. If left untreated, sleep apnea puts you at risk for diseases including dementia, cognitive impairment, and heart disease. Depending on the severity of your sleep apnea, oxygen deprivation over night may even become life-threatening. The good news is that sleep apnea is a highly treatable condition and Dr. Nalbandian is committed to addressing this issue for her patients in Burbank and the surrounding communities in Glendale and the San Fernando Valley.
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Understanding Sleep Apnea
Sleep apnea is a disorder in which your breathing stops or becomes very shallow while you sleep due to an obstruction in the airway. As a result, the body and brain slowly become oxygen deprived.
As people breathe more shallowly and pause breathing, oxygen levels may fall dangerously low causing people to wake up at night gasping for air. The constant deprivation of oxygen and disruptions in sleep leaves people suffering from this condition feeling constantly exhausted, foggy, and can have long term severe impacts on brain function and overall health.
Meet Our Doctor
Dr. Nalbandian is a general dentist focused on delivering the highest quality cosmetic and restorative dentistry to her patients. She believes that exceptional dental care begins with the doctor-patient relationship and customizing treatment to meet the needs of each individual patient.
In an ever-changing world of dental technology and techniques, Dr. Nalbandian is an avid learner. She is committed to continuing education courses which allow her to offer patients the most advanced care. Her goal is to bridge long-lasting solutions with the most conservative treatment.
Since completing her dental training, Dr. Nalbandian has embraced a rewarding career as an exceptional dental clinician. She has also returned to her alma mater, UCLA School of Dentistry, to teach future generations of dentists and currently serves as a faculty member at the WEST Los Angeles Dental Hygiene program.
Those who know Dr. Nalbandian quickly come to realize that dentistry truly is one of her greatest passions. When she is not in the clinic or teaching, Dr. Nalbandian enjoys practicing yoga and getting outdoors.
Types of Sleep Apnea
There are two primary causes of sleep apnea 1. Obstructive Sleep Apnea, and 2. Central Sleep Apnea.
1. OSA (Obstructive Sleep Apnea)
This is the more common type in which your upper airway—the nose, mouth, or throat areas—becomes partially or fully blocked leading to temporary interruptions in breathing. If OSA is not treated, it can lead to a cascade of other health issues including hypertension (high blood pressure), diabetes, heart problems, dementia, and stroke.
Treatment Options for OSA:
CPAP (Continuous Positive Airway Pressure):
- A CPAP is a mask that keeps your airway open and maintains your airflow while sleeping.
- Sleep studies determine what CPAP pressure settings are appropriate for each person to reduce obstructive events.
- CPAP therapy is considered the gold standard for patients with severe sleep apnea.
MAD (Mandibular Advancement Device):
- MAD’s are oral appliances made by a specially trained dentist that bring the jaw forward while worn that gently postures the jaw forward to open the airway.
- MAD appliances are ideal for patients with mild-moderate OSA as they are not as bulky or costly as a CPAP machine.
2. CSA (Central Sleep Apnea)
Central sleep apnea occurs when the brain does not signal breathing. This can be the result of deficits/disorders in the central nervous system (the brain/nervous system). This form of sleep apnea must be managed by a specially trained medical doctor and normally requires treatment using ventilators and an evaluation to treat any underlying conditions in the central nervous system.
Recognizing the Symptoms of Sleep Apnea
- Snoring
- Chronic Fatigue
- Difficulty staying awake
- Abruptly awakening throughout the night
- Weight gain
- Morning Headache
- Memory fog
- Trouble with Concentration
- Insomnia
- Dry Mouth or Sore Throat
- Swollen gums
If you show any of these symptoms, it is essential to be evaluated by the right healthcare professional. If sleep apnea is something you think might be getting in the way of your health, contact Dr. Nicole Nalbandian for a comprehensive assessment today! Early detection and treatment will go a long way in improving your health and quality of life.
Additional Steps in Managing Sleep Apnea
For those with mild sleep apnea, Dr. Nicole Nalbandian often recommends simple lifestyle changes to help maintain an open airway during sleep. These strategies include:
- Reducing Alcohol Intake: Limiting or avoiding alcohol, particularly in the hours before bed, to reduce airway relaxation.
- Quitting Smoking: Eliminating smoking decreases airway inflammation and improves respiratory health.
- Weight Management: Losing excess weight to alleviate pressure on the airway and enhance breathing.
- Altering Sleep Position: Sleeping on your side instead of your back to minimize airway obstruction.
- Avoiding Heavy Evening Meals: Steering clear of large meals close to bedtime to prevent disruptions in breathing.
- Elevating Your Head: Using extra pillows to prop up your head and facilitate better airflow during sleep.
Appointments
New Patient Exam
1 Hr
Emergency Visit
1 Hr
Consultation
30 Mins
Contact Us
WE LOOK FORWARD TO HEARING FROM YOU
DR. NICOLE G. NALBANDIAN
Call Us: +1 (818) 262 3043
916 w. Burbank Boulevard, Suite A (BB Dental Care), Burbank, California 91506