Snoring & TMJ

Snoring & Sleep

Snoring Prevention

While snoring is a common problem for many people, it can also be a sign of other major health complications. It is estimated that more than 80 million people in North America snore while sleeping, which not only affects the quality of sleep of the person snoring, but also the quality of sleep of their loved ones and other family members. Luckily, there is a way to treat chronic snoring.

What causes snoring?

Snoring can be the result of several factors. Typically, snoring is caused by the relaxing of the muscles and soft tissues in the throat and mouth, making the air passage smaller. The decrease in space through the airway makes it harder for each breath to get through, and when it does get through, it moves over the soft tissues in the mouth and throat and causes a vibration that results in the snoring sound. Other causes of snoring may include:

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What is a Mandibular Advancement Device?

If you snore at night, then a mandibular advancement device (MAD) may represent a solution and a better night’s sleep! The MAD is a specially designed dental device that gently helps keep the lower jaw, or mandible, in a forward position, increasing the space between the airway passage and helping you breathe better so you can get a full, quiet night’s sleep.

Some devices also stop the tongue from falling back over your windpipe. Your dentist will fit these special appliances to meet your individual condition.

Is a MAD comfortable?

The answer is simple — YES! A mandibular advancement device is made to be comfortable, so that you can sleep without even noticing you’re wearing it. It does not prevent you from breathing with your mouth open and will even eliminate snoring for patients with sinus congestion or allergies. You may experience some slight stiffness of the jaw for the first few mornings after wearing the device, but this feeling is only temporary, and will go away after you wake up and remove the device.

To learn more about a mandibular advancement device, contact our practice and schedule an appointment and consultation.

What is sleep apnea?

Sleep apnea is a condition in which your breathing stops periodically during sleep, as many as 20-30 times per hour. Each time you stop breathing in your sleep, the resulting lack of oxygen alerts your brain, which temporarily wakes you up to restart proper breathing. Since the time spent awake is so brief, most people with sleep apnea don’t remember it, and many believe they are getting a good night’s sleep when, in fact, they are not. The constant wake-sleep, wake-sleep cycle prevents those with sleep apnea from achieving deep sleep, resulting in a constant drowsy feeling during the day.

What are the signs of sleep apnea?

The following symptoms can indicate the presence of sleep apnea. If you notice one or more of these, contact our practice.

What are the signs of sleep apnea?

Are there different types of sleep apnea?

There are three categories of sleep apnea. The most common is called obstructive sleep apnea (OSA), and occurs due to a physical blockage, usually the collapsing of the soft tissue in the back of the throat. Less common is central sleep apnea (CSA), in which breathing stops because the muscles involved don’t receive the proper signal from the brain. And some people suffer from “mixed” or “complex” sleep apnea, which is a combination of obstructive and central.

What are risk factors for sleep apnea?

Obstructive sleep apnea is more common in males than females, and more common in older adults (40+) than younger adults and children. However, anyone — regardless of gender or age — can suffer from sleep apnea. Other risk factors include obesity, smoking, drinking, use of sedatives or tranquilizers, and family history. Central sleep apnea strikes most often in people with heart disorders, neuromuscular disorders, strokes, or brain tumors.

Is sleep apnea dangerous?

Sleep apnea is considered a serious medical problem and if left untreated it can lead to high blood pressure, increasing the risk of heart failure and stroke. The ongoing state of fatigue caused by sleep apnea can lead to problems at work or school, as well as danger when driving or operating heavy machinery. Sleep apnea can also cause complications with medication or surgery; sedation by anesthesia can be risky, as can lying flat in bed after an operation. If you know or suspect you suffer from sleep apnea, let your family doctor know before taking prescribed medication or having surgery.

How is sleep apnea treated?

Treatments for sleep apnea depend on the severity of each individual case, and the type of apnea. Basic treatment can be behavioral — for instance, patients are instructed to lose weight, stop smoking, or sleep on their sides instead of on their backs. Beyond that, oral devices can be used to position the mouth in such a way that prevents throat blockage. In more severe cases, surgery may be the best option.

What should I do if I suspect that someone in my family suffers from sleep apnea?

Contact our practice, and we can refer you to a sleep apnea specialist. The specialist may recommend a sleep study to diagnose the precise extent of the problem, and can prescribe appropriate treatment. Depending on your situation, treatment may involve an oral device that we can custom-create for you.

TMJ-TMD

Temporomandibular Disorder (TMD)

Millions of Americans suffer from chronic facial and neck pain as well as recurring headaches. In some cases, this pain is due to Temporomandibular Disorder, or TMD.

Your temporomandibular joints (TMJ) connect your lower jawbone to your skull. These joints get a lot of use throughout the day as you speak, chew, swallow, and yawn. Pain in and around these joints can be unpleasant and may even restrict movement.

Symptoms of TMD include:

Should you notice any of these symptoms, let your doctor know. Your dentist can help indicate the presence of TMD and create an effective treatment just for you.

There are a few simple steps you can take at home or work to prevent TMD from becoming more severe, or to prevent it from occurring:

  • Relax your face — remember the rule: “Lips together, teeth apart”
  • Avoid grinding your teeth
  • Avoid constant gum chewing
  • Don’t cradle the phone receiver between your head and shoulder — either use a headset or hold the receiver in your hand
  • Chew food evenly on both sides of your mouth
  • Do not sit with your chin rested on your hand
  • Practice good posture — keep your head up, back straight, and shoulders squared
The staff is so incredible, friendly and knowledgeable. And Dr. Arne does impressive work and he’s so easy to work with. I have braces as an adult, which was a very hard choice to follow through on. I made the right choice going to Dr. Gundersen’s. It’s always a great experience for me at the dentist. And who can say that?!
Renae Round
Renae Round
05:02 21 Nov 22
Gundersen Dental Care is the Best.I am happy to recommend Dr Arne Gundersen and team for the consistently excellent care they have provided me for many years. A recent and typical visit:Welcomed as I enter office. A short wait in a comfortable activity area to soon be escorted to a private work station. Feel totally relaxed knowing I am getting best care by Dr Arne and team in a state of the art work station. Soon done and escorted out to enjoy rest of my day.Gundersen Dental Care is the Best.A t
Gary Minns
Gary Minns
19:11 16 Nov 22
Friendly atmosphere. Excellent treatment on first visit.
Janice Tappero
Janice Tappero
17:11 11 Nov 22
I recently had tooth pain. It was severe and I was miserable. The staff at Gundersen Dental Care got me in and Dr. Gundersen found my problem right away. My pain was addressed In such a positive way. I left with a care plan and felt validated. I’m thankful for EVERYONE at Gundersen Dental!!!!
Lori Schiewek
Lori Schiewek
19:04 07 Nov 22
I love going to the dentist. Carrie is the best and is thorough on my cleanings. She also listens when I describe my issues. Dr. Gundersen is the most detailed dentist I’ve ever been to. I trust him completely.
Sharon Kester
Sharon Kester
16:45 13 Oct 22
We love this place. Every one treats us like family. The office is incredibly clean and they are following all procedures to keep everyone safe. We have been going to this office for 8 years and they are just the best.
Jennifer McInnis
Jennifer McInnis
13:03 13 Oct 22
If you are looking for a new dentist, this is the place. Great staff, fantastic service/care. Go, you will not be disappointed.
Mark Sherman
Mark Sherman
15:10 06 Oct 22
Going to the dentist has never been “fun” for me and coming to a new city and selecting a new dentist just adds to the anxiety but I must say, this visit was stressfree and everyone was amazing. From working through the initial scheduling, the checkin, the procedures and the followup everything has been top notch. I have spent a career in the customer service delivery space and believe me when I say that there are a lot of places that could learn a thing or two from Gunderson Dental Care. I highly recommend them. Keep up the good work.
Greg Ries
Greg Ries
16:29 30 Sep 22
Every experience with the staff and scheduling of appointments has been amazing!! I highly recommend this office 🙂
Jennifer Mandarino
Jennifer Mandarino
16:31 28 Sep 22
Dr Arnie is always courteous and professional.Karie is an exceptional hygienist
Gary Husby
Gary Husby
18:41 14 Sep 22
Good people here, they care about your health and don’t judge you for not coming in as often as you should. I highly recommend the entire staff. Don’t put off coming in any longer
roy boy
roy boy
00:02 10 Sep 22
Kind, considerate, very skilled staff from the front desk, to my hygienist, to the doctor. There's a refreshing feeling of person to person care, not at all like the huge, faceless dental HMOs. Beautiful NW theme decorated office, large parking lot with shade. I can't say enough good things about my last hygienist and Carrie who has a gentle, considerate way of handling my very tender gums. My husband and I won't go anywhere else.
Linda Lawson
Linda Lawson
18:24 24 Aug 22
Excellent customer service and Dr. and his staff are excellent and very knowledgeable.
Susan Dillon
Susan Dillon
19:17 17 Aug 22
As always my visit went very smoothly.
Dorna Bullpitt
Dorna Bullpitt
23:12 27 Jul 22
Great job as usual you guys. Thanks!
Joseph Granger
Joseph Granger
21:02 27 Jul 22
I saw Debbie yesterday for my teeth cleaning and xrays. As always she is on time, friendly, professional, gentle and thorough. I actually look forward to my appointments there!
Debbie VanVelzer
Debbie VanVelzer
01:10 23 Jun 22
They are great at Gundetson. Kerry did an excellent job cleaning my teeth. No easy chore.
Ronald Sergi
Ronald Sergi
23:40 08 Jun 22
Dr Gunderson and his team are very knowledgeable, professional and helpful. They are always positive and ready to solve any problem. My Wife & I do not admit this lightly, as we loved and personally knew our previous Dentist (Dr Meyers) who was a tremendous artist Dentist, but now retired. We definitely recommend Gunderson and His Staff. Thank You, LeRoy & Karon
LeRoy Sweet
LeRoy Sweet
00:33 30 Apr 22
O' stop it already.....best experience ever!!! Dr. Arne, Patty, Debbie & Robin were amazing people and love, love, love their sense of humor. The doctor was very thorough with his exam. Was so surprised after not going to the dentist for almost 3 years (COVID!!!) no big issues at all, thank goodness! Once again you'll love coming to this office; I'd just go to visit everyone was so friendly and humorous but at the same time very professional!!! Love all you guys bunches........
Carole Burinsky
Carole Burinsky
17:40 28 Apr 22
Love this dentist and staff! They are all professional and caring. I especially love that Dr. Gundersen is not aggressive about treatment. He is thorough in his exams and then offers treatment options without pressure. He is careful to go through all the options and offer his recommendation, but without pressure.
Marilyn Krause
Marilyn Krause
15:29 01 Apr 22
I love all the staff at Gundersen Dental! It's like catching up w family every 6 months! I'm not a number. I'm treated like a member of the family!
Jennifer Imlig
Jennifer Imlig
16:39 31 Mar 22
I have been a patient here since before Dr. Arne started working alongside his Dad, George. From Patty running the office to Kerri my hygienist, plus both docs; impeccable service, maintenance, and management of my oral health - for 25+ years! Look no further for a lifelong dentist for yourself and your family, where you’ll hear all of the options and get to make the best choice as you incorporate their expertise and experience into your decisions about your only set of teeth ever!
Amy Sauerlender
Amy Sauerlender
19:39 11 Mar 22
Dr. Gundersen and all the staff are competent and friendly. I appreciate the kindness and how adept they all are at their jobs. Thanks you guys!
Helen Harpel
Helen Harpel
19:15 03 Mar 22
I'm a picky patient and quite like Gundersen Dental Care. Pleasant, friendly, and able to give immediate information on procedures and pricing without pushing the 'sale' of any services. Recommended to me by two families in Olympia, and I would definitely recommend them to others.
Larisa John
Larisa John
02:17 26 Feb 22
The staff was friendly , efficient and knowledgeable. Having recently moved to the area I feel fortunate to have found a great dentist’s office.
Julie Maki
Julie Maki
00:09 26 Feb 22
I transferred my dental care to Gundersen and couldn't be happier. They were very caring, attentive, professional, and understanding to my dental needs. I highly recommend Gundersen Dental.
Krystle Marshall
Krystle Marshall
23:48 17 Feb 22
I broke a tooth...you squeezed me in that very afternoon for an interim fix. Thank you! And a few weeks later the new crown is nicely seated.
Emily Ray
Emily Ray
17:03 01 Feb 22
iT WAS AN ABSOLUTELY FABULOUS EXPERIENCE WITH ALL THE SMILES BEHIND THE MASKS AND THE HAPPY VOICES OF ENCOURAGEMENT CREATING WITHIN ME THE DESIRE TO VISIT YOUR OFFICE EVERY DAY FOR AN UPLIFTING EXPERIENCE. hope TO SEE YOU ALL SOON AGAIN
George Gundersen
George Gundersen
05:14 22 Jan 22
I loved my first experience!!! Everyone is super friendly a professional. They are also super honest and highly qualified. I’ll never go anywhere else.
Chelo Ayarzagoitia
Chelo Ayarzagoitia
02:06 15 Jan 22
This was my fourth visit to this office. All of my experiences there have been great, & this one was no exception. Debbie has been my caregiver for my last 3 visits. She couldn’t be more personable or conscientious!
Beverly Zehrung
Beverly Zehrung
21:23 14 Jan 22
I recently had my 6 mo check up with Kari. Everything was spotless, everyone masked, and I was temp checked as we went to the back room. Kari is very thorough and does such a great job with cleaning and polishing. Dr Arne finished up the exam. As always, everyone was very professional and friendly.
Jay Christianson
Jay Christianson
19:12 12 Jan 22
I have to have my teeth cleaned four times a year due to health issues that contribute to plaque build-up. I used to dread cleanings until I found Gundersen Dental Care. The dentist and hygenists are very knowledgeable, professional, and up to speed on the latest treatments. Kerry cleans my teeth, and you could not ask for a kinder, gentler hygenist! She is very professional and knowledgeable. I have a lot of recession, and she does everything she can to make me comfortable. The front office staff are pleasant and they go out of their way to work you into the schedule if you have an emergency. I highly recommend Gundersen Dental!
Christina Price
Christina Price
16:07 11 Jan 22
Excellent care and compassion for us as customers! Would highly recommend!
Sheryl Anne Petersen
Sheryl Anne Petersen
01:29 10 Jan 22
I have been a patient of Gunderson Dental for at least 20 years. The dedication and care from Dr. Gunderson and his staff is what keeps me coming back. I recommend them to anyone who is looking for a professional, caring, and confident team. I guarantee you will leave with a smile on your face.
Bobbie Jo Mager
Bobbie Jo Mager
17:46 05 Jan 22
I had my teeth examined and cleaned by Debbie the other day and had such an excellent experience. She is gentle but thorough, and explains everything fully. She has a very positive pleasant and friendly demeanor, making the experience comfortable. My teeth feel great when I leave!
Debbie
Debbie
00:12 24 Dec 21
From the moment you enter the door of the practice to the moment you leave, the staff at Gunderson provide the best customer service and care. You can't go wrong trusting this office with your dental health.
Lin Lawson
Lin Lawson
21:42 03 Dec 21
Very friendly and knowledgeable staff.
Michelle Pardee
Michelle Pardee
17:10 11 Nov 21
Still happy with Gundersen Dental after 30+ years of going there!! I sure do miss Annie, but Kari is the BEST!! 😉
Jammie Scroggins
Jammie Scroggins
18:36 30 Oct 21
Excellent customer service and friendly staff. I appreciate that Dr. Arne takes the time to explain everything. If you are looking for a dentist, I recommend Gundersen Dental Care. They will treat you right.
George Sharp
George Sharp
23:09 13 Sep 21
Dr Arne is a wonderful dentist & person. The staff here are fantastic too. Been going here for years and continue even after moving a half hour north.
Vicki Round
Vicki Round
07:15 09 Sep 21
Professional, friendly staff they take good care of you.
Brent Avery
Brent Avery
10:50 26 Aug 21
Quick, courteous and thorough. Appreciated all safety precautions
Chris Gundersen
Chris Gundersen
19:04 18 Aug 21
Easily the best dental experience I've ever had.
Erica Hamilton
Erica Hamilton
15:39 12 Aug 21
Very impressed with the staff and this dentist. They always provide a relaxing experience. Kari, the hygienist is very careful, fun to talk to!
Kimberly Abbey
Kimberly Abbey
17:31 04 Aug 21
Was in need of being seen right away due to a major tooth ache, left a message on their voicemail Sunday evening and I received a call first thing Monday. They were able to work me in that same morning. Even though they had to refer me to a specialist their quick response was greatly appreciated. Thank you Sam and Dr. Gunderson and team for being so responsive to my needs. Patient for life!!
Russ Gibbs
Russ Gibbs
13:42 22 Jun 21
Very professional and caring staff. All around a very good experience.
Dennis Becker
Dennis Becker
14:25 26 May 21
Professional cleaning and dental care
cminton48
cminton48
23:09 20 May 21
Debbie is great! She is really attentive and cares about your dental health. Great front office staff, they are always welcoming and helpful.
Kristin Bradshaw
Kristin Bradshaw
03:14 20 May 21
Streamlined, professional dentistry. A smoothly oiled machine. You can feel confident of getting the very highest level of care. Would recommend.
nancy heinrich
nancy heinrich
21:23 28 Apr 21
I would recommend Dr. Gundersen and his staff. They were friendly, helpful and were mindful of my needs and wishes.
Jean Laws
Jean Laws
15:28 05 Apr 21
Perfect combination of professionalism, competency and compassion. Great people.
Ken Stanton
Ken Stanton
16:53 19 Feb 21
Having gone to Gundersen Dental for over 30 years, my family has always enjoyed the caring concern that Dr. Arne and his staff have shown us. Patty the office manager is amazing at helping you find out what your insurance plan will and wont cover so there are no surprise bills coming your way, and Carlee is a joy to greet you when you arrive. Keri the dental hygienist treats you like family and well, Dr. Arne has such a caring way of making even the most frightened of teeth work feel at ease. Just got my first crown at the age of 54 and I must say its due to the wonderful care I have received all these years from Gunderson Dental.
Christine Reisch
Christine Reisch
00:57 29 Jan 21
Great staff! Positive and friendly and professional! My dentist for 49 years!
Dave Williams
Dave Williams
21:14 26 Jan 21
If you want the Best of the Best come here for all your dental needs!
Verle Ketchum
Verle Ketchum
15:34 11 Nov 20
Dr. Arne and the team at Gundersen is amazing. My 5 & 7 year olds were thrilled about going there! Highly recommend for adults and your littles!
Destiny Moore
Destiny Moore
20:22 20 Oct 20
Dr. Arne and my hygienist Kari are wonderful. I feel very welcome by the entire staff and it is really a pleasure to go to the dentist!!
Erich Hahn
Erich Hahn
19:21 22 Sep 20
Excellent all the way around. Wouldn’t go anywhere else for my dental care.
Steven Fine
Steven Fine
07:42 18 Sep 20
I was acknowledged when I came in the office, didn"t have a long time to wait, and the person doing the cleaning was quick and gentle.
Darlene Lane
Darlene Lane
17:37 04 Jul 19
No wait, took time to carefully clean my teeth, friendly personnel
Sharon McGourty
Sharon McGourty
00:14 13 Jun 19
always receive the best customer service, excellent care and treatment, and personal attention. happy to have found them!
Julia Talerico
Julia Talerico
17:13 11 Jun 19
We have been customers of George Gundersen and now Arne Gundersen and have been very satisfied with the services they have provided over the years. The reception and dental hygiene staff are top notch too. We especially enjoy the services of our regular hygienist Kari
Marion Freels
Marion Freels
00:38 17 May 19
Our family has been going to Dr. Arne for almost 19 years. Staff is always friendly and professional. The office environment is welcoming and comfortable.
Mary
Mary
17:15 16 May 19
Never had a poor experience! I’m so glad I was introduced to this place 5 years ago! Kari (sp?) is a gem of a hygienist and Dr. Gunderson is proficient in his craft! Every moment from walking in the door makes me look forward to my visits.
Alice Yecnay
Alice Yecnay
14:40 07 May 19
Friendly & kind staff! Dr. Arne is fabulous. If you need a new dentist, Dr. Gundersen's is the way to go!
Stephanie Wood
Stephanie Wood
17:27 05 May 19
Always great customer service and care. I have sensitive teeth and they are very attentive when it comes to treating them.
Vann Smiley
Vann Smiley
22:19 03 May 19
Friendly professional dental care!
Susan Sandwell
Susan Sandwell
21:56 17 Apr 19
The team at Dr. Gunderson's office does a tremendous job making you feel welcomed at their office. I always feel more confident about my smile every time I leave my appointment.
Kyle Bradshaw
Kyle Bradshaw
00:41 04 Apr 19

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