In the world of men’s health, certain topics frequently dominate Google searches:
Erectile Dysfunction (ED)
Prostate Cancer
Benign Prostatic Hyperplasia (BPH)
Pelvic Erectile Dysfunction (PE)
Low Testosterone. But why is a female orthodontist delving into this arena?

In 2017, the American Dental Association (ADA) defined the role of dentistry in the treatment of
sleep-related breathing disorders (SRBD). These disorders encompass conditions like sleep
apnea, characterized by interruptions in breathing during sleep. Dentists play a crucial role in
identifying SRBD, as they often manifest in oral symptoms such as dry mouth, tooth grinding,
crooked teeth (malocclusion), tooth decay, TMJ pain (TMD), and gum disease. These oral
manifestations serve as valuable indicators for dentists, helping them identify patients at greater
risk of SRBD and facilitating multidisciplinary care for optimal treatment outcomes.

Mouth breathing is a key concern, as it significantly disrupts sleep quality. This disruption,
characterized by increased likelihood of sleep disorders like sleep apnea, reduced oxygen
intake, and fragmented sleep, leads to daytime fatigue and adversely affects overall health. Now, let’s examine how these prevalent men’s health issues are intertwined with mouth breathing concerns.

Erectile Dysfunction (ED):
Mouth breathing can result in poor sleep quality and sleep apnea, which is associated with
intermittent hypoxia (low oxygen levels). This can hinder the availability of nitric oxide (different
from the nitrous oxide one may receive at dental visits), crucial for erectile function. Additionally,
chronic poor sleep affects cardiovascular health, a vital aspect of erectile function.

Prostate Cancer:
While no direct link exists between mouth breathing and prostate cancer, chronic inflammation
and stress responses resulting from poor sleep and reduced oxygen levels can impact overall
immune function, potentially influencing cancer risk indirectly.

Benign Prostatic Hyperplasia (BPH):
Although no direct evidence links mouth breathing to BPH, factors affecting sleep and stress
can play a role in urinary and prostate health.

Pelvic Erectile Dysfunction (PE):
Similar to general erectile dysfunction, pelvic erectile dysfunction can be influenced by poor
sleep quality due to mouth breathing. Inadequate sleep can affect cardiovascular health and
hormone levels, both crucial for erectile function.

Low Testosterone:
Quality sleep is essential for maintaining healthy testosterone levels. Mouth breathing can lead
to sleep disturbances, such as sleep apnea, thereby lowering testosterone production. This
disrupts hormone regulation, impacting energy levels, mood, and libido.

In summary, mouth breathing primarily impacts health through its effects on sleep quality and
oxygen levels. Poor sleep and intermittent hypoxia affect cardiovascular health, hormone levels,
and overall well-being, factors in many common men’s health concerns, including erectile
dysfunction, low testosterone, and general prostate health.

Moreover, sleep apnea’s impact on mental health cannot be overstated. Depression and
personal stress are often overlooked in men, despite their significant implications. Studies
suggest that over 40 percent of individuals with obstructive sleep apnea exhibit depressive
symptoms.
So, what can be done?  Here are some practical tips to start:

– Nasal hygiene: This routine is crucial for maintaining clear nasal passages, which can
help improve breathing and reduce nasal congestion. This can be achieved by using a
suitable nasal spray like Xlear or by periodically rinsing the nasal passages with a neti
pot
– Practice Nasal Breathing: Encouraging conscious nasal breathing during the day.
Consider Breathing Exercises: Such as diaphragmatic breathing or alternate
nostril breathing. A great place to start is Patrick McKeown’s free app: Oxygen
Advantage

– Stay Hydrated: Opt for water over caffeinated, sugary, and/or carbonated beverages
throughout the day to reduce nasal congestion and promote better hydration.
– Use Nasal Strips: Widening nasal passages, especially during sleep.
– Maintain Oral Hygiene: Regular brushing, flossing, and dental check-ups.
– Address Allergies and/or Irritants: Identifying and managing allergens in the environment
especially those in products used daily such as many body sprays, scented shaving
creams, scented laundry detergents, etc.
– Consult a Holistic Healthcare Professional: If mouth breathing persists or is
accompanied by other symptoms, seeking advice is essential.

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By incorporating these tips into their daily routine, men who mouth breathe can take proactive
steps to improve their health and well-being. Remember, men of all ages should prioritize self-
care and seek medical help when needed. Dental professionals play a pivotal role in evaluating
sleep health, making every conversation about sleep a step towards better overall wellness.