Tuesday, June 9, 2009

Can Mouth Appliances Be Used With Dentures?

Can a mouth appliance be used for a person that wears dentures? I was always told to remove my denture when sleeping. Thank you
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Thanks for the questions – yes, we have always told denture wearers to take their dentures out at night, and this is still logical. Giving the tissue a rest overnight is good.

However, there are situations in which it is better to wear the dentures:

1. Pain in jaw when dentures are out – wearing the dentures gives more support to the jaw and is more comfortable
2. Obstructive sleep apnea – with certain sleep disorders, using appliances for jaw positioning can help the problem
3. Patients that have some remaining teeth or implants in place to stabilize dentures can sometimes grind on those and create wear and tear problems. In these situations, it is better to wear the overdentures to protect the teeth or implants from excessive wear.

So, as in life, there are no hard and fast rules. It depends on your personal situation and need. Let me know if you want any more information.

Chuck Campbell, DDS
713-795-5905

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Thursday, May 28, 2009

FDA-Approved Sleep Apnea Oral Appliances

Some sleep apnea oral appliances work by changing the position of your lower jaw, the soft palate in your mouth, or your tongue. Some of them can also help you stop snoring. If you are having problems with CPAP and are thinking about getting one of these devices, we recommend you come to The Medical Center Dental Group to talk to a dentist about which one is best for you.

Thornton Adjustable Positioner (TAP)
The TAP™ sleep apnea oral appliance is based on the same principle as CPR. It uses a device to pull the lower mandible forward and keeps the trachea open. You can adjust it yourself for maximum comfort and effectiveness.

SomnoMed MAS
This custom-made sleep apnea oral appliance is made of upper and lower dental plates that allow you to open and close your mouth normally. You can speak clearly. You can drink water, juice, or milk at midnight. You can even yawn when wearing the SomnoMed MAS.

Herbst Telescopic Appliance
This oral appliance for OSA has also been proven to reduce chronic snoring in mild to moderate obstructive sleep apnea sufferers. You can adjust the lower mandible to create maximum comfort and effectiveness.

Clasp Retained Mandibular Positioner
This oral appliance for sleep apnea and snoring uses a series of clasps to positively lock the mandible into the device. As a single-piece appliance, it allows you to adjust its height.

Elastomeric Sleep Appliance
This device is manufactured out of a very pliable and soft silicone material. It is tooth retained; having no clasps or wires to adjust. It is exceptionally comfortable.

Sleep Apnea Goldilocks Appliance (SAGA)
The SAGA is made out of a hard acrylic shell that is laminated with a soft vinyl liner. Two posterior arches hold the mandible in an open, protrusive position.

OSAP
This custom-made oral appliance can be manufactured with or without an oral air passage. You can have a semi-universal trial version made for you if you do not want impressions of your teeth taken just yet. This is the best way to go if you have any questions about your ability to tolerate an oral appliance for sleep apnea.

Nocturnal Airway Patency Appliance (NAPA)
The NAPA is made from rigid acrylic and held to the teeth by Adams clasps. It is a non-adjustable appliance that allows you to breathe through the mouth if need be.

Adjustable PM Positioner
This oral appliance covers all of your maxillary and mandibular teeth. Your dentist makes it out of special acrylic material that is softened under hot water then molded to your teeth for maximum fit and retention. There are no metal claps on this device, but there are expansion screws on the sides that allow you to adjust it.

APM Ultra
This is the next generation in oral appliances for sleep apnea. It combines a number of design features that increase comfort, acceptance, and effectiveness. These include clasp fee, acrylic projection retention, anterior openings for mouth breathing, freedom to move your jaws, and smaller overall size to allow for greater tongue space.

Hilsen Adjustable Positioning Appliance
Made of maxillary and mandibular full arch thermoplastic bases, the Hilsen has Velcro-like attachments that hold to the teeth by friction. You can adjust it yourself, or you can have your dentist adjust it for you.

Klearway Oral Appliance
This fully-adjustable oral appliance can be used to treat your snoring and your OSA. One of the best things about it is it does not encroach on tongue space. Its capability of lateral and vertical movement allows you to yawn, swallow, and drink without dislodging it.

OASYS
This is the first oral device that has ever been approved by both the Dental Division and the Ear Nose and Throat divisions of the FDA. It works for both snoring and sleep apnea using mandibular repositioning. It also improves nasal breathing by acting as a nasal dilator for reduction of nasal resistance.

Elastic Mandibular Advancement Appliance (EMA)
This custom-made, non-invasive, and very simple, oral appliance uses of interchangeable elastic straps that to create varying degrees of mandibular advancement. These elastic straps provide excellent lateral movement and overall TMJ comfort.

NORAD Appliance
This is a mandibular repositioning device that is right beside you in the dentist chair. It is used to treat both snoring and sleep apnea by repositioning the lower jaw downward and slightly forward.

SomnoGuard AP®
This unique mandibular advancement device helps snoring and moderate sleep apnea. It allows for lateral movement of your jaw and unlimited adjustable protrusion. SomnoGuard® AP has an upper lower tray that are first heated in water, then molded to your teeth and jaws while you are in the dental chair.

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The TAP® Sleep Apnea Oral Appliance

The Thornton Adjustable Positioner® (TAP®) is sleep apnea oral device that is used to treat Obstructive Sleep Apnea (OSA. It has proven to be very effective, and it has given many people relief from some of the more notable problems associated with CPAP. It resembles a sports mouth guard, only it is worn by the patient while asleep.

The TAP® holds the mandible forward while the patient sleeps. This keeps the tongue and throat tissues from constricting the air passage. The idea for this device actually came from CPR, which was developed as a method of keeping the trachea of an unconscious person open.

The Thornton Adjustable Positioner® has two trays that are held together by a hook attached to a lower tray socket. This hook pushes the lower jaw forward and prevents soft throat tissue from collapsing and blocking the trachea.

Patients can adjust the device in order to alter the degree to which the lower jaw is pulled forward.
This allows them to actively participate in their own treatment, and it is the one key feature of the (TAP®) that makes so many patients prefer it over other sleep apnea oral appliances. Busy professionals do not have to take time off from work to go have the advice adjusted by the dentist—they can do it themselves.

The TAP® sleep apnea oral appliance is made from medical grade stainless steel- nickel alloy. For patients who are allergic to nickel, the Thornton Adjustable Positioner® is also available in a TAP® Nickel-Free model that is exceptionally bio-friendly to patients with sensitive mouths.

The TAP® sleep apnea oral appliance is made from a thermoplastic orthodontic polycarbonate material. It is then lined with one of two very comfortable materials. The first material is known as ThermAcryl™--a unique polymer softens when heated and shapes to the contour of the patient’s teeth. It can be easily reheated and realigned to match changes in patient dentition that might occur over time.

Another material, often considered even more comfortable to wear, is Triple Laminate (TL). It is made from a soft and flexible dual laminate that seats around the teeth, relying on suction to create a firm grip.

To be fitted for a Thornton Adjustable Positioner®, just call our office and schedule an appointment. Most insurance plans will pay for your sleep apnea oral appliance, but even if yours does not, we have a number of financing options you can consider.

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