Quantcast

Bookmark and Share
General Discussion on any topic relating to CPAP and/or Sleep Apnea.
User avatar
DoriC
 
Posts: 5279
Joined: Sat Sep 13, 2008 9:28 pm
Location: NJ
Gender: Female

Denture Wearers

Postby DoriC on Sat Sep 13, 2008 9:42 pm

I'm a first time poster looking for help for my "senior" hubby who finally started treatment 2wks ago. Many of my questions have already been answered here and I have many more, but for now what is the consensus for wearing or not wearing dentures with a FF mask? We asked our Dr but he just shrugged so I'm coming to the pros for advice.

_________________
Machine: S9 VPAP™ Auto BiLevel Machine
Mask: Mirage Quattro™ Full Face CPAP Mask with Headgear
Humidifier: HumidAire H4i™ Heated Humidifier
Additional Comments: 14/8.4,PS=4, UMFF, 02@2L,
"Do or Do Not-There Is No Try"-"Yoda"
"We are what we repeatedly do,so excellence
is not an act but a habit"-"Aristotle"
DEAR HUBBY BEGAN CPAP 9/2/08

User avatar
Slinky
 
Posts: 11414
Joined: Wed Nov 01, 2006 3:43 pm
Location: Mid-Michigan
Gender: Female

Re: Denture Wearers

Postby Slinky on Sat Sep 13, 2008 10:12 pm

Most dentists seem to pitch a fit if you wear your dentures all night. As long as the dentures fit really well I see no reason that a full face CPAP mask would be a reason to break the habit of wearing or not wearing the dentures at night. I COULD see it making a difference with a nasal cushion style mask where a better fit could be obtained by wearing the dentures (at least upper dentures).

_________________
Mask: Quattro™ FX Full Face CPAP Mask with Headgear
Additional Comments: PR SystemOne BPAP Auto w/Bi-Flex & Humidifier - EncorePro 2.2 Software - Contec CMS-50D+ Oximeter - Respironics EverFlo Q Concentrator
Women are Angels. And when someone breaks our wings, we simply continue to fly.....on a broomstick. We are flexible like that.
My computer says I need to upgrade my brain to be compatible with its new software.

User avatar
DoriC
 
Posts: 5279
Joined: Sat Sep 13, 2008 9:28 pm
Location: NJ
Gender: Female

Re: Denture Wearers

Postby DoriC on Sat Sep 13, 2008 10:20 pm

Thanks for the fast reply, I'm really asking if a FF mask would seal better if dentures were in, because the face kind of sinks in when the dentures are out. Hope I'm making myself clear.

_________________
Machine: S9 VPAP™ Auto BiLevel Machine
Mask: Mirage Quattro™ Full Face CPAP Mask with Headgear
Humidifier: HumidAire H4i™ Heated Humidifier
Additional Comments: 14/8.4,PS=4, UMFF, 02@2L,
"Do or Do Not-There Is No Try"-"Yoda"
"We are what we repeatedly do,so excellence
is not an act but a habit"-"Aristotle"
DEAR HUBBY BEGAN CPAP 9/2/08

User avatar
Slinky
 
Posts: 11414
Joined: Wed Nov 01, 2006 3:43 pm
Location: Mid-Michigan
Gender: Female

Re: Denture Wearers

Postby Slinky on Sat Sep 13, 2008 10:33 pm

And THAT is why I am saying that it is BETTER to wear the dentures for a better fit WITH A NASAL CUSHION style mask. BUT it should really make no difference w/most full face masks. I guess it depends on whether that particular model full face lays on the lower jaw or the chin.

_________________
Mask: Quattro™ FX Full Face CPAP Mask with Headgear
Additional Comments: PR SystemOne BPAP Auto w/Bi-Flex & Humidifier - EncorePro 2.2 Software - Contec CMS-50D+ Oximeter - Respironics EverFlo Q Concentrator
Women are Angels. And when someone breaks our wings, we simply continue to fly.....on a broomstick. We are flexible like that.
My computer says I need to upgrade my brain to be compatible with its new software.

User avatar
Snoredog
 
Posts: 6415
Joined: Sun Mar 19, 2006 5:09 pm
Gender: Male

Re: Denture Wearers

Postby Snoredog on Sun Sep 14, 2008 1:17 am

The Dental community will suggest you remove them at night to maintain gum tissue health:
I believe if you check with your husbands Dentist or Prosthdontist, they will recommend that the dentures be removed for at least 8 hours per day out of every 24 hr. period. Normally the best time to do that is during sleep.

The reason for removing them is to give the gum tissue a "breather" from the constant pressure placed on the gum tissue by the denture. Constant pressure by the denture can cause the gum tissue to shrink. When that happens the denture becomes loose and moves around creating sores. By removing them at night you restore normal blood flow to the tissue, restored blood flow keeps the gum tissue healthy where they can continue to support the denture. Keep in mind that is the only thing supporting the dentures is the gum tissue between the denture and the remaining bone.

Now toss in OSA and Dentures into the mix:
While there is very little information on this, there was a recent study done by UCLA School of Denistry on this very topic, it suggests that fewer apnea were seen when the dentures remained in the mouth during sleep. For obvious reasons, when the dentures are worn the dentures support the lip and face tissue which eliminates that "sunken face" syndrome associated with tooth loss and age. This gives the mask some place to seal against. With the dentures out even the nasal mask interface will have difficulty sealing with the loss of the upper teeth. Wearing dentures restores that natural face shape and makes it easier to seal.

I'll try and find the study and append them to this thread. I actually know several of the Professors at UCLA and had discussions with them on this topic, my daughter is a Dentist and graduated from UCLA, I'll find out from her which study it was.

You have to decide which is the lesser of the two evils; Do you remove the dentures so your gum tissue remains healthy? or do you wear them and stop the effects of untreated OSA? Obviously you try to do both. Gum loss won't kill you, OSA can. Since eating is a vital function you need to maintain gum heath to support the dentures, some options might be:

1. Remove the dentures during the day, he needs to remove them at least 4-6 hours, 4 hours is better than 0 hours, gum tissue needs to have blood supply restored. Dentures need that gum tissue support so they continue to fit properly. Loss of the underlying bone and gum tissue is the reason dentures no longer fit.

2. Consider having 2 or more implants placed to support the dentures. Implants act like teeth and have been found by Noble Biocare to reduce bone loss even if there is only 2. Implants help support the pressure of the denture especially with the mandible or lower denture. Having just 2 implants placed will keep the lower denture from floppying around on the ridge and restore quality of life. If your husbands lower ridge has regressed he should see his dentist about getting a couple implants, his denture will ride on those be better supported and slow bone loss.

3. While I hate them, use a pillow style mask interface like a Swift. This interface type doesn't rely on facial structure to maintain the seal. If he can use this type of interface (requires a heated hose if you sleep in a cool room).

4. If he wears his dentures at night so he can use a conventional nasal or Full Face mask he can do that, just remove the dentures during the daytime to give the gums a break. You need to do both.

Personally, I would see a Prosthdontist. Of course I am biased, but I'd look for one that graduated from or is a Professor at UCLA. They specialize in dentures and implants, the trick is finding one with lots of experience (old guy more likely to have it) and that also understands the perils of Obstructive Sleep apnea.
someday science will catch up to what I'm saying...


Return to CPAP and Sleep Apnea (CLICK HERE TO READ POSTS)

Who is online

Users browsing this forum: tmr, Valkyria and 22 guests