Sleep apnea and night guard

beach · Post by **beach** » Tue Jan 11, 2011 4:32 pm

I have a patient with apnea who uses C-PAP machine with the mask at night. Patient needs night guard for bruxism. Is there any contraindication to fabricate the night guard for him??

cflame1 · Post by **cflame1** » Tue Jan 11, 2011 5:06 pm

I use one just fine... so I would say no contradictions

My dentist made it due to me having TMJ

Marvinvwinkle · Post by **Marvinvwinkle** » Tue Jan 11, 2011 6:02 pm

I also have used one and had no problems.

robysue · Post by **robysue** » Tue Jan 11, 2011 6:19 pm

I'm another who wears both.

Indeed, I wore my night guard to both my CPAP titration and my BiPAP titration with my sleep doctor's full knowledge.

No problems at all with using both at the same time.

jazzer4 · Post by **jazzer4** » Tue Jan 11, 2011 6:25 pm

Me also. I love my nightguard. Had it made years before CPap. Wore it at my sleep study and wear it every night. My sleep doctor approves of it.

avi123 · Post by **avi123** » Tue Jan 11, 2011 7:27 pm

beach wrote:I have a patient with apnea who uses C-PAP machine with the mask at night. Patient needs night guard for bruxism. Is there any contraindication to fabricate the night guard for him??

I am wondering if you or a colleague of yours could determine if the patient could give up the use of the CPAP in favor of anti sleep apnea mandible combined with the anti grinding guard?

SleepingUgly · Post by **SleepingUgly** » Tue Jan 11, 2011 9:32 pm

I also wear a nightguard.

There is the possibility of certain types of night guards causing increased problems with apnea. I found limited information on it at one time, and now I don't know where it is... In some cases bruxism is a compensatory response to a collapsing airway, and certain types of splints make it more difficult to brux (is that even a word?). I don't know if that's an issue if the person is on CPAP or not.

I don't know if this was the article or not:

14. Simmons JH, Prehn RS. Bruxing as a compensatory mechanism
for a collapsing airway. SLEEP. Westchester, IL: Associated
Professional Sleep Societi es, LLC; 2008;Vol 31:230.

I can't find the one that discussed what kind of splint was not good for this problem. But again, I don't know if it matters if the person is on CPAP.

sleepyb · Post by **sleepyb** » Tue Jan 11, 2011 9:46 pm

If your patient has mild or moderate OSA they might be able to use the Thorton Adjustable positioner instead of CPAP. Take care of both problems at once.
I use a night guard with CPAP no problems.

Sleep apnea and night guard

Sleep apnea and night guard

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