Dental Procedures and Cpap Use After

LavenderMist · Post by **LavenderMist** » Mon Nov 26, 2007 2:52 pm

I was told at the dentist office that I shouldn't sleep with cpap tonight so as to not cause a dry socket. That is sorta wigging me out because I've been on cpap therapy for almost two years and don't sleep without it even for naps. I will be taking pain medicine and also know that it reduces respiratory drive and can increase apnea events. My last titrated pressure was 11 and I am currently running my auto at 10-15 cm. My AHI has been averaging 2.0 lately. Am I just being overly scared of being with out it or should it be okay for one night?

**edited thread title. couldn't think of how to put it. guess my brain still wasn't working from all the numbing, lol**

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CPAPopedia Keywords Contained In This Post (Click For Definition): CPAP, AHI, auto

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CPAPopedia Keywords Contained In This Post (Click For Definition): CPAP, AHI, auto

jimbassett · Post by **jimbassett** » Mon Nov 26, 2007 3:00 pm

I live in a really dry state and I never heard of this having several teeth pulled myself. I would turn up the Humidifier and go with it. A mouth breather using a ff mask would be the worst case scenario.

JeffH · Post by **JeffH** » Mon Nov 26, 2007 3:43 pm

They are just cya. You should be just fine.

LavenderMist · Post by **LavenderMist** » Mon Nov 26, 2007 4:20 pm

Thanks guys. I appreciate it.

Slinky · Post by **Slinky** » Mon Nov 26, 2007 5:09 pm

Wellllllll, that's all well and good and easy to say - IF - you've never had a dry socket!!!!!

IF you have had one you might well sing an entirely different tune!! I've had two, on separate occasions. God bless my dentist he met me at the office at 8PM at night to repack the socket.

A dry socket is when the blood clot in the hole where the tooth was comes out and the nerves are exposed to air. Let me tell you they are one PAINFUL experience until they can get that empty socket filled w/some gauze soaked w/some type of numbing substance!!! I would rate the pain right up there w/a severe burn or passing a LARGE kidney stone. No, worse than the kidney stone. Worse than a complete bowel obstruction. (I've had both of those too).

It is usually a molar extraction that they are more likely to occur.

I'd sleep in a recliner w/o my CPAP.

6PtStar · Post by **6PtStar** » Mon Nov 26, 2007 5:48 pm

I can't see how it would hurt unless you were a mouth breather. Mouth breather yea a different story. Nasal mask does not put any extra air over the tooth.

I'm not a Dentist or Doctor and I have not had a tooth extraction since I have been on CPAP. So this is just my own observation but if I were in your place I would use the machine.

Jerry

RosemaryB · Post by **RosemaryB** » Mon Nov 26, 2007 7:46 pm

This is where knowing about your sleep study could help. Did you have a lot more apneas while sleeping on your back. If so, you could try sleeping on your side by wearing a pillow-stuffed backpack. You could also combine that with trying to avoid REM by sleeping only a short time. It depends on your sleep pattern though. Sleeping in a recliner, as mentioned, is another option.

jennmary · Post by **jennmary** » Mon Nov 26, 2007 8:19 pm

I have had a dry socket as well....horrible. Had to go in every 2 days to have it repacked for almost a month. It was bad, and very painful. It is not just mouth breathing that can cause a problem. When you are sealing with the tongue to the roof of your mouth you are creating a suction at the back of your mouth....which could affect that delicate clot, causing dry socket. I would sleep in a recliner or something....but I would leave CPAP alone for a night or two. My mouth hurts just thinking about it.

j.a.taylor · Post by **j.a.taylor** » Mon Nov 26, 2007 8:37 pm

Lavender,

I'm not a charter member, but I'll throw in my 2 cents anyway. I just have one question:

Do you trust your dentist?

If so, go with his/her advice.

If no . . .

GumbyCT · Post by **GumbyCT** » Mon Nov 26, 2007 9:23 pm

Slinky wrote:I'd sleep in a recliner w/o my CPAP.

Consider a cervical collar or something to help keep your neck from gettin too kinky too. Or hey just stay awake??

Last I knew there were 3 no "S"'s = Sucking, Spitting, Smoking - and the 4th - YOU guessed it Sleeping!!!

See you in chat.

goose · Post by **goose** » Mon Nov 26, 2007 9:33 pm

I would follow the dentists advice.....

You don't want to go through dry socket as others have described. Not a pleasant experience!!!

Just my 2 cents....
cheers
goose

Guest · Post by **Guest** » Tue Nov 27, 2007 12:31 am

Thank you all. After reading all the posts, I thought I'd not chance it and have two two pillows underneath my memory pillow. Has me on a very slanted position and I'm laying on my side. I woke up not sleeping very long, so I guess maybe I'm in for a fun night. This too shall pass.

LavenderMist · Post by **LavenderMist** » Tue Nov 27, 2007 3:53 am

I went back and edited the thread title. When I was posting originally I couldn't think of how to word what I meant. Sorry if my wording offended anyone. I appreciate all the advice and insight. It helped me make up my mind and hopefully, if anyone else goes through this in the future, then they can find the thread and be helped as well.

Slinky · Post by **Slinky** » Tue Nov 27, 2007 5:54 am

jennmary wrote: ... It is not just mouth breathing that can cause a problem. When you are sealing with the tongue to the roof of your mouth you are creating a suction at the back of your mouth....which could affect that delicate clot, causing dry socket. ...

Thank you for explaining the WHY, JennMary. I didn't think to do that.

cflame1 · Post by **cflame1** » Tue Nov 27, 2007 6:08 am

I had a tooth pulled a few months ago. Problem wasn't with dry socket or anything like that it was with straps that were positioned right over the tooth. Night one was awful, night two... I dug out my swift and taped.

Mask

Additional Comments: Equipment isn't correct, S9 ASV w/H5i