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CPAP and Periodontal disease
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ezdrifler Offline

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Posts: 75
Joined: Oct 2015

Machine: Philips Respironics Remstar
Mask Type: Full face mask
Mask Make & Model: Quattro
Humidifier: Philips Respironics
CPAP Pressure: 6-10
CPAP Software: SleepyHead

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Sex: Male
Location: San Diego

Post: #1
Gross CPAP and Periodontal disease
Hi all,

I was diagnosed with apnea with ahi of 28

I have been using my cpap for about 1.5 months and sleepyhead reads my ahi dropped between 4-6 ahi

Unfortunately I also have periodontal gum disease and the cpap creates an ideal dry scenario for my disease to flourish.

I was talking to my dentist today and ge recommended I tri the mouthpiece that pulls your jaw forward and get rid of the cpap.

He did made it clear Apnea has higher priority than gums, my questions are:

1) Has the mothpiece proven succesful in treating Apnea?

2) is there a way I can use my cpap machine with a mouthpiece just to read the results
02-20-2016 04:25 PM
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Mike1953 Offline

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Posts: 134
Joined: Aug 2014

Machine: Resmed S9 Escape Auto
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10
Humidifier: Resmed Hi5
CPAP Pressure: 12
CPAP Software: ResScan SleepyHead

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Sex: Male
Location: Kansas USA

Post: #2
RE: CPAP and Periodontal disease
No to both

For free Medicare assistance for your state check out this page. http://www.seniorsresourceguide.com/directories/National/SHIP/
or here http://www.medicareinteractive.org/
02-20-2016 04:30 PM
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trish6hundred Offline

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Posts: 6,430
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #3
RE: CPAP and Periodontal disease
Hi ezdrifler,
I notice that, in your profile, you say none on the humidifier, you should reconsider on that. You will need some humidity, especially with a full-face mask, (FFM.)
The dental appliance won't be a substitute for CPAP therapy.
Good luck to you and hang in there for more ideas.

trish6hundred
02-20-2016 04:43 PM
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Dafod Offline

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Posts: 74
Joined: Feb 2015

Machine: Resmed Airsense 10 Autoset or PR1 560
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10, Amara View
Humidifier: Yes
CPAP Pressure: 8-15
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Australia

Post: #4
RE: CPAP and Periodontal disease
Using a mouthpiece/splint for Apnea can work with mild/moderate apnea BUT it's a crap shoot on whether it does work and how effective. Also as someone continues to use a splint it's difficult to see the efficacy of treatment.

I did get a mouthpiece too and whilst my AHI was only 17 (untreated) the mouthpiece was completely useless. I had wanted it for travel and the supposed flexibility it would offer.

After a week I had to give up as it didn't work and I felt horrible. Thing is, even if it works (50/50) the mouthpiece was highly uncomfortable (really really bad) and a CPAP is far easier (in my opinion) to tolerate.

The other thing is insurance normally doesn't cover the mouthpiece so you could be out $800-$1500 and find out it doesn't work. That said, YMMV.
(This post was last modified: 02-20-2016 04:44 PM by Dafod.)
02-20-2016 04:44 PM
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otrpu Offline

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Posts: 79
Joined: Jun 2015

Machine: AirSense 10 Autoset w/Oxi
Mask Type: Hybrid
Mask Make & Model: RespCareHYB500
Humidifier: ClimateLine, Socked, set 3
CPAP Pressure: 9-17
CPAP Software: SleepyHead

Other Comments: COPD

Sex: Male
Location: East of Rockies

Post: #5
RE: CPAP and Periodontal disease
Have no personal experience with the mouthpiece that's supposed to relieve apnea and snoring. I wear a custom upper mouth piece to keep my few remaining lower jaw teeth from irritating my upper gums.
Cheers,
otrpu

Love your family, treat your friend(s) well, and don't waste your time. Everything else is just so much BS. Sleep-well
02-20-2016 05:08 PM
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green wings Offline

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Posts: 543
Joined: Feb 2016

Machine: Respironics System One RemStar Pro (460)
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: integrated humidifier
CPAP Pressure: 13.0 cm
CPAP Software: SleepyHead

Other Comments: using CPAP since Jan. 2016

Sex: Undisclosed
Location: US

Post: #6
RE: CPAP and Periodontal disease
ez, does your CPAP machine have a water reservoir and humidifier? I just started using CPAP (with humidifier) about a month ago, and I feel like my mouth is less dry in the mornings than without CPAP.

I have autoimmune arthritis and associated problems with dry eyes and dry mouth.
02-20-2016 05:11 PM
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ezdrifler Offline

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Posts: 75
Joined: Oct 2015

Machine: Philips Respironics Remstar
Mask Type: Full face mask
Mask Make & Model: Quattro
Humidifier: Philips Respironics
CPAP Pressure: 6-10
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: San Diego

Post: #7
RE: CPAP and Periodontal disease
(02-20-2016 04:43 PM)trish6hundred Wrote:  Hi ezdrifler,
I notice that, in your profile, you say none on the humidifier, you should reconsider on that. You will need some humidity, especially with a full-face mask, (FFM.)
The dental appliance won't be a substitute for CPAP therapy.
Good luck to you and hang in there for more ideas.


My apologies, I just updated my profile, My device has a built in humidifier.

We live by the coast, and the humidity here is always high.

The reservoir in my humidifier is usually full in the morning even at 5, is not enough to counter the side effects on my gums.
(This post was last modified: 02-20-2016 05:21 PM by ezdrifler.)
02-20-2016 05:20 PM
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OpalRose Offline

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Posts: 3,160
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #8
RE: CPAP and Periodontal disease
ezdrifler,
You shouldn't be experiencing dry mouth to the degree that you state that causes gum disease unless you are mouth breathing.
Try a chin strap with your mask.
There are other things to try too. Before bed, rinse with a Mouth Rinse for dry mouth, like Biotene or Act Total Care for Dry Mouth.

I haven't heard about much success with the dental appliances, plus how would you know you are treating your apnea.

OpalRose
02-20-2016 05:45 PM
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eseedhouse Offline

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Machine: ResMed Airsense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: SimPlus
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CPAP Pressure: 7-10
CPAP Software: SleepyHead

Other Comments: Also on supplemental O2 at 3L/min. while sleeping.

Sex: Male
Location: Victoria, British Columbia

Post: #9
RE: CPAP and Periodontal disease
I had dry mouth with a full face mask no matter how high I put the humidity. Adding in a chin strap pretty well fixed the problem and now I don't get dry mouth even though I no longer use the humidifier.

If I wake up in the middle of the night as I usually do I also suck on one of the milder variants of "Firsherman's Friend" lozenges (non sugar) until I lie back down after visiting the loo.

Also here in Canada I found some lozenges that stick to the roof of your mouth and melt slowly during the night, one lasts pretty much all night and makes you salivate more, and does seem helpful. Threw out the box so I don't know the brand name and it may be different where you live anyway.

But the chin strap made the main difference, so far as I am concerned.

Ed Seedhouse
VA7SDH

I am neither a Doctor, nor any other kind of medical professional.

Actually you know, it is what it isn't.
02-20-2016 06:04 PM
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ezdrifler Offline

Preferred Members

Posts: 75
Joined: Oct 2015

Machine: Philips Respironics Remstar
Mask Type: Full face mask
Mask Make & Model: Quattro
Humidifier: Philips Respironics
CPAP Pressure: 6-10
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: San Diego

Post: #10
RE: CPAP and Periodontal disease
(02-20-2016 05:45 PM)OpalRose Wrote:  ezdrifler,
You shouldn't be experiencing dry mouth to the degree that you state that causes gum disease unless you are mouth breathing.

My gum disease is existing, is irreversable, i can only control it with constant checkups, is periodontis, I am also a mouth breather, my nose closes up often, nothing clears it, thats why i need a full face mask.


Quote:Try a chin strap with your mask.
cant, mouth breather

Quote:There are other things to try too. Before bed, rinse with a Mouth Rinse for dry mouth, like Biotene or Act Total Care for Dry Mouth.
will look into that, sounds like a good idea.

Quote:I haven't heard about much success with the dental appliances, plus how would you know you are treating your apnea.

Exactly my question, dentist said I could gauge it by my level of snoring, I was like mmmm
02-20-2016 06:07 PM
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