Question: Should I have a dental implant or a bridge replace my missing tooth?
Answer: The quick answer: Implants are more cost-effective over time and a better treatment option. In fact, we can use implants to secure a fixed bridge or partial denture. But this is not always the case. First of all, are you a candidate for an implant which most often means, do you have enough bone in your jaw for an implant or can bone grafted in that area? Secondly, what is the condition of the teeth on either side of the missing tooth space? If these teeth need extensive restoration or cosmetic treatment, then a bridge may make more sense. To make an informed decision, we will examine your smile before deciding which option will best address your tooth loss.
Question: Can I use my CPAP and oral appliance together?
Answer: Great timing with your question! I recently returned from the annual meeting of the American Academy of Dental Sleep Medicine and one of the topics that came up several times during the scientiﬁc presentations that I attended was the concept of using these two therapies together. The main advantage of using a CPAP and an oral appliance together is that it generally drops the CPAP pressure needed to keep the airway open. This can make the CPAP much easier and more comfortable to wear. They can be worn independent of each other or the CPAP can be attached to the oral appliance, eliminating the straps needed to hold the CPAP in place. A dentist can also take an impression of the face so a custom mask can be made and attached to the oral appliance. Custom CPAP masks are ideal for patients who can’t wear a stock mask. Custom CPAP masks also prevent air leaks. Finally, some patients are unable to get their sleep apnea under control with one therapy alone. Combining the two often makes the difference and allows them to feel better and live a healthier life.