What is Cosmetic Dentistry?

For those who have never consulted a dentist about treatments for sleep apnea and snoring, it may be time to make an appointment. Dental sleep medicine is a growing segment of dentistry that focuses on managing snoring and sleep apnea with oral appliance therapy (OAT) – an effective alternative to the standard continuous positive airway pressure (CPAP) machine and mask. According to the American Academy of Dental Sleep Medicine (AADSM), up to 50 percent of sleep apnea patients do not comply with or tolerate CPAP.

Oral appliance therapy (OAT) uses a “mouth guard-like” device worn only during sleep to maintain an open, unobstructed airway. OAT devices prevent the airway from collapsing by either holding the tongue or supporting the jaw in a forward position. For many, oral appliance devices are more comfortable to wear than a CPAP mask. The devices are also quiet, portable and easy to care for. Research suggests that oral appliance therapy often can equal CPAP in effectiveness and offers a higher patient compliance rate than CPAP. There are more than 80 different styles of oral appliance devices that have received FDA clearance.

 

The many faces of OSA are revealed by examining frequently associated conditions such as: high blood pressure (hypertension), heart failure, heart rhythm disturbances, Atherosclerotic heart disease, pulmonary hypertension, insulin resistance, and even death are some of the known complications of untreated obstructive sleep apnea. Cognitive impairment (memory problems), depression, anxiety, and gastro esophageal reflux disease (GERD) are also among possible complications of untreated sleep apnea. Dentists can treat the vast majority of patients with OSA and have the ability to screen for it, at a minimum, within our patient population. The most commonly quoted statistics on OSA are summarized below.

1/3 of population suffers from some sleep disorders (20M OSA 10M PLMD, 20M Insomnia)

Snoring prevalence 67% general population. NSF 2005 (habitual snorers 35% Parati)

94% of OSA population snores, 6% are silent apneics
Wisconsin Study 1938: 17-20% of general population have some OSA (AHI>5)

Sleep Heart Health Study: 22% have OSA (Smoking gun intermittent Hypoxia)

Young in 1993, Wisconsin Study : AHI>5 w/o EDS (excessive daytime sleepiness), 9% females, 24% males
Metabolic Syndrome effects 24% of general population

Weight loss of 10% can decrease AHI (apnea-hyponea index) 30-50%

We are now providing oral appliance therapy for sleep-related breathing disorders.  It’s our goal to treat this disorder working with your physician and health care provider and improve your health and well being. 

The American Academy of Sleep Medicine now recommends oral appliances as a primary or first line of treatment for mild to moderate obstructive sleep apnea. The guidelines state that patients should always be offered the choice of an oral appliance if they have mild to moderate OSA.

 For Mild to Moderate Obstructive Sleep Apnea:
Oral appliances (OAs) are indicated for use in patients with mild to moderate OSA who prefer OAs to Continuous Positive Airway Pressure (CPAP), or who do not respond to CPAP, are not appropriate candidates for CPAP, or who fail treatment attempts with CPAP or treatment with behavioral measures such as weight loss or sleep position change.

For Moderate to Severe Obstructive Sleep Apnea:
The American Academy of Sleep Medicine recommends Continuous Positive Airway Pressure (CPAP) for the treatment of moderate to severe sleep apnea. If patients have tried and failed CPAP, they should be offered treatment with an oral appliance. 

Patients with severe OSA should have an initial trial of nasal CPAP [prior to trying oral appliances]. Reference:  1.American Academy of Sleep Medicine website http://www.aasmnet.org

 Below is a SECURE CONFIDENTIAL LINK to complete our online sleep disorder/apnea evaluation forms.  

  Sleep History/Exam/Workup

Sleep Consultation

 

 

Sleep Screening Consultation SleeSleep Screening Consultation Sleep Screening Consultation Sleep Screening Consultation  Sleep Screening Consultation Sleep Screening Consultatio Please have the following available before you begin.  This registration will take about 15-20 minutes to complete so please save enough time.  Once we have your information, we can visit further about your symptoms.

  1. your insurance card
  2. a list of your physicians
  3. a complete medication list and dosage 

 

Online Dental Education Librarycontact us contact us

Our team of dental specialists and staff strive to improve the overall health of our patients by focusing on preventing, diagnosing and treating conditions associated with your teeth and gums. Please use our dental library to learn more about dental problems and treatments available. If you have questions or need to schedule an appointment, contact us.

Online Dental Education Library

Our team of dental specialists and staff strive to improve the overall health of our patients by focusing on preventing, diagnosing and treating conditions associated with your teeth and gums. Please use our dental library to learn more about dental problems and treatments available. If you have questions or need to schedule an appointment, contact us at 785-738-3758,   

                      

Know your Teeth

BCBS Delta Dental Care Credit

People choose cosmetic dental procedures for various reasons – to repair a defect such as a malformed bite or crooked teeth, treat an injury, or just improve their overall appearance. For these and many other reasons, cosmetic dentistry has become a vital and important part of the dental profession and one of the fastest growing areas of dentistry. For example, tooth-whitening procedures have tripled over the past five years.

Common cosmetic dental procedures can be performed to correct misshaped, discolored, chipped or missing teeth. It also can be used to change the overall shape of teeth – from teeth that are too long or short, have gaps, or simply need to be reshaped.

Cosmetic dentistry procedures include:
  • Cosmetic fillings -- Alternative, natural-looking materials to conventional silver-colored fillings made from porcelain and composite resins, which are colored to match natural tooth enamel.
  • Whitening/Bleaching -- Procedures that reverse the effects of such things as aging, food and tobacco stains, and medication use.
  • Veneers -- Special thin laminates, called veneers, used to cover stains, correct discolored, worn down, cracked and chipped teeth, and close unsightly gaps between teeth.
  • Bonding -- A tooth-colored material that looks like the enamel of your teeth and used to improve the color of a tooth, or close unsightly gaps.
  • Cosmetic contouring and reshaping – A relatively simple procedure that can correct crooked, chipped, cracked, and even overlapping teeth.
  • Crowns -- Synthetic caps, usually made of a material like porcelain, that can be placed on the top of a tooth to restore its function and appearance, attach bridges, cover implants, or prevent a cracked tooth from becoming worse.
  • Crown lengthening -- Performed to reshape gums and bone tissue, and often used to correct a “gummy” smile.
  • Bridges -- Natural-looking dental appliances that can replace a section of missing teeth and restore the natural contour of your teeth as well as the proper bite relationship between upper and lower teeth. Bridges are sometimes referred to as fixed partial dentures, because they are semi-permanent and are bonded to existing teeth or implants.
  • Specialty dentures – Lightweight dentures that mimic the look and feel of natural teeth. Most dentures are made from a combination of metals and synthetic material such as acrylic resin, and can be either partial or complete sets.
  • Excessive or uneven gums – Gum lifts or soft tissue grafts can be used to even gum lines, or cover an exposed root.
  • Ridge augmentation -- A procedure that can shore up dents and other abnormalities in your gum line.
  • Grafts -- Small pieces of tissue taken from other areas such as the palate and surgically implanted to correct severe gum disease, cover exposed roots, stop bone loss and gum recession, and even reduce pain-causing root sensitivity.
  • Replacement of lost gum tissue -- Gum tissue can be augmented or replaced by a variety of means, including soft tissue grafts.
  • Implants -- Synthetic structures that are placed in the area of the tooth normally occupied by the root. Implants are sometimes a viable alternative to partial dentures.