Glossary

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.  

  Obstructive Sleep Apnea

Sleep Consult

 

 

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

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

A
Amalgam - Material made from mercury and other alloy mixtures used to restore a drilled portion of a tooth.
Anesthesia - Medications used to relieve pain.
Anterior teeth - Front teeth. Also called incisors and cuspids.
Arch - The upper or lower jaw.
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B
Baby bottle tooth decay - Caused by sugary substances in breast milk and some juices, which combine with saliva to form pools inside the baby's mouth.
Bicuspids -A premolar tooth; tooth with two cusps, which are pointed or rounded eminences on or near the masticating surface of a tooth.
Bitewings - X-rays that help a dentist diagnose cavities.
Bonding - Application of tooth-colored resin materials to the surface of the teeth.
Bridge - A prosthetic replacement of one or more missing teeth cemented or otherwise attached to the abutment teeth or implant replacements.
Bruxism - Teeth grinding.
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C
Calculus - A hard deposit of mineralized substance adhering to crowns and/or roots of teeth or prosthetic devices.
Canal - The narrow chamber inside the tooth's root.
Canines - Also called cuspids.
Canker sore - One that occurs on the delicate tissues inside your mouth. A canker sore is usually light-colored at its base and can have a red exterior border.
Caries - A commonly used term for tooth decay, or cavities.
Cold sore - Usually occurs on the outside of the mouth, usually on or near the nose or lips. A cold sore is contagious because it is caused by the herpes simplex virus, and it is usually painful and filled with fluid.
Composite filling - Tooth colored restorations, also known as resin fillings.
Composite resin - A tooth colored resin combined with silica or porcelain and used as a restoration material.
Contouring - The process of reshaping teeth.
Crown - An artificial tooth replacement that restores missing tooth structure by surrounding the remaining coronal tooth structure. It is also placed on a dental implant.
Cusps - The pointed parts on top of the back teeth's chewing surface.
Cuspids - Front teeth that typically have a protruding edge.
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D
Dentin - The tooth layer underneath the enamel.
Denture - A removable set of teeth.
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E
Endodontics - A form of dentistry that addresses problems affecting the tooth's root or nerve.
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F
Fluoride - A harmless over-exposure to fluoride resulting in tooth discoloration.
Fluorosis - A harmless over-exposure to fluoride and resulting sometimes in tooth discoloration.
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G
Gingiva - Another word for gum tissue.
Gingivitis - A minor disease of the gums caused by plaque.
Gum disease - An infection of the gum tissues. Also called periodontal disease.
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I
Impacted teeth - A condition in which a tooth fails to erupt or only partially erupts.
Implant - A permanent appliance used to replace a missing tooth.
Incisor - Front teeth with cutting edges; located in the center or on the sides near the front.
Inlay - An artificial filling made of various materials, including porcelain, resin, or gold.
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L
Laminate veneer - A shell that is bonded to the enamel of a front tooth. The shell is usually thin and made from porcelain resin.
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M
Malocclusion - Bad bite relationship.
Mandible - The lower jaw.
Maxilla - The upper jaw.
Molar - Usually the largest teeth, near the rear of the mouth. Molars have large chewing surfaces.
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N
Neuromuscular Dentistry - Addresses more than the aches and pains felt in and around the neck and head that are associated with your teeth and jaw.

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O
Onlay - A filling designed to protect the chewing surface of a tooth.
Orthodontics - A field of dentistry that deals with tooth and jaw alignment.
Overdenture - A non-fixed dental appliance applied to a small number of natural teeth or implants.
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P
Palate - Roof of the mouth.
Partial denture - A removable appliance that replaces missing teeth.
Pediatric Dentistry - A field of dentistry that deals with children’s teeth
Perio pocket - An opening formed by receding gums.
Periodontal disease - Infection of the gum tissues. Also called gum disease.
Periodontist - A dentist who treats diseases of the gums.
Permanent teeth - The teeth that erupt after primary teeth. Also called adult teeth.
Plaque - A sticky, colorless substance that covers the teeth after sleep or periods between brushing.
Posterior teeth - The bicuspids and molars. Also called the back teeth.
Primary teeth - A person's first set of teeth. Also called baby teeth or temporary teeth.
Prophylaxis - The act of cleaning the teeth.
Prosthodontics - The field of dentistry that deals with artificial dental appliances.
Pulp - The inner tissues of the tooth containing blood, nerves and connective tissue.
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R
Receding gum - A condition in which the gums separate from the tooth, allowing bacteria and other substances to attack the tooth's enamel and surrounding bone.
Resin filling - An artificial filling used to restore teeth. Also called a composite filling.
Root canal - A procedure in which a tooth's nerve is removed and an inner canal cleansed and later filled.
Root planing - Scraping or cleansing of teeth to remove heavy buildup of tartar below the gum line.
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S
Sealant - A synthetic material placed on the tooth's surface that protects the enamel and chewing surfaces.
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T
TMJ - Temporomandibular joint disorder. Health problems related to the jaw joint just in front of the ear.
Tarter - A hardened substance (also called calculus) that sticks to the tooth’s surface.
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V
Veneer - A laminate applied or bonded to the tooth.
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W
Whitening - A process that employs special bleaching agents for restoring the color of teeth.
Wisdom tooth - Third set of molars that erupt last in adolescence.
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