If it fits your budget I strongly suggest you see a dentist for a properly fitting appliance. First this is about getting air into your body. Not something to play around with. And if you could end up with some TMJ issues.
Thank you Dr. Tony. I really appreciate your advice, including the suggestion about the Narval. We live in Las Cruces, NM. El Paso, TX is about an hour away, and Albuquerque, NM is about 3 hours away so if you know a dentist you could recommend here or in those two cities, that would be great.
Thanks again for all of your help.
If I use the Narval, does that mean if I have to have a filling, I will have to get a new Narval?
Still finding you a dentist close to you. Everyone is at the American Academy of Sleep Dentistry conference this week so no one returned my emails yet.
Not necessarily. If the filling is small and duplicates the original shape when the impressions for the Narval was taken then your fine. The bigger the filling the greater the chance that the shape of the tooth is changed. For crowns the chance is even bigger. I make all my own crowns. I do this so if my patient needs the same shape I can make sure its duplicated as close as possible. But still sometimes I cant make it exact. There is a technique to heat the Narval and "stretch it over the new tooth and let the material cool on the tooth so it matches the new shape. I have tried this a bunch of times and it just never fits as good as it originally did.
If you a mouthbreather you've most likely already damaged the condyles & must address UAR w/ non-steroidal sprays e.g. Xlear & cones, mutes or similar. However you should address TMJ's using a healing orthotic for eating in for a short period while hopefully having success w/ an ent treating the etiology = UAR & now OSA. If you must resort to boil n bite oral appliances, don't randomly jut the jaw forward but try to mimic an attained position of the 'S' syllable, this will give a much better balanced relationship & account for existing cant mal-developed. Also suggest that positio as a beginning titratable position if a dds making it! If you are a mouth-breather you are likely posturally adapting the entire body due to xcv forward head posture thus with cervical-sacral problems are there also. Fix the nose, upright the head, manage the TM resultant from MB for years & don't exacerbate TM with too much mandibular advancement by yourself or "sleep" specialist! You shouldn't need to dislocate your jaw back to pathological position after using an oral OSA appliance each morning! Drjgreddick