Hello BZ. I am a dentist working in dental sleep medicine. Remember that your sleep tests record only one day in your sleep life. That doesn't mean that every single day your condition will be identical to that one night. Every one has good nights and bad nights. When you have a bad night you feel lousy the next day. If you have a better sleep night, maybe not so much. What you do each day can make a difference. If you drink heavily before bedtime, your sleep apnea will be worse. If you take certain medications, your sleep apnea could be worse, etc. To get back to the oral appliance. If it felt like a brick in your mouth, it could have been improperly selected for you. There are over 100 designs of oral appliances in the USA. Some of these designs are quite bulky and heavy. Others are quite thin and feather light. Maybe the one you got was too bulky for you, especially if you have a small mouth. It might be prudent to seek out an experienced dental sleep medicine dentist in your area to review and evaluate your appliance. It might just have been the wrong one for you. Arthur B. Luisi, Jr., D,M,D., The Naples Center for Dental Sleep Medicine. Practice partner, dental sleep medicine, NCH Healthcare System. Practice Partner, dental sleep medicine, The Millenium Physician Group.
Thank you sleepDent for your input. I am not sure if i should seek another dental sleep doctor or retry the cpap? I only went to this doctor because he was a medical doctor/dentist and my insurance covered it. My actual dentist said his appliance is smaller and lighter but my insurance would not cover it and it was quite expensive. You mentioned drinking before bedtime, i stopped drinking for 2 years and it was the same. I always push myself and stay active but some days its really hard.Thanks again for your input.
Given the economics of your situation, it might make sense to give CPAP another try. Really, what do you have to lose? There have been some substantial improvements in the masks and machines recently, and maybe you could get by with a new type. Anyway, if it bombs out again, you could feel better about laying out the money for a more comfortable appliance. Arthur B. Luisi, Jr., D.M.D.
I appreciate the helpful info buy all. Its nice to hear from people who understand how hard it is to deal with the problem and our poor health care system. I am leaning towards cpap as sleepdent and my primary care doctor said a lot has changed in the last 3 years. I will let all know my out come and hope i can help others as a result of my own experience. Thank you doctorlulu for your response and comment.