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sthekepat
+0 points
·
over 6 years
ago
Original Poster
Hi Doctor,
I am getting conflicting views on this issue.
One of the doctors mentioned that there is sweet spot where one would get the best results. another mentioned to get the lower jaw as forward as possible. I now have it at 24 turns and really don't sleep well. Initially it seemed to work but not anymore.
What do I need to do?
SleepDent
+0 points
·
over 6 years
ago
Sleep
Commentator
I am a dentist working in dental sleep medicine. There is not a linear relationship between the degree of mandibular protrusion and the efficacy of an oral appliance. There is, indeed, a "sweet spot" which is different for each patient. You may have over-shot it. You need to consult your sleep dentist to discuss whether or not you should re-titrate the appliance, i.e, go back to a more conservative position and slowly work it out again. A.B.Luisi, D.M.D.
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