Forum · Problems your having with dental appliances

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[+] [deleted] +0 points · about 2 months ago
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[-] DiligentDesertSandSeaLion1961 +0 points · about 1 month ago

Hi Dr. Tony, I have moderate sleep apnea. I tried using a CPAP but found it quite uncomfortable, so decided to try an oral appliance (the Herbst device). At first, I had no problems, but after a week or so, I started getting jaw, ear and throat pain after taking the device out in the mornings. My sleep dentist has tried several things on the device so that it would not cause the pain, but the pain continued each morning and got progressively worse. I decided not to wear it until the pain subsides, as it still has lingered on for quite a while. I really would like to use the device, but the pain in my ear, jaw and throat make it unbearable. Any help you can offer would be much appreciative.

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[-] DrTonySoileau +0 points · about 1 month ago

Sounds like the appliance is set too far forward to begin with. A new bite needs to be taken and the appliance remade. You can try over counter anti inflammatory like Alleeve or Tylenol right before bed but that will not fix the problem and only offer mild relief. You could try massage or chiropractic therapy to loosen up the muscles which probably needs to be done regardless. But I would still want the initial position brought back if you ere my patient. Wish I had a better solution.

Dr Tony

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[-] SleepDent +0 points · 13 days ago

The first question that comes to mind for me is whether or not you have a history of sleep clenching/bruxing and TMD(temporomandibular joint dysfunction). This is one of the conditions that I routinely screen for during the initial consultation with potential oral appliance patients. If so, those conditions need to be addressed PRIOR to oral appliance placement. Arthur B. Luisi, Jr., D.M.D.

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[-] DiligentDesertSandSeaLion1961 -1 point · 13 days ago

I don't have a history of sleep crunching or TMD. I think my problem is due more to an improper bite impression. My dentist is working on the appliance to rectify the bite issue. The pain in my jaw and ear have subsided since he has 'tweaked' the device, but it hasn't totally gone away.

Thank you for your note!!! :)

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[-] DiligentDesertSandSeaLion1961 +0 points · 12 days ago

Whatever the problem is, should I experience pain in the jaw and ear as now it's hurting on the other side. At first, it was the right ear and jaw; now it's the left ear and jaw. This is after tweaks on the device and an acrylic piece added to the upper front part. Am I not destined to wear the oral appliance? It's very disheartening.

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