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I agree with Dr. Tony. Getting a proper fit by a qualified SLEEP DENTIST is critical. I finally found one, and the fit of my SomnoDent device is GREAT. This is a specialty, and only really experienced dentists in this realm are the ANSWER. MATT
I have been using a SomnoDent oral device for the past 4 months. Very good fit and comfortable. I keep it in for about 6-7 hours every night. Works well, no snoring, breathing issues, etc., but when the setting gets over about 5 mm, I notice that my neck and shoulder muscles get tight and stay this way for many hours. My sleep dentist would like me to get to 7-8 mm, but each time I try to get the advancement around 4.5 to 5.0 mm., the tightness returns. My jaw pain is NIL. I DO NOT faithfully use the AM aligner with exercises, so maybe this would help here. The only problem is tight neck and shoulder muscles (Upper Trapezius and Sternocleidomastoid). I am doing exercises to strengthen them. Maybe I can only increase the advancement 1 turn every other day or so. Or is the 4-5 mm. advancement setting adequate for me? I have mild to moderate OSA, with a score of 16. My sleep dentist has moved away, and getting a new one soon. ANY ADVICE and/or COMMENTS are welcome.
