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I was using the Narval CC with 22mm rods for a jaw advancement of 82% maximum protrusion. I was told if I was in pain to either change rods or stop using the bands. I wasn't really in pain then, so I changed the rods to 21.5mm for a jaw advancement of 86% maximum protrusion. I know that wasn't the smartest thing to do, but my bite and TMJ was already acting up and I noticed I wasn't feeling as refreshed in the morning, so I figured I didn't have much to lose. I had a sleep study at the beginning of this year. The tech was (or was supposed to be) informed to titrate if I had 9 apneas, hypopneas, RERAs, etc within the first hour. That didn't happen. in either case, my AHI went from 28 (with no treatment) to 18 with the oral appliance. In order for a treatment to be "successful", my AHI should've decreased by 50%, though the real goal is to be below 5. I was looking into getting the UPPP procedure, because I feel my airway is small and my uvula is longer than "normal". I attached pictures for reference - laying on my back (top picture) and laying on my side (bottom picture). My uvula is a lot longer than it appears here, it has just "fallen back", which I know you know from your experience in the field.
Hi, I have been using a mouth guard for a while now. It has been titrated to 1 MM under the max. It isn't too uncomfortable when it's in, but it really is in the mornings. A majority of the time the little things they gave me to "reset my bite" don't even "fit" because the bite is so bad. Not only that, but my bite in general is quite bad now. I had braces, so this is NOT what I want after spending so much money for straight teeth. Furthermore, my TMJ has gotten a lot worse since using the mouth guard. Do you have any suggestions or tips for me? Thanks in advance.
Has anyone had the UPPP procedure done? How effective was it? Was it painful? Would you say it was worth it? I have tried the CPAP and I didn't like it at all. No matter which mask I used, I couldn't get rid of the anxiety from having something on my face like that. I am using the mouth guard now - that's okay. BUT it causes pain in my jaw and lower teeth and is messing up my bite big time. Not only that, my TMJ has gotten a lot worse. I just had a sleep study done and it showed I still had moderate OSA with the dental guard. I have a long uvula and small airway to begin with (in my opinion), so I think I could benefit from the UPPP. I attached a picture of myself laying down on my back (top) and side (bottom) to give a better idea of what I'm working with. Side note: In those positions, my uvula has "fallen back" so it doesn't look as long as it is.
