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DrTonySoileau

DrTonySoileau
Joined Sep 2016
DrTonySoileau
Joined Sep 2016

Well your not alone I promise. 30% of my patients have dentures and wear sleep appliances. Some fit good. Some not much. And not fit awesome. I make my appliances to fit over the patient's denture if the denture has good retention. Usually its the bottom denture that wont stay on. The fact that the problem is your upper denture is good. The upper is easier to deal with.

The problem your having I am guessing is sore spots about where your canines or "eye teeth" would be. Is that correct? If it is that's because the sleep appliance is pressing on the denture in a way the denture was not made to be pressed on. The force is being directed toward your face and not up into the denture from the lower denture. So the pressure spots or straight in front. Maybe in the middle or just to the sides. Is this correct? This is where may denture patitient's usually get a sore spot. The solution is to grind away just a little bit of the denture in this area. That does mean the force will be applied somewhere else. If it is not applied to the middle about where you two front teeth would be that is best. When its where your canines would be the denture slides backwards into your mouth and rubs a sore spot. So if you don't mind a dentist grinding out a bit of your denture this should solve the problem and not make your denture loose during the day. It might though. The key is for the dentist to just rind away a little. Not much. I have had a couple of patients switch to a soft rubber liner in their denture to solve this problem. Ans a few have also elected to have implants placed and their same denture fitted to the implants to stabilize the denture while wearing the sleep appliance.

Does this sound like your problem? If not just let me know.

Dr Tony

Grinderfrank, I hear you. You were hoping for a solution to your sleep issues and instead woke up to sleep plus jaw and muscle issues. Sucks. Only way to put. These things do happen. Even with the best of care. Can I ask if between night 1-8 did you wake up feeling better. If you did then we know that the position your jaw is in with the TAP is a good one and now we just have to get the muscles to let go so you can be in that position comfortably. Good news is muscles are not hard to treat. Bad news is it may not be your dentist that fixes them. I have a massage therapist specially trained to work on muscles both out side and inside the mouth. I am really good at relaxing muscles. But the honest truth is I can't begin to compare to my massage therapist. She is just better than me. Its why I have her full time in my office. You need to find some one like her. Her name is Candid. Maybe she would know someone where you live. Our office number is 3372343551 if you want to call. And it does not have to be a massage therapist. Could also be chiropractor, physical therapist, acupuncturist, or anyone that can help. Think about an athlete that needs to run a certain speed. The speed is his goal. He then gets coaches and trainers to help him achieve it. If you slept better with the appliance in its current position then that the speed you need to run. Now go find a coach/trainer to get you there!

Treating sleep apnea is a team sport. It just is. Its not "one stop shopping".

If you had you knee or elbow operated on you would still need physical therapy no matter how great the surgeon performed. Same situation here. Your on the right road. Hang in there.

Dr Tony