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NeatGoldDogfish9292 Doctors/Dentists/patients opinions on appliances are going to vary. It depends on their experience. The Narval is a great appliance. Very light. Just about indestructible. So should hold up fine if you tend to grind your teeth. The Suad is the Hummer of the appliance world. It would take an explosive to damage it with all the metal. The Naval is comfortable. I personally like how the Micro2 fits my mouth a little better. But that is just me. I have many patients that love their Narval. I don't make many Suad because my patients don't like the looks of them. Keep in mind that the Naval is very difficult to reshape if you have any dental work done after you receive it. Make sure you have fillings and crowns finished first or be ready to get a second Narval in the future. I have gotten a Narval to fit again around new dental work in a few patients. But it never fits as good as originally made.
Dymista is a combination of antihistamine and corticosteroid. Its great stuff if your problem requires a combination of antihistamine and corticosteroid. If your problem is excess mucous then it should work. But you may have a different problem. You may also have a problem with air, not mucus, being able to pass through. Try breath right strips or nose cones and see if that solves the problem. Simple and easy. If it does then a turbinate reduction may fix your problems without having to have your septum fixed. Let me know if this works. If not then we will figure something else.
Dr Tony
Kinda but not exactly. Let me give you a better timeline. I felt I had sleep apnea or knew I had problems sleeping. I lecture around the country a lot and own a hunting lodge so my job and hobbies tend to interfere with my sleep. So I blamed my sleep problems on my lifestyle. I was giving a lecture a few years ago on sleep apnea and invited Braebon. They showed me their new product that was a home sleep testing unit. Very intrigued so I took the test that night in my hotel room. Showed I had an AHI of mid 20s. Took it home and tested myself in my own bed. Same result but a little better. So I made myself a dental sleep appliance. This got me down to about 1o AHI. Slept much better but still some fatigue and snoring. So one Friday I am reading charts with my sleep specialist ENT and he said let me fix your nose. I said HUH! ANd he told me about turbinate reduction. Takes 10 minutes. Just charge my insurance. Said good deal lets do it. Changed my world! I drove home sucking in all the wonderful air through my nose that I never realized I wasn't getting. All good then I started to snore again. Did a home sleep test and apnea good but some hypopneas. Spring time pollen was kicking my but. So went to my ENT and yep my throat was bright red. So I got on a steroid and it helped clean up the snoring. Met with a functional internist and sports medicine doc and told him what I doing for sleep. I treat a lot of his patients. He did a thermal imaging scan to see where I had inflammation in my body. Turns out I had a lot. So I did some allergy testing and decided to change my diet cause I was getting a little wide in the gut. I am 49, 6' and 205. Not fat but not like I used to be. The new diet reduced my inflammation. Snoring gone and feel much better. New sleep study had me just under 5 AHI. I ahve been a dentist for 20+ years now. Posture not great and right arm gets tired. So I went to chiropractor that specializes in nerve conduction. He along with my in house massage therapist has me sitting on ball chairs while I see patients and focuses on the health of my cranial nerves. One of my my crainial nerves is the glossopharyngial nerve. Ok I wont get to complicated on this I promise. This nerve controls your tongue and swallowing among other things.. My was not healthy along with some other nerves. So he started therapy to fix them. Feel AWESOME again. Latest home sleep study has me at .1 AHI. It was my massage therapist that works in my office that convinced me that the best way to treat the human body is to put it back like its supposed to be, not just compensate with pills and surgeries. If the damage has been done that do what it takes to get back like the body is supposed to function. So I have spent the last five years treating myself along with my patients with that focus. Never wore a CPAP. Still wear my dental appliance to protect my veneers. Hate the diet but like how it makes me feel. I am in south Louisiana. Our food does not fit in the new diet!!!
I was a mess Dr Luisi. So I committed to getting better and went at it from all directions.
I don't use a CPAP. I use a dental appliance. Its keeps me from having any apneas and protects my veneers. So i like to wear it.
Hard to say with just turbinate reduction. After getting Micro2, turbinate reduction, treatment of TMJ muscles, treatment of adrenal fatigue to control my cortisol levels, new diet to reduce sugar, gluten and increase potassium and magnesium, and Quantum Neurology® Rehabilitation I went from an AHI 28 to .1 AHI. Hard to say which therapy contributed to what degree.
YES! It helped by giving me more airflow and helped to clear my sinuses. Now my entire airway is clear. My nose is open and my sleep appliance keeps my throat open.
Try not to get too mad at the negative post on the other forum. Some patients want a McDonald's fix and treating sleep apnea takes time for some cases. And these patients are frustrated because they are not sleeping perfect the first night. Its understandable even if its frustrating. Or maybe they are sleeping fine but the insurance did not pay anything so it cost them $2-4,000 and to them a good night sleep for the rest of their life is not worth this amount. So instead of getting mad at the insurance company they say negative things about the dental appliance and/or the dentist. Its simply the world we live in. The people on this forum seem to be more commuted to having their sleep apnea treated and open to different ideas.
Awesome. Let me know if you need anything else. And if the new appliance is working.
Yep. Had the procedure done on me actually. Dr Luisi is correct. It only take ten minutes, BC BS covers the procedure with no preauth required. and no pain or swelling afterwards. Highly recommend it!