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Dr. Luisi, I think you missed my question above. Can you please talk about the recent version of the Micro2 IA that offers a turn key for adjustment and how much more bulky this makes it?
From my experience, having an appliance that makes it hard to close your mouth leads to dry mouth and throat. Breathing through nose is optimal.
I understand that the Micro2 IA has a newer version that offers a turn key like approach to adjusting, rather than the interchangeable uppers and lowers. This allows for finer adjustments. What is the difference in terms of bulk? I am looking for photos online for comparison, but not finding any.
My sleep dentist told me that the resmed one is even less bulky than the Micro2. From my understanding, the Micro2 is like a lighter somnudent but I might still have trouble putting my tongue to the roof of my mouth. I didn't get to see a sample of one but I held the resmed and it seems like it would be no problem for me to put my tongue where I want, and keep my mouth closed. Would you also suggest the resmed or is there anything about it I should know?
Thanks jnk. I bought a new CPAP and have been using it for 4 months. I feel great on it but the same problems I had when I used it in the past are coming back. My main issue with CPAP is terrible eye pain. I've seen eye specialists as well as worked with the providers to try different configurations. Nothing seems to help. Wish I could use it but I have to stop.
I've had a somnodent made for me in the past and used it for a good while. Issues I had: 1) it was such a bulky device that my mouth wouldn't close, which encouraged mouth breathing 2) the top part blocked the area where my tongue would normally rest against the roof of my mouth. My tongue never found a resting spot which really bothered me.
I also had other issues like jaw stuff, but I'm thinking of giving oral appliances a shot again with a much milder level of advancement. I have had nasal surgery since then and am hoping oral appliances will be a little more effective for me now. Are there any other MADs that are designed with solutions to the above problems? I'm reading about the Narval and that seems to be a good candidate. Any info is appreciated!