Incidentally, I have seen plenty of patients take sleep tests and find out that they don't have it. The tests are pretty objective. Electric leads are put on your body to monitor things. There is no human input. As they say, leads don't lie. Don't get me wrong, mistakes are made. Sometimes the leads are put on wrong or fall off and other things happen. There are false positives and negatives, but, over-all, I have a pretty high level of confidence in the results.
I am a dentist working in dental sleep medicine. On one level I can sympathize with how you feel. When someone messes with a person's livelihood, it is, indeed, a serious matter. I have been working with sleep apnea patients for about 13 years and I have seen the condition get people fired from great jobs, lose their marriages, alienate their children, and die in their sleep. Please take it seriously. The condition affects 20 million or more people in this country and keeps growing as people get more obese. With greater awareness, doctors(and dentists) are screening people more carefully for the condition and you need to expect that. Many people do not suspect that they have the condition because they don't feel symptomatic. We now have a pretty good idea of the profile of potential victims, and from what you say, you are in there. Where I definitely DO fault the doctor is when she made the statement that you have sleep apnea based on the profile. That was unnecessarily upsetting to you. Nobody can be sure that a person has sleep apnea without appropriate testing and there is a significant chance that you DON'T have it. Screening is no big deal. They now have home sleep tests that are easy, fast, and cheap. So just get it done quickly and have peace of mind. Even if you do have it, not everybody gets CPAP. There are oral sleep apnea appliances, surgical options, and an Inspire pacemaker, too. Good luck to you. It will work out. Arthur B. Luisi, Jr.,D.M.D.
Actually, the scalloped tongue is a classic sign of sleep bruxing(tooth grinding and clenching), not sleep apnea. However, there is a relationship between the two. Sleep bruxing is commonly associated with sleep apnea, so when you find the scalloped tongue, it does make sense to think possible OSA. Arthur B. Luisi, Jr., D.M.D., The Naples Center For Dental Sleep Medicine.
Sorry for the delayed response, I just didn't see your post. For any tray type device that attaches to the upper teeth, your teeth do have to meet a minimal set of criteria. First, you have to have an adequate number of teeth. Probably, at least the six front teeth and the first and second premolars for a total of ten. If you have a few posterior spaces but also have some molars for a total of ten that would also be O.K.. Second, your dental work has to be in reasonably good shape. Crowns, bridgework, and implants are O.K.. Thirdly, You must not have active untreated periodontal(gum) disease or unfilled cavities in your teeth.. Fourthly, your teeth must be firm and not mobile to the touch. This would imply that you have reasonably good bone support around the roots of your teeth(not huge amounts of gum recession). If you meet these criteria, the devices should be fine for you. If in doubt, have these things checked by your dentist. You should have been checked by a dentist no more than one year ago. Dr. Luisi
Let me refine my answer a bit. The Tap3 Elite is a fairly recent model in the Tap line-up, but is actually no longer produced. When it was produced, it came with two choices of linings. The TL lining was a soft clear lining that was supposed to last for the life of the appliance. I forget the official name of the lining material, but it was basically soft contact lens material. The thermacryl lining was a white colored lining that was heat fitted and needed to be replaced every few years. Both liners are F.D.A. cleared as I mentioned in my previous post. Arthur B. Luisi, Jr.,D.M.D.
The thermacryl thermoplastic used in the Tap3 TL has been F.D.A. cleared as safe and hypoallergenic for human use. Never-the-less, a person individually could be allergic to any material. If you have any redness, swelling, or pain in your oral tissues, contact your dentist. Arthur B. Luisi, Jr., D.M.D.
I am a dentist working in dental sleep medicine. If you are in possession of a standard wrench that comes with the Tap(the L-shaped silver thing), you can carefully try to tighten the two small screws on the face plate. This might stabilized the adjustment screw and solve your problem. If not, the device needs to go back to the lab to replace the adjustment screw or to make another fix to the mechanism. It is repairable, though. Arthur B. Luisi, Jr., D.M.D
The MyTapPap nasal pillow mask is good for people who breathe through their nose and tend not to get mouth leakage. You can order it directly through www.CPAP.com and install it yourself. It is easy to do and most people can manage it. Airway Management only sells directly to doctors. There are other online providers that I can tell you about. If you can breathe through your nose, but tend to get mouth leakage(use a full face mask), I have another modified version with a leak proof intraoral mouth shield. It is not yet in volume production, but I can provide you with one through my web site. If you must breathe only through the mouth, we don't have any tooth born device to address that yet, but are working on it. Arthur B. Luisi, Jr.,D.M.D.
Well, the tray does go over your top teeth and maybe if your tmjs are that questionable, you may have a point. Something inside your mouth overnight could be a problem.
I would agree that, logically, it would be either mouth leakage, mask displacement, or both. A possible fix is as follows. Ditch the mask with straps and use a more secure, stable system that attaches to your upper teeth. See: www.tapintosleep.com.. View the TapPap nasal pillow mask. You can order this yourself at CPAP.com and it is easy to install. For the mouth leakage, I have a modified version of the TapPap nasal pillow mask that comes with an intraoral mouth shield that seals the mouth from the inside. It is very soft and gentle and would not harm your tmjs. This is not yet in volume production, but you can get one from me at www.naplescenterdentalsleepmedicine.com. Arthur B. Luisi, Jr., D.M.D.