Hey Dr Tony -
You sound conversant in sleep appliances and I've been a bit frustrated getting solutions from my dentist. I've been diagnosed with sleep apnea (had a minor stroke a few years ago and I can't help but think SA may have been a contributing factor) and I've been using oral appliances since I realized I just couldn't manage the CPAP machine. I've got a Narval appliance - which is the most comfortable and easy to use I've ever had. The problem is that the posts keep popping out. When I fit the thing with the post size that give me the right jaw extension (#29) I must be grinding it off in the night. When I opt for a longer post I don't pop it out but it doesn't give me the relief I need. I'd rather not switch back to a more invasive appliance but I have no other options.
Do you?
Thanks
RM
You sound conversant in sleep appliances and I've been a bit frustrated getting solutions from my dentist. I've been diagnosed with sleep apnea (had a minor stroke a few years ago and I can't help but think SA may have been a contributing factor) and I've been using oral appliances since I realized I just couldn't manage the CPAP machine. I've got a Narval appliance - which is the most comfortable and easy to use I've ever had. The problem is that the posts keep popping out. When I fit the thing with the post size that give me the right jaw extension (#29) I must be grinding it off in the night. When I opt for a longer post I don't pop it out but it doesn't give me the relief I need. I'd rather not switch back to a more invasive appliance but I have no other options. Do you?
Thanks!
