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Is the Dynaflex Dorsal appropriate for mild apnea? How does it compare to other alternatives? Medicare approved device?
Since I haven't received any responses I'll post what I think are the only TWO approved Medicare oral appliances. They are the TAP and the Herbst. If anyone knows of anything different please post it.
Does anyone have a list of Medicare approved oral appliances that they can share on line?
Thank you for your input. What is the specific nomenclature of the EMA device you're referring to? Is it a Medicare approved device?
A belated thank you to Dr Luisi.Based on your insight provided by the previous responses above, I've decided to go with the MicrO2. My primary goal for leaving the EMA was and still is to upgrade to less maintenance/problems. My orthodontist agrees that there should not be any problems with fitting or adjusting the appliance and cost is not an issue. Will post my experience in due time.
Dr Luisi, Thank you for the information on the MicrO2. FYI my mouth stays closed while wearing the EMA.The EMA has done a great job for over 5 years of eliminating my mild sleep apnea while being relatively comfortable to wear. Is the fitting for the MicrO2 more difficult than the EMA? I feel like I'm being led into the EMA with connectors because of unknowns/uncertainties re the MicrO2. If I was fitted with the EMA and the dream TAP without any difficulties, does it seem reasonable to assume the same for the MicrO2? (Note I had to return the Dream TAP only because it kept my mouth open enough to cause drooling and or dry mouth issues.) Other than your expertise which you freely share I have no way of knowing what the outcome will be if I choose the MicrO2. All I know is I'll have to pay for the lab fee for the EMA if the MicrO2 doesn't work out. Are there any other major issues I need to be aware of before deciding? Thank you again!
Is a trial period for a Prosomnus MicrO2 necessary? Reason I ask is I could not get used to a new Dream TAP which kept my mouth partially open causing a dry mouth. Had to return it. I've successfully worn a EMA for 5 years with no problems. Problem my dentist is running into is that Prosomnus will not allow for any trial period and my orthodontist has no experience with the MicrO2.
I have been successfully using an EMA oral appliance for 5 years. I sleep well without any side effects. Only disadvantage of the EMA that I know of is the elastics need to be replaced periodically and the anchors on the side can break off the appliance which require a repair. I've been thinking of " upgrading" to the TAP III Elite for no specific reason other than what I just mentioned. I need to be able to yawn multiple times before falling asleep and am able to do so with the EMA. I also have a limited capability to talk with the EMA inserted. Will the TAP III allow me the same flexibility? Are there any drawbacks to the TAP III that I need to be aware of before making a decision? Would a Silent Nite appliance eliminate the maintenance problems of the EMA? Is its efficacy sufficient for low to moderate OSA? I truly would appreciate getting a second opinion on these questions. Many thanks in advance for your input.
Dr Tony, I am thinking of ordering the TAP III Elite oral appliance to replace my 5 year old EMA. I am able to yawn multiple times before falling asleep with the EMA. also have a limited capability to talk with the EMA inserted. Will the TAP III allow me the same flexibility? Are there any drawbacks to the TAP III that I need to be aware of? I truly would appreciate getting a second opinion on these questions. Many thanks in advance for your input.
