Top Topics
How did you solve the teeth grinding?
I'm getting it modified to be a bit looser. Will let you guys know how it goes, thanks!
I just started using my somnodent last night and I'm very worried about my future compliance. I have low moderate osa and using a combo of posture adjustment and acupuncture was beginning to feel like I was getting decent sleep. I was trying out this method while waiting for the somnodent to be made. Yesterday I used the somnodent for the first time, but was only able to leave it in for a few hours before being woken up with pain. Then for the rest of the night I had significantly worse sleep then in previous days and woke up within palpitations and a bit dizzy. How do I persevere with the oral appliance when it seems it will have a negative impact on sleep in the short term?
I should note I was treated by a highly experienced sleep dentist who has been fitting OAs for 15 years.
Hi Dr Luisi,
I am 100% clear that the doctor was claiming people with normal lower jaws aren't fit for MAD treatment. Suffice to say, I'm going to get a second opinion from a more experienced dentist. Thanks for your advice!
Hi Dr. Luisi, basically my dentist told me that because my current bite is normal, that is the lower jaw is not pushed backward, no severe overbite, that pushing it forward during sleep would result in my not being able to bite correctly. Is this the case? I got the sense this dentist didn't have a lot of experience.
Thanks so much for the replies. I had a second opinion from a top sleep specialist and he agreed there was no need for the MAD given my jaw structure. This is quite odd to me given that research shows it to be very successful for a broad range of patients. He said that since I mouth breathe the focus should be on opening up the nasal airway.
Has anyone been told their lower jaw is too far forward to merit a mandible adjustment device? I would love to not use cpap if possible, but the doctor does not seem optimistic about using an MAD.
The odd thing is that the ent doctor said oxygenation was too high to recommend cpap and jaw is too far forward for a mad, so sort of low on options. Going hard on a throat and tongue exercise regimen currently
Thanks for the feedback, I guess I had read that most hemodynamic and metabolic risks occurred with saturation dipping under 90. Interesting to hear that any dip poses a risk.
I recently did a sleep study which revealed I have moderate OSA, with an ahi of 19. All obstructive apnea occurred within rem sleep. The thing I don't understand is that my lowest sa02 for the night was 93% and the average was 95.7%. The Sa02 literally never dipped below 90 despite several OAs? Does this even make sense? Or does it indicate a problem with the test results?
