ernieb

Thanks Sierra, I'll give that a try. Would you suggest I use the min/max settings that seemed to work best without the appliance?

"With what you have done so far it would seem like the Tap 3 alone is giving you an AHI greater than 3." Right, but that's with pressure at 4--does that amount of pressure provide therapeutic value?

I have a Tap 3 oral appliance, and am using my Resmed S9 APAP at minimum pressure (4.0) to get a rough idea of how effective the Tap 3 is, and which titration setting is best.

I know this is a relatively crude compared to a proper overnight sleep test, but my insurance won't pay for that at this point. Hopefully in the near future I will have an overnight test with the Tap 3, but in the meantime I'm trying to get approximate information.

1) I'm getting an AHI average of a bit over 3.0, with APAP at min/4.0 pressure, with Tap 3 at specific setting. Is there a way to approximate what my AHI would be with Tap 3 but no APAP (ie, without 4.0 pressure)? I have no way of measuring AHI without APAP, and can't set lower than 4.0. (My APAP settings before Tap 3 were min: 7, max: 14. Pressure of 8 recommended after sleep study, for CPAP use, not MAD).

2) Is there a home test that might be more helpful?

I do have an oximeter, and use Oscar software to view data from that and APAP.

I'm using a TAP appliance, and I noticed that I can move my lower jaw forward and back with appliance in place (even after inserting metal tab into slot). Out of my mouth, I can see that there is a lot of play, 3 or 4mm or so, where the lower section can move forward and back.

Is this supposed to lock? I'm afraid that the purpose will be defeated if I pull my lower jaw back while I'm sleeping.

Again, I realize that the metal tab goes into the slot, but that doesn't keep the front and back pieces locked.