Bottom Front Teeth Hurt From Dental Appliance

My bottom 2 front teeth hurt all the time from the appliance I have. I have been using appliances for about 8 years now but the last one I was using got pretty old, worn out, and starting hurting my teeth. I was hoping after I got my new appliance that my teeth pain would get better. I did notice that some of my back teeth pain got eliminated but my 2 front lower teeth still hurt. With the new appliance it is weird because when I wake and remove it my teeth do not hurt much but as the day goes on my 2 teeth hurt more.

The new appliance is a EMA® (Elastic Mandibular Advancement) and the old ones that I used previously were SUAD devices. Any suggestions would be greatly appreciated.

Thanks

I am a dentist working in dental sleep medicine. I guess that the first thing that comes to mind is that you need to consider the periodontal status and bone support of your teeth. When you push on your teeth with your fingers, do they feel very firm to the touch or do they move slightly, especially the lower two front teeth. If they move, you may have lost bone support of your teeth over the years. You would need to be assessed by a dentist to see if they could be given better support in some way. If not, you may have to re-evaluate whether or not you can continue to use the appliance. If your teeth are firm and well-supported, it is possible that the impressions from which the appliance were made were slightly inaccurate. In that case, the appliance needs to be adjusted internally or, if it is too far off, re-made. These are just some possibilities. You need to see a professional. I can't diagnose it long distance. Arthur B. Luisi, Jr.,D.M.D.