Waking every 2 hours with my mandibular advancement device

I was diagnosed with sleep apnea and started wearing the Herbst mandibular advancement device. At first it did not help the snoring and I could not stop drooling from the device because I'm a mouth breather. After several session with an ENT, I had nasal surgery to put in latera implants in the nose to keep improve my breathing. My snoring is almost down to nothing but I wake up a minimum of every 2 hours and am still very tired so not sure how to tell if the Herbst mandibular advancement device is working.

I had the same problem as you are describing. I use a Somnodent device and kept waking up all night. The best thing I did was to download the app called Snorelab which measures my snoring level throughout the night. That way I can tell if the device is working or not. To give you an example, without any appliance my snore score is 54 with snoring % of 42% of the night. With my device in my score is 1 with 3% snoring. So I recommend you trying this app to see if the device is working or needs any adjustment. The second issue (and more important one) is the waking issue every two hours. I can only tell you that time with the device will help. It took me a couple of months to settle in, and now I have no problems whatsoever. As long as the device isn't causing discomfort, you will get use to it. Hope this helps.