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Permalink Reply by Banyon on September 16, 2011 at 2:10pm

- Mandibular advancement devices (MADs) will effectively treat sleep apnea for some people.

- They will not effectively treat sleep apnea for other people.

- Some people, for whom oral appliances would effectively treat their apnea, cannot tolerate them and abandon them.

 

A good sleep dentist who offers a variety of appliances should be able to:

1. Make an estimate of whether you are a good candidate for oral appliance therapy.
2. If so, recommend the appropriate model.

Have you had an examination with endoscope of your nasal turbinates and the rest of your airway including adenoids, tonsils, and larnyx performed by a good ENT?

 

Sounds like you were missing some critical elements to your attempts at CPAP:

-Thorough education about obstructive sleep apnea and CPAP.

- Data capable machine with software to view leaks and other efficacy data.

- Selection of masks to find one that works for you.

- Internet support group to answer questions, provide suggestions, and offer encouragement.

 

You, like many, were likely setup by "the system" for failure at CPAP. You also don't seem well self-motivated to take care of your condition.

 

While you are thinking about what to do next and discussing it in the forum, cease all backsleeping. Most cases of OSA are more extreme while backsleeping as compared to sleeping on the sides or stomach.

 

Please also provide some more details about your diagnosis. Do you have a summary of your diagnostic sleep study?

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Permalink Reply by RockRpsgt on September 18, 2011 at 12:17am

Like

Banyon said:

- Mandibular advancement devices (MADs) will effectively treat sleep apnea for some people.

- They will not effectively treat sleep apnea for other people.

- Some people, for whom oral appliances would effectively treat their apnea, cannot tolerate them and abandon them.

 

A good sleep dentist who offers a variety of appliances should be able to:

1. Make an estimate of whether you are a good candidate for oral appliance therapy.
2. If so, recommend the appropriate model.

Have you had an examination with endoscope of your nasal turbinates and the rest of your airway including adenoids, tonsils, and larnyx performed by a good ENT?

 

Sounds like you were missing some critical elements to your attempts at CPAP:

-Thorough education about obstructive sleep apnea and CPAP.

- Data capable machine with software to view leaks and other efficacy data.

- Selection of masks to find one that works for you.

- Internet support group to answer questions, provide suggestions, and offer encouragement.

 

You, like many, were likely setup by "the system" for failure at CPAP. You also don't seem well self-motivated to take care of your condition.

 

While you are thinking about what to do next and discussing it in the forum, cease all backsleeping. Most cases of OSA are more extreme while backsleeping as compared to sleeping on the sides or stomach.

 

Please also provide some more details about your diagnosis. Do you have a summary of your diagnostic sleep study?

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