Oral Appliance - Teeth Shifting, Pain, Wisdom Teeth, Space Between Teeth - SleepGuide2024-03-28T09:05:31Zhttps://www.sleepguide.com/forum/topics/oral-appliance-teeth-shifting?id=2549090%3ATopic%3A65437&feed=yes&xn_auth=noOk, so it's been a month and…tag:www.sleepguide.com,2010-05-14:2549090:Comment:690382010-05-14T11:55:14.946Zterrihttps://www.sleepguide.com/profile/terri889
Ok, so it's been a month and I am very pleased with my oral appliance. It was custom fitted and readjusted after 2 weeks. my husband says I don't snore and "seem to be sleeping sounder" :) No drooling, no teeth pain, no trouble getting used to wearing it. I have definately been dreaming more. I consider this a BIG step in the right direction for me considering I have tried to use a CPAP with very limited success. To be continued............<br />
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<cite>terri said:…</cite>
Ok, so it's been a month and I am very pleased with my oral appliance. It was custom fitted and readjusted after 2 weeks. my husband says I don't snore and "seem to be sleeping sounder" :) No drooling, no teeth pain, no trouble getting used to wearing it. I have definately been dreaming more. I consider this a BIG step in the right direction for me considering I have tried to use a CPAP with very limited success. To be continued............<br />
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<cite>terri said:</cite><blockquote cite="http://www.sleepguide.com/forum/topics/oral-appliance-teeth-shifting?id=2549090%3ATopic%3A65437&page=2#2549090Comment66134"><div>I went to a Sleep Dentist and my SomnoMed is supposed to be ready on April 14th. We will see.</div>
</blockquote> great to hear for me to...I h…tag:www.sleepguide.com,2010-04-22:2549090:Comment:675462010-04-22T03:25:12.983ZDavehttps://www.sleepguide.com/profile/NYCSleepGuy
great to hear for me to...I have both enlarged turbinates and a deviated septum - having surgery mid-may....
great to hear for me to...I have both enlarged turbinates and a deviated septum - having surgery mid-may.... Dan Tache said:... I'll lay d…tag:www.sleepguide.com,2010-04-22:2549090:Comment:675412010-04-22T02:26:19.814ZBanyonhttps://www.sleepguide.com/profile/Banyon
<cite>Dan Tache said:</cite><blockquote cite="http://www.sleepguide.com/forum/topics/oral-appliance-teeth-shifting?commentId=2549090%3AComment%3A67505&xg_source=msg_com_forum#2549090Comment67528"><div>... I'll lay down a truism: too many people are CPAP-intolerant becuase they cannot breathe through their noses. We send a lot of people out for "nose jobs" and they are (often) forever grateful and some even find a way to begin to tolerate this wonderful therapy, FINALLY.…</div>
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<cite>Dan Tache said:</cite><blockquote cite="http://www.sleepguide.com/forum/topics/oral-appliance-teeth-shifting?commentId=2549090%3AComment%3A67505&xg_source=msg_com_forum#2549090Comment67528"><div>... I'll lay down a truism: too many people are CPAP-intolerant becuase they cannot breathe through their noses. We send a lot of people out for "nose jobs" and they are (often) forever grateful and some even find a way to begin to tolerate this wonderful therapy, FINALLY. ....</div>
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That is another good point. I toughed it out for two years and then finally had the full nose job. It did not help lower my pressure but it helped in other excellent ways - asleep <u>and awake</u>. I highly recommend it if you have enlarged turbinates or a deviated septum.<br />
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With a name like Tache, I guess a trache was tempting. :):) Thank you. Apnea is sometimes…tag:www.sleepguide.com,2010-04-21:2549090:Comment:675282010-04-21T22:15:50.491ZDan Tachehttps://www.sleepguide.com/profile/DanTache
Thank you. Apnea is sometimes very difficult to manage with oral appliances alone; it takes time or as we both agree, the two worlds must come together; one complements the other. I agree with you and the "pam" drugs as well. I just personally found it so helpful for the first few weeks; to awaken realizing I had once again 'tricked' myself into wearing the CPAP (again) all nightand after enough nights, I really became desensitized. Hey, I will also say this, when we see a new patient who is…
Thank you. Apnea is sometimes very difficult to manage with oral appliances alone; it takes time or as we both agree, the two worlds must come together; one complements the other. I agree with you and the "pam" drugs as well. I just personally found it so helpful for the first few weeks; to awaken realizing I had once again 'tricked' myself into wearing the CPAP (again) all nightand after enough nights, I really became desensitized. Hey, I will also say this, when we see a new patient who is CPAP-intolerant, we do take a hard look at the whys of why a patient might not be tolerant and I'll lay down a truism: too many people are CPAP-intolerant becuase they cannot breathe through their noses. We send a lot of people out for "nose jobs" and they are (often) forever grateful and some even find a way to begin to tolerate this wonderful therapy, FINALLY. If not, I feel good about going to an oral appliance. Use AADSM.ORG, not *.com to a…tag:www.sleepguide.com,2010-04-21:2549090:Comment:675222010-04-21T19:28:01.455ZMary Zhttps://www.sleepguide.com/profile/MaryZimlich
Use AADSM.ORG, not *.com to access the link.<br />
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<cite>Dave said:</cite><blockquote cite="http://www.sleepguide.com/forum/topics/oral-appliance-teeth-shifting?xg_source=activity&id=2549090%3ATopic%%3C/body"></blockquote>
Use AADSM.ORG, not *.com to access the link.<br />
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<cite>Dave said:</cite><blockquote cite="http://www.sleepguide.com/forum/topics/oral-appliance-teeth-shifting?xg_source=activity&id=2549090%3ATopic%%3C/body"></blockquote> It's been a number of weeks a…tag:www.sleepguide.com,2010-04-21:2549090:Comment:675052010-04-21T15:18:02.600ZDavehttps://www.sleepguide.com/profile/NYCSleepGuy
It's been a number of weeks and just wanted to update you guys on what happened. So my teeth definitely shifted a bit, however, it doesn't materially affect my bite. Because of the change in spacing in my teeth, more food was getting stuck in places that I was not used to. We surmise that I accidentally cut my gum as I overcompensated with my flossing technique to remove unwanted food stuck between my newly shifted teeth.....like flossing a new mouth. It seems to have healed well and I feel…
It's been a number of weeks and just wanted to update you guys on what happened. So my teeth definitely shifted a bit, however, it doesn't materially affect my bite. Because of the change in spacing in my teeth, more food was getting stuck in places that I was not used to. We surmise that I accidentally cut my gum as I overcompensated with my flossing technique to remove unwanted food stuck between my newly shifted teeth.....like flossing a new mouth. It seems to have healed well and I feel good again. In addition, it seems that my teeth have gotten used to the new device and actually some of the gap that had been created with my previous appliance has started to disappear!<br />
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So to be clear to newbies and to voice my opinion clearly, these are minor inconveniences that may or may not happen to you. My view of the benefits of the oral appliance has not been diminished in anyway. I just think we need to be honest as most of us are about the potential setbacks and discomfort you sometimes feel on your way to better health! This way people are more prepared for them, not stressed out unnecessarily, and don't give up! My personal studies have show…tag:www.sleepguide.com,2010-04-21:2549090:Comment:674972010-04-21T13:16:21.994ZRockRpsgthttps://www.sleepguide.com/profile/RockHinkle
My personal studies have shown great outcomes with this approach.<br />
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<cite>Dan Tache said:</cite><blockquote cite="http://www.sleepguide.com/forum/topics/oral-appliance-teeth-shifting?page=3&commentId=2549090%3AComment%3A67495&x=1#2549090Comment67488"><div>I am a board certified dentist in dental sleep medicine. Your concerns/coimplaints are common and not without answers. Treatment of life-threatening problems such as sleep apnea should be placed in the hands of a competent and…</div>
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My personal studies have shown great outcomes with this approach.<br />
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<cite>Dan Tache said:</cite><blockquote cite="http://www.sleepguide.com/forum/topics/oral-appliance-teeth-shifting?page=3&commentId=2549090%3AComment%3A67495&x=1#2549090Comment67488"><div>I am a board certified dentist in dental sleep medicine. Your concerns/coimplaints are common and not without answers. Treatment of life-threatening problems such as sleep apnea should be placed in the hands of a competent and experienced doctor; most general dentists do not have much or any real training or experience. You will get help if you contact the American Academy of Dental Sleep Medicine (see: <a href="http://www.AADSM.com" rel="nofollow" target="_blank">www.AADSM.com</a>) and find a dentist with credentials...that is a good start. Additionally, 89% of people who use oral device will have some bite changes...it is totally unavoidable but it happens over months or years not over night and it is not a problem in most instances. It sounds like you need some time and adjustments. If you are clenching your teeth at night becuase of restless legs (untreated) or if you still have apnea you will need to adjust your SomnoMed more and until the apnea is fixed, you will probably still have some tooth grinding problems. "Back" teeth discomfort might be becuase the internal ball clasps in the SomnoMed might be a bit too tight...easy adjustment. Also, make certain that you are using your blue bite tabs in the morning to loosen up your jaws; chewing gum on the way to the shower is helpful too but don't obsess over it and make yourself miserable. Sometimes, a muscle relaxant to help with sleep while accomodating is helpful too...I took some clonazepam for a couple of weeks and it helped me a lot...oh yes, I have apnea too but I am "hybridized" i.e. I use BOTH an oral device and CPAP...works great...took some time but the best of both worlds-low CPAP pressure and moderate jaw advancement...this is how it should be approached more often, in my view.<br/>Dan Tache</div>
</blockquote> Tache, IMO, your post is the…tag:www.sleepguide.com,2010-04-21:2549090:Comment:674952010-04-21T13:10:05.087ZBanyonhttps://www.sleepguide.com/profile/Banyon
Tache, IMO, your post is the best one in this thread so far. You are open about bite changes and discomfort. You also emphasize the importance of treating sleep apnea as the life-threatening problem it is. Reading between the lines, I can imagine you wince at a dentist fitting an appliance and saying "problem solved, 100% of the cases, 100% compliance". It is not that simple.<br />
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Your approach with your own case of using a dental appliance to achieve lower CPAP pressure is an excellent one. This…
Tache, IMO, your post is the best one in this thread so far. You are open about bite changes and discomfort. You also emphasize the importance of treating sleep apnea as the life-threatening problem it is. Reading between the lines, I can imagine you wince at a dentist fitting an appliance and saying "problem solved, 100% of the cases, 100% compliance". It is not that simple.<br />
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Your approach with your own case of using a dental appliance to achieve lower CPAP pressure is an excellent one. This approach needs to be used much more.<br />
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As a patient yourself, you understand how difficult obstructive sleep apnea can be to treat and you understand what we suffer through.<br />
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I generally caution against using the "pam" drugs, but your approach to using them for a couple of weeks during a beginning phase is reasonable.<br />
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Thank you. I am a board certified dentis…tag:www.sleepguide.com,2010-04-21:2549090:Comment:674882010-04-21T12:20:43.095ZDan Tachehttps://www.sleepguide.com/profile/DanTache
I am a board certified dentist in dental sleep medicine. Your concerns/coimplaints are common and not without answers. Treatment of life-threatening problems such as sleep apnea should be placed in the hands of a competent and experienced doctor; most general dentists do not have much or any real training or experience. You will get help if you contact the American Academy of Dental Sleep Medicine (see: <a href="http://www.AADSM.com" target="_blank">www.AADSM.com</a>) and find a dentist with…
I am a board certified dentist in dental sleep medicine. Your concerns/coimplaints are common and not without answers. Treatment of life-threatening problems such as sleep apnea should be placed in the hands of a competent and experienced doctor; most general dentists do not have much or any real training or experience. You will get help if you contact the American Academy of Dental Sleep Medicine (see: <a href="http://www.AADSM.com" target="_blank">www.AADSM.com</a>) and find a dentist with credentials...that is a good start. Additionally, 89% of people who use oral device will have some bite changes...it is totally unavoidable but it happens over months or years not over night and it is not a problem in most instances. It sounds like you need some time and adjustments. If you are clenching your teeth at night becuase of restless legs (untreated) or if you still have apnea you will need to adjust your SomnoMed more and until the apnea is fixed, you will probably still have some tooth grinding problems. "Back" teeth discomfort might be becuase the internal ball clasps in the SomnoMed might be a bit too tight...easy adjustment. Also, make certain that you are using your blue bite tabs in the morning to loosen up your jaws; chewing gum on the way to the shower is helpful too but don't obsess over it and make yourself miserable. Sometimes, a muscle relaxant to help with sleep while accomodating is helpful too...I took some clonazepam for a couple of weeks and it helped me a lot...oh yes, I have apnea too but I am "hybridized" i.e. I use BOTH an oral device and CPAP...works great...took some time but the best of both worlds-low CPAP pressure and moderate jaw advancement...this is how it should be approached more often, in my view.<br />
Dan Tache All great arguments. Very int…tag:www.sleepguide.com,2010-04-03:2549090:Comment:662242010-04-03T02:35:57.941ZRockRpsgthttps://www.sleepguide.com/profile/RockHinkle
All great arguments. Very interesting topic.
All great arguments. Very interesting topic.