pamsyflower1 wrote:Hi...I'm a newbie...a 60 year old mildly obese female with moderate obstructive sleep apnea and was treated and cured of TMJ syndrome over 15 years ago. I have been wearing the Silent Nite SL dental device for about 6 weeks now. Before this, my husband would shake me awake 1 to 2 times per night because I would stop breathing and scare the wits out of him. This sweet, kind and caring man described my snoring as sounding somewhat like a mac truck under load, headed uphill. Additionally, I would wake 4 to 5 times per night with an aching dry throat and mouth, get a glass of water each time, use the restroom, then head back to bed. I didn't want to see an MD for this because I knew CPAP would be next and I just wasn't going to go there...not my idea of attractive nighttime attire. We were both getting very worn out with the situation.
My dentist does not specialize in sleep disorders or in TMJ syndrome, but I went to him anyway and told him only that my snoring was distressing my husband. I lucked out. He prescribed the Silent Nite SL device and it was ready for fitting in just a few weeks. The whole process involved just a few trips to the dentist and the total cost was under $500. At first, there was too much pressure on my lower teeth, so the appliance had to be amended to correct this. The dentist cut away the offending material in a few minutes while I waited and then the device was very comfortable. It is helping to keep my mouth closed at night. It pulls my tongue gently forward, resting it against my lower teeth and pulls my lower jaw slightly forward. The presence of the device triggers salivation, so the dry mouth/throat issues are completely cured, yet I do not drool into my pillow. I am sleeping through the night...no more trips for water or to the restroom. My husband reports that my breathing no longer stops in the night (that he can tell) and that the snoring problem is 50% improved, and that he is sleeping through the night now too. I do not sleep on my back...only on my side. My Silent Nite SL is adjusted to the 2nd peg, where it was first preadjusted. The only problem I had was when I got a little over-zealous after the first two weeks of wearing it and decided to ratchet things up a notch to see if this would cure my snoring altogether. It was a bad idea. I developed a very sore jaw and all my former TMJ symptoms returned. I immediately returned the device to its former setting, but it took a full week for the TMJ syndrome to resolve. I won't do that again. In time, I plan to take advantage of the Kaiser Permanente sleep clinic, with my device in, and see exactly where my OSA stands, just to make sure that nothing has been overlooked in this process. OSA can be deadly and I hear that it is best not to play around with it.
That's it for now...just thought I would share my experience on the chance it could help someone.
pamsyflower1 wrote:I found your story about your experience with apnea and am so sorry that you have had such a struggle and that the CPAP seemed to fail for you. It looks like you've postponed your surgery pending a trial with a TAPIII-good for you! The Silent Nite is very similar, just not as durable and, of course, a lot less expensive. I wish I could tell you that my appliance solved my issues with apnea, but I do know that it surely has helped. My husband says that as long as I wear it at night, I do not have any more of those "near death experiences". The snoring is 50% improved. The TAPIII appliance gives you the ability to advance the lower jaw in minute increments. Please give yourself a full month of adjusting to your appliance in the mode your dentist has set it at before you try to advance it. And when you do advance it, then do so as minutely as possible and give yourself at least a full 2 weeks at that adjustment before you adjust it further. Keep doing this until you find the famed "sweet spot" that everybody is talking about. Expect a little jaw soreness, but any tooth pressure should be addressed by your dentist right away. Use the bite strip - or chew a little gum first thing in the morning before you have your breakfast. This is not suposed to hurt you...it is suposed to help. I am unfortunately unable to advance my device because the adjustments are too grand on the Silent Nite to accomodate my TM joints, previously, though anciently, compromised by a 6-year round with tempuromandibular disorder. You don't want to get that. Just go slow...don't get too excited...don't be overzealous and give yourself lots of time. I'm excited for you. Bon chance, mon ami!
pamsyflower1 wrote:The trouble with ALL the dental appliances is that for persons with moderate to severe OSA, they DO NOT reduce OSAs into the therapeutic range of AHI 5 or less on average, per hour. Therefore, ALL of us with moderate to severe OSA are left with residual untreated OSA when we use ANY of the oral appliances by themselves.
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