I have severe OSA.    I have had 3 sleep studies in the last 12 years.   I wore the SilentNite oral device for the first 12 years with moderate sucess.   It worked pretty good when it was new.   I just got the SomnoMed MAS and am truely surprised and pleased with how well it works.   At night, my wife was reaching over to touch me to see if I was in bed because I was breathing so quitly she couldnt even hear me.   This is a well designed oral appliance.   BJH

i too want better openness around my upper airway... but i don't want my jaw pulled forward if that's going to hurt my TM joint.  TMJ pain is terrible... for me it radiates around the whole side of the head to feel like a migraine.  it's under control right now though.  

if you don't mind me jumping in re your question to mike... fatigue is always going to be a subjective term, and the trouble with people telling others the device they like to use eliminated their fatigue is that no one can objectively verify that without a study.  sleep disordered breathing conditions can be silent (ie asymptomatic), and can be doing damage without placing a burden on the heart.  for some people, fatigue is not the main issue - sleepiness is.  i wouldn't like to trust the way i feel as a method for ruling out a sleep disorder.  in UARS for example, airway obstruction doesn't cause apnea or hypopnea, but it does cause arousal that disrupts sleep architecture and affects one's health.  presumably most people would be symptomatic with fatigue... but especially if they don't know they have UARS (highly likely) they may never link the fatigue to the sleep disorder.  i really believe that sleep studies are so useful, because there is no way to know what's going on while we're asleep without one.


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"Attitude is a little word that makes a big difference" - Winston S Churchill
Machine: Respironics M Series Pro, 17cm
Mask 1: Respironics Comfortgel nasal
Mask 2: Resmed Quattro full face
37yo female, New Zealand, Mixed SA, AHI 45