after five months of adjustments with my full breath dental appliance, i had my sleep study to evaluate its effectiveness.  results not good......i went from 19 reras per hour to 44 reras per hour......no wonder i have been feeling worse and worse...hard to believe that five months have passed......oh well, can't say i didn't give a solid try......so tonight, i am trying for a cpap titration......the last one was a failure! i never really fell asleep.....this time the doc prescribed by a sleeping pill......hopefully that will do the trick....anyone have advice for making it through a sleep titration?  i have UARS, so hoprfully i won't need a high pressure.........the saga continues......

Sounds like I'm in a similar situation.  Tried CPAP for three months but just couldn't fall asleep.  Have been using the Somnodent MAS for eight months now.  I feel as if I'm getting worse.  My recent sleep study shows my AHI being lowered with the MAS (much higher in REM but only 7% REM that evening) but I believe that's only due to the lack for REM during the study.  My Zeo shows I'm experiencing 25%-30% REM each evening.  That's out of about 7.5 hours average sleep per evening.

So back to the CPAP I go.  My pressure is low, set at 6.  I find that nasal pillows are much easier to tolerate than masks.  But then I know everyone is different.  Though I do have to say that I find it easier to tolerate the CPAP/nasal pillows now that I've had the dental appliance shoved in my mouth for the last eight months.

thanks for the reply  big sky...  i'm out the door in 20 minutes for my titration.....wish me luck

How did it go?

it went kinda !@#!.   i fell asleep initially for a couple hours....the tech said i had a nice stretch of an hour with no reras in deep sleep, then i woke up because my mouth opened and never really went back to sleep the whole night....the mask and pressure didn't bother me much{nasal pillow, pressure of seven}but i just couldn't get back to sleep.  too excited i guess....do you think that was enough time to get a prescription?

I'm no pro but from what I understand, all they need is a sleep cycle or two.  Do you know which nasal pillows you used?  7 isn't too bad, especially if you're allowed to ramp up.  I just started back on the pap last night.  Took 3mg Lunesta with it.  I had no problems falling asleep but did wake up twice during the night.  I'm planning on hitting the Lunesta for one to two weeks then try it drug free.  Although I don't feel much of a difference today, I hear it can make an immediate impact or take up to 6 months or so.

Just wish the dental device worked.  I'm one of the unlucky "non-obese" few so losing what little excess weight I have probably won't make the devices go away....and being a single guy on cpap isn't going to help much with the ladies  :)

I guess I'll be seeing you on the xPAP forums!

resmed mirage swift 2 was the nasal pillow i used.....

sleepsurfer wrote:

after five months of adjustments with my full breath dental appliance, i had my sleep study to evaluate its effectiveness.  results not good......i went from 19 reras per hour to 44 reras per hour......no wonder i have been feeling worse and worse...hard to believe that five months have passed......oh well, can't say i didn't give a solid try......so tonight, i am trying for a cpap titration......the last one was a failure! i never really fell asleep.....this time the doc prescribed by a sleeping pill......hopefully that will do the trick....anyone have advice for making it through a sleep titration?  i have UARS, so hoprfully i won't need a high pressure.........the saga continues......

     After 5 weeks on the TAP III, I felt I was feeling worse too and by quite a bit.  I didn't think it possible.  I have not used it for 4 nights now and I actually feel better (where I was before)  I need to call my doctors and discuss this with them.  Although I am sad your problems have not been solved, I was happy to see I was not losing my mind.  Hang in there, I have been battling this for over 10 years now with no relief. I could not tolerate the CPAP/BIPAP/AUTOPAP. I am now considering throat surgery out of desperation.   My symptoms are chronic headaches(24/7 hangover like), and fatigue.