Somnodent Vs. Tap III

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Somnodent Vs. Tap III

Postby hothead » Sun Apr 10, 2011 9:58 am

I am a new member to this forum . I have mild sleep apnea syndrome. I want to try Oral appliance. I have reviewed this forum for past several days to find out which appliance is best for me. I am split between TAP III and SOMNODENT. I shall appreciate any input by members to choose correct device. I live in Louisiana. I shall also appreciate name of the doctor to get the oral appliance.
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Somnodent vs. TAP III

Postby a.b.luisi,d.m.d. » Sun Apr 10, 2011 8:29 pm

I am a dentist working in dental sleep medicine. Unfortunately, there is no answer to your question that can be made long distance. One would have to review your medical and dental history as well as your sleep test and many individual traits, such as level of manual dexterity, nocturnal clenching, and tendency toward claustrophobia to make the decision. Obviously, you need a top dental sleep medicine dentist. Call your local sleep disorders centers and talk to some board certified sleep specialists or ENT's. There is usually at least one sleep medicine dentist serving these centers. Good luck with your treatment!
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Somnodent vs. TAP III

Postby a.b.luisi,d.m.d. » Fri Apr 22, 2011 8:43 pm

I am a dentist working in dental sleep medicine. I kept things general in my last post on this subject. Let me be a little more specific. When you compare the Somnodent to the TAP III, in my opinion,the TAP III is the more effective of the two. There are clinical studies to back this up. However, and this is a big however, human beings are different and there are definitely features of both the Somnodent and the TAP III that some people find objectionable. As one of my patients said, no matter how good the appliance is, it won't do me any good if I can't use it. This is where a sensitive and experienced sleep medicine dentist makes the difference. They have to help you to select the best appliance for you. There is no right or wrong here, just what will work.
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Postby DrScoles » Mon May 09, 2011 8:16 pm

My patients prefer the TAP. It is a little less bulky, and it allows for eliminating posterior contact, this can help people who have migraines. FWITW, the TAP costs a little less for us to fabricate, so it might be cheaper for you.
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Somnodent vs. TAP III

Postby a.b.luisi,d.m.d. » Wed May 11, 2011 7:14 pm

I am a dentist working in dental sleep medicine. I am going to make a third attempt to answer this important question to make my views crystal clear. There is no question in my mind that the TAP III is the single most effective oral sleep apnea appliance in existence today. Not only have I had great success with the TAP III in my practice, but the TAP III has high quality clinical trials behind it showing efficacy. The vast majority of patients find the TAP III comfortable and go on to have successful treatment with it. However, the TAP III consists of an upper and lower tray joined in the middle by an adjustable hook and slot apparatus. I can give you ten or more reasons why this design gives the best result medically. However, a minority of people feel, that for either physical or psychological reasons, they do not want the two trays joined or want more freedom of movement. In these cases, I offer the O2 OASYS or the Somnodent. These have a pretty good success rate, although not as good as the TAP III, but at least people are getting treatment.
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Postby SleepyToo » Wed May 11, 2011 8:02 pm

What's your opinion of the Silent Nite? It seems to have a similar mechanism to the TAP III, although it uses a fixed-length piece of plastic rather than hooks. I have one, and I am thinking that it does need slightly shorter links to bring my lower jaw forward a bit more. I am still in the adjustment phase, and I am using my CPAP. Numbers/leaks are better with nasal pillows than with a full face mask, but I do notice my lips opening and releasing air. I have to take my machine for a check at the DME next week, then I will know better whether I need a pressure reduction (my gut tells me I do) without a sleep study. I do not expect the device to fix my apnea completely, but it would be good to know that I can expect improvement if I am forced to use it on its own for a night or two (eg, camping).

Thanks for your thoughts.
SleepyToo
Philadelphia Area
Diagnosed September 2009, Respironics System One w/ C-flex and humidifier
Aloha nasal pillows
Not a medical professional, just a patient with severe OSA (31) who has done a lot of reading.
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Mask: Resmed Swift FX
Humidifier: Yes, integral with PRS1
Year Diagnosed: 2009

Somnodent vs. TAP III

Postby a.b.luisi,d.m.d. » Fri May 13, 2011 7:44 pm

To: SleepyToo. From dental sleep medicine dentist. I do not know if you have mild, moderate, or severe O.S.A., but this is probably in your earlier posts. I am familiar with the Silent Nite appliance and have held and examined the device. I do not use it in my practice and can not give you specific clinical experience with it. However, judging from the design features, it is clearly a light duty device for use mostly for snoring and mild sleep apnea. If you have moderate to severe O.S.A., I would think that it probably isn't effective enough to get the job done. Of course, people vary and I am sure that a few people with moderate to severe O.S.A. have had success with it. . I am not clear from your post if you are trying to use the Silent Nite with your CPAP or as an alternative to it. If used with the CPAP, you could probably get by with lower pressure than with CPAP alone. You just need to experiment with it. If you are trying to get off CPAP or use the appliance on trips for portability and have moderate to severe O.S.A., you may need a more effective device like the TAP III. I hope that this helps you.
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Postby SleepyToo » Fri May 13, 2011 8:27 pm

Thanks for the detailed response. I am using it to lower my pressure, although my dentist thinks that it should be able to be used instead of the CPAP when I travel. My AHI was 31 with no centrals in my sleep study. The device has reduced my AHI a little bit more than the CPAP alone, but I am getting a few more centrals each night. I am feeling better with using it, although I think that I may benefit from a slight additional forward adjustment of the lower jaw. Since my AHI is still in the low 2s, I am not sure how much lower I can go ... The other interesting thing is that the night before last for some reason I removed the mask and slept with just the Silent Nite. I did not have a headache or feel sleepy during the day. In fact, I felt good! Maybe it will work for a little while, but then I need to look at something stronger. The TAP 3 Elite may be worth considering when it becomes available? I do like the ability to adjust it. I feel that the Silent Nite is a cheaper way of finding out if an oral appliance might work. The TAP 3 web site does provide a note of caution about moving the position of teeth that I have to be aware of before proceeding too much further.
SleepyToo
Philadelphia Area
Diagnosed September 2009, Respironics System One w/ C-flex and humidifier
Aloha nasal pillows
Not a medical professional, just a patient with severe OSA (31) who has done a lot of reading.
SleepyToo
 
Posts: 1066
Joined: Thu Sep 17, 2009 6:36 pm
Location: North of Philadelphia
Machine: PR System One
Mask: Resmed Swift FX
Humidifier: Yes, integral with PRS1
Year Diagnosed: 2009

Somnodent vs. TAP III

Postby a.b.luisi,d.m.d. » Fri May 13, 2011 8:50 pm

To :SleepyToo. Sleep medicine dentist again. I think that you are taking a very sensible, logical sequence in managing your disease. You are getting enough positive feed-back with your Silent Nite to consider a move to the TAP III Elite in the future. At your level of severity, the TAP III has the capability to control your apneas sufficiently that you could get off of the CPAP. Not a certainty, but odds are good. I wouldn't worry about the issue of hurting yourself while adjusting the TAP. The TAP is easily and precisely adjustable and you are plenty smart enough to learn how to do it right.
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Postby SleepyToo » Fri May 13, 2011 9:35 pm

Why, thank you kind sleep dentist! The advice, which I recognize is generic and may not apply to my particular situation when it comes to actually choosing an appliance, is very reassuring. I think you are right, as you said in another post, that people with sleep apnea do not often get realistic advice on the best approach to treatment. And sometimes the advice is just plain hurtful (now, pull these straps as tight as you can to stop leaks!), or clearly not helpful - a few cuts here, and breaking your jaw there, will fix your sleep apnea ... There are a lot of professionals who would benefit from further education from experts such as yourself!
SleepyToo
Philadelphia Area
Diagnosed September 2009, Respironics System One w/ C-flex and humidifier
Aloha nasal pillows
Not a medical professional, just a patient with severe OSA (31) who has done a lot of reading.
SleepyToo
 
Posts: 1066
Joined: Thu Sep 17, 2009 6:36 pm
Location: North of Philadelphia
Machine: PR System One
Mask: Resmed Swift FX
Humidifier: Yes, integral with PRS1
Year Diagnosed: 2009

Somnodent vs. TAP III

Postby a.b.luisi,d.m.d. » Sun May 15, 2011 4:15 pm

This is the sleep medicine dentist again. While we are on the subject of oral sleep appliances and potential disappointment, let me caution all you prospective patients out there. Unfortunately, there are a whole lot of poor quality and mediocre oral sleep apnea appliances . If you took all of them on the market and averaged out the clinical success rate, it would be lucky to reach fifty per cent! When they say they are F.D.A. cleared(or approved) it only means that the design has been cleared by the F.D.A. as essentially similar to other successful past designs. The manufacturers may or may not have actually held clinical trials to test the device. My biggest headache is trying to sort the good appliances from the garbage. When I quote a ninety per cent success rate, this is for the few very best appliances placed by a super-skilled dental sleep medicine specialist. There is a lot of money at stake and your health also. Do your homework! Read this forum. Find a top practitioner. Ask questions! Good luck to you all!
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Postby hothead » Sun Jun 12, 2011 5:10 pm

Dear a.b.luisi,d.m.d.

I thank you very much for your responses to my question. Now, I know that I really need to find a good dental sleep doctor. I live in North Louisiana and do know any dental sleep doctor nearby. Do you have any suggestion?
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Postby a.b.luisi,d.m.d. » Tue Jun 14, 2011 8:27 pm

Dental sleep medicine dentist again. I do not live in your state, but I will give you some suggestions via pm. I think that if I did it on the forum, I might be violating the commercialization rule.
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Re: Somnodent Vs. Tap III

Postby Piscean_11 » Sun Mar 11, 2012 8:53 pm

For all of you who are looking at the TAP 3 to help with your snoring...GET ONE! I did my online homework and went on a wing and a prayer to a local dentist who fits them and even though it takes some getting used to it in your mouth, it is a fairly easy adjustment for the great night's sleep and silence for your partner.

It isn't cheap. My fitting and device were $1500.00. I did not find it any cheaper at other dentists. [Moderated. Refer to posting guidelines on self diagnosis/treatment]
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Mask: TAP 3
Year Diagnosed: 2011

Re: Somnodent Vs. Tap III

Postby a.b.luisi,d.m.d. » Mon Mar 12, 2012 8:23 pm

Piscean_11 wrote:For all of you who are looking at the TAP 3 to help with your snoring...GET ONE! I did my online homework and went on a wing and a prayer to a local dentist who fits them and even though it takes some getting used to it in your mouth, it is a fairly easy adjustment for the great night's sleep and silence for your partner.

It isn't cheap. My fitting and device were $1500.00. I did not find it any cheaper at other dentists. [Moderated. Refer to posting guidelines on self diagnosis/treatment]

I am very glad that things worked out for you. The TAP3 is a fine product that has helped many people and will continue to do so.
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