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Posted by Teddy on November 26, 2001 at 13:37:09:In Reply to: sleep apnea dental devices work?? posted by john on November 25, 2001 at 14:04:29:
I have a Herbst appliance. CPAP was a sure fix for my mild OSA. The Herbst has to be advanced to a specific setting before it will work as well as the CPAP. This can be tricky. Alike yourself, I want the benefits of the CPAP w/out the hassle. It's a double edged sword. These items have shown efficacy, but their not for fair-weathered users. You don't get a night or holiday off. If you don't use them, you don't get the benefit, period.
While the appliance may reduce or eliminate your OSA, if you advance the appliance too far, you may have jaw and tooth discomfort. My sleep dentist told me that studies on the appliances have shown that these devices don't cause long-term jaw problems. Go see a specialist who's a member of the Acadamy of Sleep dentists. You need a clinician who's trained in sleep medicine as well as dentistry. I assume that if these devices were not clinically proven, the FDA would not have given them approvals and the public/insurers would stop buying them. Good luck.
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