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Re: Re: MMA vs Oral splint - help !!!

Posted by bostonman on September 28, 2002 at 22:27:42:

In Reply to: Re: MMA vs Oral splint - help !!! posted by rkf on September 27, 2002 at 04:37:57:

Sleepy,
I had an RDI of 73 and used a dental appliance or two. When studied, it showed my RDI was cut to 42-still too high to live with. The dental appliance moves just the mandible forward enough to counteract mild to moderate apnea. Your RDI is indicative of moderate to severe apnea. The dental device can't create more physical space in the mouth for the tongue. The MMA, in conjunction with the GA can move the tongue 10 to 20mm. This is 1/2 to 1 inch. These procedures also tighten the tongue due to the stretching effect produced by them. The MMA also is permanent. When carefully done, no appliance or machine will be necessary. The dental appliances cause jaw disfunction in the overwhelming majority of users over the long term. Eventually the TMJ joint fills with fluid making the meeting of the back teeth impossible. I have had the MMA/GA/UPPP. The "after" xray shows an absolutely huge airway as compared to the presurgical one. My appearance has actually improved quite a bit and I am sleeping better than I did with bipap. I will have a follow up in November and will report the results on this board. Good luck with whatever approach you choose. For awhile I had my mouthpiece for camping and sleepovers, while using the bipap at home.

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Archived Non-CPAP Treatment Forum12 viewing only. To post a new topic go to the Apnea Forum Homepage

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