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Posted by westernjoe on June 02, 2006 at 07:51:26:
In Reply to: dental appliance before MMA??? posted by Chinless Wonder on June 01, 2006 at 14:46:29:
I didn't have a recessed jaw but just a tongue blockage. I did experiment with a dental appliance and it temporarly improved my sleeping problem.
The kind I used was very comfortable and had 2 interlocking pieces with a clear flat knob protruding between the lips that allowed adjustment.
After a few months it gradually quit working for me as well. I'm still not sure if it only partially improved my airway while still allowing continued pulling on tissue that eventually compounded the problem, or if I somehow acquired a response to it that caused my problem to return.
The oral appliance also allowed me to use a full-face-mask with CPAP without a chin strap with much more success. CPAP has always been difficult for me due to mouth breathing and a tendency to forcefully open my mouth during sleep which I believe is a response to my airway failing.
The appliance proved to me that my tongue was the problem and pulling the jaw forward (MMA) would help or solve my problem.
Over the short course of 3-6 months it changed my teeth alignment to edge on edge. I didn't have any TMJ pain, but some people do.
In summary, I wouldn't look for it to solve YOUR particular issue. It might give you some temporary relief, but also might cause some temporary pain, including a dent in the wallet.
Sleep better,
RA in TX
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