This is great information! Note that the "process" is long with an oral appliance. You have to slowly adjust the device to avoid those jaw pains (and other potential problems). I kept a journal for about two months where I recorded the number of turns on the device (each turn resulted in less than a...

Sorry for the delay! Great questions. Here's my thoughts: (1) Would it be worth trying out mass-market appliances (i.e. puresleep.com) first, as a proof of concept? or is custom-fit really necessary for it to work at all? I tried one of these (forget the name). Was completely useless for me, howeve...

My dental appliance worked extremely well. Here's the details:

viewtopic/t62226/Using-an-Oral-Applianc ... tails.html

saltyk9 wrote:This is an old post...but is that pic of your oral appliance an Oral Systemic Balance (OSB) Appliance?

Sorry - have no idea at all! I can have you contact the dentist though if you are interested. Just send a direct message and I can supply you with his contact info.

Didn't even consider that, but will look into it. Great thought - thanks!

I just posted a case study of how my dental appliance practically eliminated my OSA - might have relevant information for everyone. I think the structure of my jaw might have been a big reason for severe apnea.

viewtopic.php?f=1&t=62226&p=582498#p582498

Thanks for the info - looks like my dental appliance was like the Herbst Telescopic Appliance. I just looked at my official polysomnogram report again. My AHI with just the oral appliance was actually 1/hr, but the overall Resperiatory Disturbance Index (RDI) was 6/hr. Shows how effective this devic...

A very interesting post. I'd be very interested to see a photo of your oral appliance. Do you monitor your SPo2? Thanks - I thought this detailed information would be very helpful. Here's three pictures of the device I used. Link to Album: https://picasaweb.google.com/mike.snodgrass/OralApplianceFo...

Background : • 42-year old male, 5’8”, 190 pounds, mouth breather, standard sleeping position – on back almost exclusively, years and years of loud snoring from an early age. • Diagnosed with Severe Sleep Apnea at age 40, AHI: 80, using CPAP, titration at 14, Full Face Mask. • I’m an infrequent mem...

At least........ Turn the Ramp OFF or don't use it. Den Not an option on this machine I believe. Not using the ramp makes it even worse - more pressure to start with - and 4 is the lowest ramp pressure you can set it to. I even changed the EPAP to be 10, making an IPAP=14/EPAP=10/difference being 4...

My confusion here is trying to figure out precisely what you mean by "12/4 i/e ratio" is that ipap=12 & ps=4 or is that ipap=12 & epap=4 ? Can you spell out what those numbers actually relate to else some of us will be guessing & may get it wrong ? Sorry if I wasn't clear. BIPAP settings are IPAP =...

Without knowing the rest of your machine settings this is just a WAG (Wild A** Guess) but it sounds like you need to increase the low pressure. My guess is auto will NOT fix that. Maybe you need to get used to a fixed pressure first - then increase it each week until you get where you need to be. T...

Thank you - I am going to call the DME today and suggest the Auto BiPAP - great idea. Tried the other mask last night and that "drop" between exhalation and inhalation is just too great to get to sleep. The mask sucks into my face, then forceably blows back off. Very annoying. Sounds like the Auto f...

Thanks folks. I have a Respironics BiPAP plus M series, but with no card that records data. I do have Encore software and the card reader, for the other machine (CPAP). Just straight BiPAP on the new machine - no auto settings. I guess I should keep trying the machine with the BiPAP setting of 14/6....

Ok - here's the scenario. Been on CPAP for almost a year, severe OSA, full face mask (mouth breather), titration at 14. Is really helping but want to get lower AHI. Doctor gives me BiPAP to try. Titrated at 14/6 gets me to 0 AHI - in the sleep center of course. However, the pressure drop from 14 to ...