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Re: Question for those using a Mandibular Advancement Device:
Posted: Wed Feb 11, 2015 6:31 am
by Mabutu
brendastarr wrote:A better solution, and more permanent one, to jaw advancement would be in going to an orthodontist and getting an expander (e.g., Crozat). I am undergoing orthodontia with an expander on the bottom jaw; I first started with the expander on top and bottom jaws. My lower jaw has come forward significantly, out of my airway.
you mean these expanders still work to move the mandible and maxilla forward in a fully grown adult ? that is fascinating if true
Re: Question for those using a Mandibular Advancement Device:
Posted: Wed Feb 11, 2015 7:57 am
by brendastarr
Mabutu wrote:brendastarr wrote:A better solution, and more permanent one, to jaw advancement would be in going to an orthodontist and getting an expander (e.g., Crozat). I am undergoing orthodontia with an expander on the bottom jaw; I first started with the expander on top and bottom jaws. My lower jaw has come forward significantly, out of my airway.
you mean these expanders still work to move the mandible and maxilla forward in a fully grown adult ? that is fascinating if true
Yup.
"What you’re being told is the standard explanation which is still mainstream thinking. These “renegade dentists” have been expanding adult jaws for decades with success. I’ve seen the results myself, including significantly enlarged airways..."
http://doctorstevenpark.com/how-a-denti ... leep-apnea
Re: Question for those using a Mandibular Advancement Device:
Posted: Wed Feb 11, 2015 8:39 am
by musculus
tiredman wrote:After it is adjusted properly and your apneas are reduced, have any of you found that it loses effectiveness after a while and you have to advance it further?
Reason I ask is that I started using one, and it was extremely effective for a few weeks and I felt a lot better. But then it wasn't effective any more and I am tired again.
I am wondering if my airway has adjusted to it and therefore it needs to be adjusted further forward...?
I had a MAD made for me (Somnomed). The device is fine but it hurts my upper teeth so bad after about one week's use. The reason is that my mandible is small and kinda recessed so it needs a lot of force to pull it forward. Haven't had great success either on CPAP but CPAP is at least comfortable to use.
It's worthwhile to try using both CPAP and MAD (chinstrap needed to seal the mouth) though.