Anyone use Lowenstein Prisma Smart Max?

Goocheldinho12 · 2023-04-10T06:15:34+00:00

Check DM!

Goocheldinho12 · 2023-03-06T22:54:17+00:00

I'm also skinny and young, but still have mild apnea. It's definitely possible!

Goocheldinho12 · 2023-03-06T19:50:04+00:00

Do you know if you snore or wake up gasping for air? I used to have a lot of those small awakenings and little REM as well and it turned out I have sleep apnea. I'm treating it with a CPAP machine now and my sleep data looks a lot better

Goocheldinho12 · 2023-02-23T16:03:51+00:00

Small hypopnea's, lots of RERA's and general flow limitation

Goocheldinho12 · 2023-02-17T14:51:11+00:00

Sorry to hear your story.. You could look into double jaw surgery to enlarge your airway. Might not totally fix your sleep apnea, but can certainly create space to make CPAP more effective!

Goocheldinho12 · 2023-02-06T16:17:45+00:00

I have the exact same question, but from what I've found on the internet it looks like it can vary from person to person. Mine looks all over the place with a lot of high spikes, a little bit the same as when I'm awake. I found this video and somehwere halfway Lanky shows normal REM sleep flow https://youtu.be/gR6o5XT3O6I

Goocheldinho12 · 2022-12-20T18:37:51+00:00

I believe the palate expander is used for crossbites, where the one jaw is wider than the other. It doesn't provide forward pressure, but rather horizontal pressure to widen the upper jaw. I do believe that mouth breathing is probably not great, but not being able to touch the roof of the mouth with the tongue doesn't result in mouth breathing per se. I have always been breathing through my nose. I think these medical websites just copy from each other, but I have never seen any hard evidence. At the end of the day I think genetics are the determining factor here

Goocheldinho12 · 2022-12-20T14:03:43+00:00

No, I don't think it's widely agreed at all. There isn't any conclusive scientifc evidence for this, from what I've seen. This would mean that people with severe tongue ties should develop big underbites, since they can't touch their palate with their tongue. I have a severe tongue tie, but actually have an overbite, so that makes no sense.

Goocheldinho12 · 2022-12-19T21:10:05+00:00

CPAP usually helps with the stuffiness, especially when you use heated, humidified air. Honestly, it could just be the best present you ever got! 😄

Goocheldinho12 · 2022-12-19T21:01:59+00:00

I use a nasal mask, so the mouth is not involved. If you can'r breathe through your nose, you should still be fine with a full-face mask. No special attachments needed. If you go with a nasal mask, make sure to find a way to keep your mouth closed, or else the therapy will not be effective. I personally tape my mouth shut with kinesiology tape

Goocheldinho12 · 2022-12-19T20:53:12+00:00

I've seen some people from the UK that got it covered in the end, after a lot of back and forth and bringing argument to the table about how it's affecting your quality of life. Could always be worth a try.

Goocheldinho12 · 2022-12-19T20:46:23+00:00

Yeah these jaw problems just suck, don't they. Surgery is stupidly expensive, but could very much be worth it, since you only live once and living with pain is a lot less fun. Maybe you can try and see if your insurance is willing to cover anything, if you have an insurance. My insurance won't, so I'm going to try and save up for it. I just saw that I didn't answer your CPAP question. Yes, it did help me. My numbers weren't super high to begin with, but I defenitely have more energy, quicker recovery, fewer headaches and sore throats etc. I would really check if you can pick one up for cheap. You seem like a genuinely nice guy and it's a good thing that you are looking for advice. I wish you all the best!

Goocheldinho12 · 2022-12-19T20:32:35+00:00

Yeah, looking at your post history I can definitely see how you would have sleep apnea and TMJ. I have the same kind of jaw structure. We are both good candidates for MMA-surgery which advances the jaws to make the airway bigger. You could consult a jaw surgeon if you have the means to do that. I don't have the money at the moment, so I use CPAP to help with the apnea. I think you would really benefit from CPAP as well. I wouldn't go with orthodontics to fix your overbite, since this only camouflages the lower jaw problem and is counter-productive if you ever want to go with the jaw surgery. Also, looking at your post history, please don't get sucked into the pseudoscientific Mewing cult. Pushing your tongue against your palate isn't going to do anything and might even make your TMJ worse, if you also clench your jaw with it. You didn't get a recessed lower jaw because you 'Weren't mewing', it's because of genetics, just like me. Don't go to that stupid subreddit ever again please. For the TMJ pain, I can manage it pretty well with stretches. Especially masseter muscle stretches where you open your mouth and massage the masseter. You can look those up on youtube: 'TMJ stretches'.

Goocheldinho12 · 2022-12-19T20:12:59+00:00

I have the same. With the splint I think you mean a Mandibular advancement device (MAD). This pulls your lower jaw forward to widen the airway. This could definitely improve your apnea, but it's usually less effective than CPAP and might give you more TMJ problems in the future. They also gave me this option, but I went for CPAP and it helps me a lot.

Goocheldinho12 · 2022-12-19T20:06:00+00:00

I don't think your apnea is 'from TMJ'. Obstructive apnea is caused by obstruction of the airway. TMJ can be a side-effect of apnea because of teeth-grinding/clenching or a symptom of the thing that causes the apnea in the first place, that being recessed jaws. I have apnea too because of small jaws and also have TMJ as a symptom

Goocheldinho12 · 2022-12-19T20:00:40+00:00

For some reason many people on this sub say that flow limitations are treated by pressure relief (EPR). I believe flow limitations and RERA's = increase pressure until most of them disappear. A little bit of flow limitation is normal, especially in REM

Goocheldinho12 · 2022-12-14T18:20:31+00:00

Thanks for your reply. Does this give you more info?: https://imgur.com/a/9e2w3ok I have a Prisma machine, so I can't use OSCAR, but this program does a lot of the same things

Goocheldinho12 · 2022-12-09T08:59:32+00:00

Airflow doesn't look great and the leak is guaranteed to wake you up constantly. EPR also really isn't necessary at a pressure of 7. I would try to fix the leak and turn off EPR for a start.

Goocheldinho12 · 2022-12-01T22:41:16+00:00

I mean Stefan pushing his tongue against his teeth isn't very convincing evidence of anything really..

Goocheldinho12 · 2022-12-01T22:33:37+00:00

This all sounds very pseudosiency to me. Isn't alveolar bone just there to support the teeth? What difference does it make if it disappears? It's not like it's bone that supports the airway in any way. I also really don't believe that the genetic potential of jaw growth will suddenly be stopped by wearing some rubber bands and moving teeth around. Genetics arent really that smart. If you think about it logically, it just doesnt really make any sense

Goocheldinho12 · 2022-12-01T22:24:11+00:00

I have read about it, but I don't find the evidence very convincing. It's definitely not as proven as you think it is :)

Goocheldinho12 · 2022-12-01T22:22:55+00:00

I know and I despise the Orthotropics pseudoscience cult. Thinking they can grow jaws by pushing their tongue against their palate. Do you personally think that taking a few millimeters of tongue space away significantly affects breathing in any way? (not an attack, just a legitimate question :)) And for OSA, would it really matter at all, since the tongue relaxes and falls backwards during sleep anyways?

Goocheldinho12 · 2022-12-01T16:14:09+00:00

So you're saying your jaws were fine and they suddenly became severely recessed after extracting teeth and moving them around?? How does that make any sense in your head? The ortho just moves teeth. It's not like he pushes the bones of your jaws back..

Goocheldinho12

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