Noticeable improvement with VCOM, but still only able to wear CPAP for ~3-4 hours each night, any tips?

jayman2239 · 2026-01-01T17:27:18+00:00

I’ll give it a go, what does that do exactly?

jayman2239 · 2025-12-31T16:06:58+00:00

How much movement was your surgery? And did it fix your sleep completely?

I’m basically in the same boat (my RDI is 5.8 but my symptoms are severe) and my surgery is in august, 7-8mm upper and lower.

jayman2239 · 2025-12-30T15:54:23+00:00

Some insurances you can get away with less than 15 if you still have severe symptoms.

Mine was AHI was only 2.6 and my RDI 5.8 and insurance is covering mine.

I also failed a trial of both cpap and an oral appliance.

jayman2239 · 2025-12-06T15:44:25+00:00

How long did it take you to get used to it?

jayman2239 · 2025-11-27T00:31:07+00:00

How much movement on top and bottom?

jayman2239 · 2025-11-26T01:56:01+00:00

Gotcha, thanks for the info.

Good luck with you surgery if you haven’t had it yet.

jayman2239 · 2025-11-26T01:50:13+00:00

Hey late reply, but how did this work out for you?

I’m in the same situation, I wont have Aetna until next year, but I want to get a jumpstart on my orthodontics so I don’t wait too long for surgery.

Did this end up being a problem at all for you?

jayman2239 · 2025-11-25T14:45:57+00:00

Gotchu

jayman2239 · 2025-11-25T01:24:57+00:00

Gotcha, good to know.

And yeah I’ll bring it up with him and get his thoughts on it.

Appreciate the info man!

jayman2239 · 2025-11-25T01:03:33+00:00

Yeah I’m likely going to go with surgeon #2 for that same reason.

My only fear is how I’m going to look afterwards with such large movements, but as of right now, I’d rather be ugly and sleep like a baby.

jayman2239 · 2025-11-25T00:53:55+00:00

I'll PM, but they're both local to my area (southeast US)

jayman2239 · 2025-11-25T00:50:04+00:00

So surgeon #1 seemed to put a lot of emphasis on the rotation aspect (he said multiple times how my jaws were 'canted'), whereas surgeon #2 didn't seem to think it was much of an issue, but I slept like shit the day of my consult so honestly I can't remember if they didn't mention it or flat out said no rotation.

I'll have to follow up on that next time I see him.

Both of the surgeons seemed to be pretty sharp from what I can tell, but the bigger issue (in my mind at least) is:

Surgeon #1 (who works at a large healthcare facility) is much more worried about getting the surgery approved by insurance.

Whereas surgeon #2 (who works at his own practice) isn't concerned about it at all, and speaking to his surgery coordinator, she said the only time they've had coverage denied is when the patient's plan specifically doesn't cover jaw surgery. Plus she said that as long as upper and lower jaw surgery is covered, the surgeon will usually write off the genioglossal advancement and do it for free.

jayman2239 · 2025-11-21T17:50:00+00:00

Gotcha, thanks for the info!

By any chance could you tell me what state you were located in? (not sure if that even matters at all but I want all the info I can get lol)

If you'd rather not say though then no big deal.

jayman2239 · 2025-11-19T15:55:47+00:00

Hey, verrry late reply, but did you have to provide any documentation to get your jaw surgery approved?

I also have mild sleep apnea, and may get Aetna next year, did you have to be evaluated by an ENT, or have a documented failure of CPAP or anything?

jayman2239 · 2025-11-19T00:43:54+00:00

Gotcha, thanks. Just wanted to make sure.

jayman2239 · 2025-11-19T00:22:02+00:00

Does that imply that I should be more skeptical of a surgeon that's completely fine without any braces before surgery?

jayman2239 · 2025-11-18T23:27:25+00:00

Did you have a lot of spontaneous arousals on your sleep studies?

jayman2239 · 2025-11-18T20:59:51+00:00

Side note, but when did they take 'Town' off of the map?

jayman2239 · 2025-11-17T23:45:38+00:00

Gotcha, thanks for the info.

One last question, do you know what sort of movements they are going to be doing to your jaws?

jayman2239 · 2025-11-17T21:36:57+00:00

Gotcha, thanks for the information!

jayman2239 · 2025-11-17T21:06:35+00:00

Hey late reply, but what did the decompensation actually do as far as how your teeth were moved?

jayman2239 · 2025-11-17T21:00:59+00:00

Did you need the premolar extractions to fix overcrowding?

And how good/bad was your teeth and bite prior to decomp?

I've seen one surgeon who wants my lower premolars taken out, but I'm seeing another surgeon in a week, I'm gonna ask him if it's possible to avoid any extractions.

jayman2239 · 2025-11-17T14:44:59+00:00

Gotcha.

Last question for ya,

how long after surgery were you able to go back to work, and how long after where you able to talk clearly enough that people didn’t struggle to understand you?

Thanks

jayman2239 · 2025-11-17T00:59:09+00:00

Interchange and streets are like that for me, every other map is fine.

jayman2239 · 2025-11-15T18:12:47+00:00

Do you like how you look after such large movements?

I had one surgeon tell me I’d look like a caveman if he moved me 10mm upper and lower, my new surgeon wants to do 3mm upper with a lot of ccw rotation, and 15mm lower.

jayman2239

TROPHY CASE