She then asked if the receeding chin came before or after treatment?, this puzzled me somewhat as I thought it was an odd question but I didn't attach any significance to it.
Well, until now that is as it would appear that the CPAP mask can act as a sort of orthodontic headgear and move the teeth and the upper and/or lower jaw backwards. This effect can get progressively worse over time and may cause Temporomandibular disorders in some patients.
Some of these facial changes have rather creully been dubbed "Smashed Face Syndrome" which may also be associated with the following issues and just one of them may be a sign of Temporomandibular disorder:
Pain in your face, ears, below or in front of your ears or headaches for which your doctor has not found a cause?
Your ears sound muffled or feel blocked?
Your jaw joints located in front of your ears, hurt when you chew and do they make clicking or crackling noises?
Your facial muscles feel tired or stiff when you awaken, during the day, after a lot of speaking or when yawning?
You clench your teeth together while sleeping or awake? A spouse can often tell you about your jaw muscle activity during sleeping.
You have headaches in the your temples?
Are you able to open your mouth freely, smoothly and as wide as you are accustomed to doing?
You can move your jaw from side to side with your mouth open?
You experience episodes when your jaw feels that it locks open or shut?
You feel that your upper and lower teeth don't fit together as they usually do?
Is your bite comfortable? Is chewing tough foods uncomfortable or painful?
You experience dental pain in lots of teeth for which your dentist has found no cause?
Are your teeth chipping and are the front teeth worn flat on their edges?
Do your upper front teeth completely cover the lower teeth when you bite together?
Have your teeth been shifting, creating spaces or crowding for no apparent reason?
So, I suppose the natural conclusion is that Cpap can and in some instances actually alter the way you look and can cause you a whole heap of grief, if this is the case is it time to see a Lawyer?
Disclaimer: I accept no liability whatsoever if you embark along a long and costly litigation and get stung, I do however suggest if you win you make a substantial contribution to this website as it is run by donations.:grin:
P.S I wouldn't insult your generosity by refusing a share either!:grin:
Reference: Chest. 2010 Oct;138(4):870–4. Epub 2010 Jul 8. Craniofacial changes after 2 years of nasal continuous positive airway pressure use in patients with obstructive sleep apnea. Tsuda H, Almeida FR, Tsuda T, Moritsuchi Y, Lowe AA.