A number of years ago my doctor examined me to see if he could determine what was causing my sleep apnea. He thought that the major cause of my airway obstruction was a narrowing of my airway behind my tongue. Based on this I had surgery to move my tongue forward so that I would have more airway area. I had hyoid advancement surgery and another procedure. The hyoid advancement surgery involved moving the bone that the tongue connects to forward and then reattaching it to the lower jaw. This bone is connected to the lower jaw so when I move my lower jaw forward I have more airway area behind my tongue and when I move it back I have less area. The surgery did not completely cure my apnea but I think it helped. I then tried a dental device and it seemed to help but I still needed cpap. A dental device helps with apnea by I assume moving and holding the jaw (and tongue) forward. For a number of years I wore a dental device then snorban device at the same time that I used cpap. This seems a little extreme but it worked for me. I am not recommending it to others. I am now in the process of getting some dental implants and do not think I will be able to wear the snorban device again. It seems like my chin strap is now pulling my jaw back some. A full face mask seems to do the same thing. Both of these things could reduce my airway area during sleep.
Does anybody know a good way to keep your jaw forward without a dental device while using cpap. My encore pro reports are ok now but I still would like to improve my treatment if I can.