You have just received your oral sleep apnea\/snoring device. Always warm the appliance under warm water before placing the appliance in the mouth. Initially, when the appliance is placed in your mouth you will most likely find it cumbersome. There will be an increase in saliva flow for the first few weeks of use which will slowly subside. Some patients experience minor gagging or awkwardness swallowing, but these sensations are not permanent. After wearing the appliance all night, it is common to have some minor tooth or muscle discomfort. Many patients cannot touch their teeth together normally for up to 45 minutes. If this is a problem, lean on your hand for about 15 minutes each morning, as if you were the statue of \u201cThe Thinker\u201d by Rodin. You can also chew sugar free gum for 15 minutes, as well. Most patients experience little if any discomfort after a few weeks of adapting to their intra-oral sleep apnea device. Cleaning your intra-oral sleep apnea appliance should be done each morning with a toothbrush antibacterial soap, brushing all surfaces \u2013inside and out. An over-the-counter oral cleaner may be used weekly. The appliance should be stored dry in the case that is given to you. The appliances can cause soft tissue irritation, minor tooth movement (lower anterior crowding) and, occasionally, it can dislodge ill-fitting crowns and fillings in the area where the metal clasps hold on to the teeth. If you experience significant joint or muscle pain lasting more than 2 hours or requiring analgesic medication, discontinue use of the appliance and call our office to make an appointment for re-evaluation. Routine appointments for adjustment of the device consist of a series of appointments over 3-4 months. A small percentage of patients actually increase their number of apneic and hypopneic events when using an oral appliance.If your symptoms increase, contact our office immediately. Be careful that you do not leave the appliance anywhere that a pet can reach it. Dogs find them wonderful chew toys and replacement of the appliance is not covered by medical insurance.Do not leave it in a car on a hot day, or in your luggage when flying. If you have any questions about the use and care of your intra-oral sleep apnea\/snoring device, please do not hesitate to bring them to our attention at your next appointment or by calling our office. Schedule an Appointment Today Our Hudsonville, MI, dentists are ready to help you and your family get the quality dental care you deserve. Call Hudsonville Dental today at\u00a0(616) 209-4024, or contact us online to schedule an appointment.