When i place my fingers in my ears with my More1 HA, i can understand everything being said. Is that what it’s like having custom molds?
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You like more occlusion. I am currently wearing double power domes on my More aids that do that. Moving to power domes would require a hearing professional visit to adjust the programming.
Custom molds could also work and can have varying vent sizes to control the amount of occlusion.
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Basically yes. Your loss does call for custom molds.
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Me too and I’m interested in the answers. Thanks for asking.
Nancy
How do you determine that. I suggested getting molds but am currently fitted with double power domes. The audiologist graduated within the past 2 years and is not as familiar with Oticon as she is with Phonak.
I have the same issue with the Philips 9030. I’ve tried different domes to no avail. If I want to listen to music I have to place my fingers in my ears so I don’t listen much music! Disappointed to heat the Oticon Mores do the same.
The issue is open domes. All RITE aids will sound that way. You prefer a more occluded dome. My More 1 with the double power domes is almost as good as custom molds.
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I also REALLY should be wearing custom moulds, but found that I’m allergic to any material except the flesh-colored plastic and the softer, double-dome smoke topaz domes - so that’s what I’m using now.
Yeah, for SURE I’d like a bit more occlusion and good, solid SEAL, but as it is, I just keep pushing my aids into the canal all day long as they tend to slip out at the doorway.
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My double domes are doing that. I assumed they are too big.
No, likely not too big. It’s just a function of how we move our mouths and facial muscles all day long. All that movement works to wiggle the moulds OUT.
Annoyingly.
And that results in leaky-squeaky feedback if they work their way out far enough. Hence the non-stop action of pushing them IN all day long.
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I am having to learn to remember to do that. The tulip domes on my old aids fit without walking.
Yep, just went from a CIC to a RIC with xs power domes. My CIC’s were a crappy fit and tons of feedback. During my second visit, I asked if I could try the next size (s) in the left ear as that keeps slipping out. Very difficult to get in and it really didn’t make a difference - still backs out with jaw movement. I really don’t notice it until I turn the tv on and find myself going for the volume. Nope, snug them up and I’m good to go. How about No Slip Hearing Aid Glue!
I use Oticon → Ear Grips. Though, they don’t work for the power receivers (100, 105). They only work for the 60’s or 85’s. The link pointed to above is a link to a video.
Other manufacturers have a similar product too.
This well guarded secret is being shared just 'cause I’m a nice guy:
Not sure about Philips, but Oticon has an End Fitting page in Genie 2 fitting software.
Your audi, or if you DIY, can access the Phone settings and change them:
Get some cotton.Roll it into a ball.
Place it in your ears against your domes or molds.
Turn on your Music.
Smile!
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Honestly, I start thinking about custom tips once hearing loss at 1kHz is past ~45 dB. Or if the loss is steeply sloping and I have concerns about controlling feedback. I don’t love power domes. They do work well in some ears, but the ear canal has to be just right and the loss has to be just right. Custom tips give me better control over the venting. My main concern in all cases is whether I will be able to give the patient sufficient gain. It depends on the size/shape of the ear, but an open dome often cannot support sufficient gain past a ~25 dB loss and a vented dome often cannot after ~45 dB, especially if the fit isn’t ideal or the ear canal is larger than average.
BUT, our custom tips are free with hearing aids purchase. If there was a significant cost to the patient as there is in many clinics, I might try domes and allow them to fail before switching? If I get custom tips from the get go, I can easily switch to domes if they aren’t working well immediately.
Also, the manufacturer’s software is very optimistic about the range of low frequencies a dome can support. If a clinician is just trusting the software and not running REM, or doesn’t recognise that the reason they are unable to hit low frequency targets is because of the acoustic coupling, the patient will leave underfit.
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If you’re wearing “tulip” type domes, changing to the ball type that fit more snugly into the ear canal night help. For the best performance of my aids I changed to the ball type which vastly increased bass. My rt. and lt. ears take two different sizes. It also increased bass so that I can listen to streaming music satisfactorily without headphones.
Also sometimes called a ‘concha lock’ or a ‘whip’ or a half-dozen other things! 
I have always worn them, too, but my new audi suggested trying my Mores without the ‘grips,’ and so far I am not missing them too much. Maybe I’m having to nudge my right-ear unit a bit more often… not positive.
They were helpful during mask wearing times, though, because they helped save the HAs from flipping out of my ear on a few occasions during mask removal.
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I am having problems with the power domes tending to back out of the ear. I wondered if a smaller size would work better.
Here in the US there is a charge for custom domes. I still need to consider whether I want to go that route. Thanks.
@prodigyplace: I’m interested to learn how you can come to this conclusion without your having taken possession of your own set of custom molds … or have I missed something?