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Sleep Appliances

Dental Sleep Appliances

 

Oral Appliance Therapy

Oral appliance therapy is an effective treatment option for snoring and obstructive sleep apnea (OSA). A custom-fit oral sleep appliance can improve your sleep, restore your alertness and revitalize your health. Here is a guide to help you get started with this life-changing treatment.

About Oral Appliance Therapy

Worn only during sleep, an oral appliance fits like a sports mouth guard or an orthodontic retainer. It supports the jaw in a forward position to help maintain an open upper airway. Research shows that oral appliance therapy is an effective treatment option for snoring and obstructive sleep apnea. 

If you and your doctor decide that oral appliance therapy is the best treatment option for you, then your doctor will write a prescription for you to receive a custom-made oral appliance. You also will receive a referral to a qualified dentist who can provide oral appliance therapy. More than 100 oral appliances have received FDA clearance. Your dentist will recommend the oral appliance that is best for you. Oral appliance therapy is covered by many medical insurance plans. 

Watch a brief video about the fitting of oral appliances

Advantages of Oral Appliance Therapy

Oral appliance therapy is an effective, non-invasive treatment that fits easily into your lifestyle. Patients like oral appliance therapy because it is:
 

  • Comfortable

  • Easy to wear

  • Quiet

  • Portable

  • Convenient for travel

  • Easy to care for

How a Dentist Can Help: The First Visit

Dentists work closely with physicians to treat snoring and sleep apnea. At your first visit, your dentist will talk to you about the benefits of treatment. You also will receive information on the potential side effects and the cost of therapy. 

Then your dentist will conduct a complete clinical evaluation. This will include an examination of your teeth, jaw, tongue and airway, and possibly a new X-ray of your mouth. 

Making and Fitting Your Oral Appliance

Oral appliances are customized using digital or physical impressions and models of your teeth. These models are sent to a dental lab where the appliance is made. 

Once your oral appliance is ready, you will return to your dentist’s office for a fitting. Your dentist will adjust the appliance to maximize its comfort and effectiveness. You also will learn how to clean the oral appliance and maintain it. After this fitting, your sleep doctor may schedule you for a sleep study to verify treatment success. 

Follow-Up Visits

Follow-up visits with your dentist will be needed to ensure the optimal fit of the oral appliance. Effective oral appliances are always custom fit and adjusted over time to ensure maximum effectiveness. Your dentist also will schedule you for an annual assessment. These routine visits are an important part of your long-term treatment success.

Living with Oral Appliance Therapy

Treating snoring or obstructive sleep apnea with oral appliance therapy can help you feel like a new person. You will find that your symptoms, and your quality of life, can improve dramatically when you remain committed to your treatment and use it nightly. It is likely that you will sleep better, have more energy and feel sharper throughout the day. You may find that your bed partner begins to sleep better, too! 

Treating sleep apnea promotes a healthier heart, body, and mind. With your dentist’s help, you can improve your sleep and your health!

 
 
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Panthera Dental Sleep Appliance

The Panthera D-SAD is a dental appliance that can be used for the treatment of snoring and/or obstructive sleep apnea. The appliance is made of type 12 polyamide, a resistant biocompatible nylon.

The Panthera D-SAD is recommended to be prescribed for the treatment of snoring, mild to moderate sleep apnea, and severe sleep apnea for patients who do not tolerate the CPAP treatment or comply with it.

The Panthera D-SAD is the smallest device in the industry and it is the only one that is entirely printed using CAD/CAM technology.


Herbst Dental sleep appliance

The Herbst oral device has been proven to be effective treatment for bruxism, chronic snoring and/or mild to moderate obstructive sleep apnea sufferers. This appliance allows patients to move laterally and vertically without disengaging the appliance. All SomnoDent oral devices are FDA 510(k) cleared and manufactured under Class II Medical Device standards.

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tap 3 appliance

The TAP® 3 TL is part of the TAP family of appliances for the treatment of snoring and obstructive sleep apnea (OSA). Based on the same principle as cardiopulmonary resuscitation (CPR), the TAP (Thornton Adjustable Positioner) was designed to keep the airway open to allow for air to pass. A constricted or collapsed airway causes snoring and OSA. The TAP device holds the lower jaw in a forward position, maintaining a clear airway to reduce snoring and improve breathing.

Each TAP device consists of an upper and lower tray that fit over the teeth. Fitting more comfortably in the mouth than the original TAP, the TAP 3 TL features smaller hardware that provides more room for the tongue and allows the lips to close. On the TAP 3 TL, a hook mechanism attached to the upper tray fits into a socket attached to the lower tray and positions the lower jaw forward. Three hook sizes offer increased range of adjustment. An adjustment key enables the patient to adjust the protrusion of the lower jaw while wearing the device until a comfortable and effective position is achieved.

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The EMA® (Elastic Mandibular Advancement) oral appliance is a customized removable appliance created for the noninvasive treatment of snoring and obstructive sleep apnea (OSA). The appliance is designed to both advance the mandible and open the bite to allow for less restricted airflow during sleep.

EMA devices help promote a deeper, more restful sleep by preventing snoring and relieving the symptoms of OSA. The EMA does not interfere with breathing through the mouth, even in cases of congested nasal passages. It has many options for advancement with nine strap lengths (13 mm–21 mm) and four different elastic tension options, indicated by color. The shorter the strap, the farther the mandible is advanced. The 36 different straps allow for the most effective repositioning of the jaw with maximum comfort. Due to the varying elastic bands, non-restricted lateral/protrusive movement is possible while wearing the device.