Advanced Brain Monitoring
Advanced Brain Monitoring
Product Name Apnea Guard
Website www.advanced-sleep.com
How It Works Serves as inexpensive temporary or titration appliance for up to 30 nights. Provides 1 mm increment adjustments, three vertical sizes, and predicted 70% advancement.
Fitting Fitted by patient with assistance of a trained health care professional within 15 minutes.First, the lower tray is fitted using predetermined amounts of retention material, followed by fitting of upper tray.
Adjustment Neutral, maximum and 70% advancement, and bite registration established with Apnea Guard inserted. Optimal jaw-forward positioning established by predictive formula, transferable to customappliances fabricated by a knowledgeable dental lab.
Materials Biocompatible plastic trays that adjust and accommodate a full range ofarch widths. Protrusive ranges are lined with heavy-set polyvinyl siloxane retention material customized to the patient’s teeth.
Indications Mild To Moderate OSA, Snoring
Airway Management Inc.
Airway Management Inc.
Product Name TAP
Website www.tapintosleep.com
How It Works E0486 code verified by Medicare, the TAP stabilizes the lower jaw in the appropriate protrusive position, preventing airway collapse and tongue blockage while keeping the jaw closed during sleep. The TAP has a full range of adjustment beyond maximum protrusion on into maximum passive protrusion.
Fitting The TAP is fabricated in a licensed dental laboratory and fitted by a clinician. The upper and lower trays are adjusted for retention and fit. Initial protrusion is set during the fitting process and can be easily modified. Posterior stops may be added for comfort if necessary.
Adjustment Adjustement may be made by the patient with the TAP in the mouth. An anterior dial with one point of adjustment prevents unequal torque. The clinician teaches a home titration schedule, which engages the patient in the therapy process. The TAP may be easily adjusted in the sleep lab by the sleep tech during a sleep study.
Materials Hardware material is medical grade SS. The trays have two hard outer layers of a durable polymer and the inner lining is one of two types designated by the clinican. 1. Triple Laminate(TL) is the most popular, using DuraSoft, which enables retention by comfortably gripping the teeth. 2.ThermAcryl, which softens when heated to allow “snapping” andreshaping for pa- tients who have dental work.
Indications Mild To Moderate OSA, Snoring, Bruxism
Airway Management Inc.
Airway Management Inc.
Product Name TAP 3 and TAP 3 Elite
Website www.tapintosleep.com
How It Works E0486 code verified by Medicare, the TAP 3 and the 3 Elite stabilize the lower jaw in the appropriateprotrusive position, preventing airway collapse and tongue blockage while keeping the jaw closed during sleep. The TAP has afull range of adjust- ment beyond maximum protrusion on into maximum passive protrusion.
Fitting The TAP 3, 3 Elite is fabricated in a licensed dental laboratory and fitted by the dentist. The upper andlower trays are adjusted for retention, fit. Initial protrusion is set during fitting and can be easily modified. Posterior stops may be added for comfort if necessary.
Adjustment Unique to the TAP 3 and 3 Elite, infi- nite adjustment is done by the patient while in the mouth. The TAP 3 series uses a handheld key with one point of adjustment that prevents unequal jaw torque. The dentist teaches a home titration schedule, which engages the patient in their own therapy. It may be easily adjusted in the sleep lab by the sleep tech during a sleep study.
Materials Hardware material choices are: medical grade SS, low nickel or nickel free. The trays have two hard outer layers of a durable polymer and the inner lining is one of two types designated by the dentist: 1. Triple Laminate (TL) is the most popular, using DuraSoft, which enables retention by comfortably gripping the teeth. 2. ThermAcryl, which softens when heated to allow “snapping” and reshaping for pa- tients who have dental work.
Indications Mild To Moderate OSA, Snoring, Bruxism
Airway Management, Inc.
Airway Management, Inc.
Product Name TAP PAP
Website www.tapintosleep.com
How It Works TAP PAP combines either a custom or noncustom strapless CPAP mask with the TAP (E0486 code verified by Medicare) or TAP 3 series appliance (E0486 code verified by Medicare). The two device types are connected via a kit provided by AMI. TAP PAP stabilizes the jaw and airway to improve delivery of PAP. Typically, patients whose disease has progressed and need more treatment than OAT alone are very good candidates for TAP PAP.
Fitting TAP PAP (CM) Custom: the dentist uses a custom impression kit supplied by AMI and then takes a facial impression. The custom mask is fabricated by AMI. The dentist connects the mask to the TAP and fits the patient. TAP PAP (CS) Chair side: the dentist fits the patient using a kit supplied by AMI. The kit contains 3 sizes of nasal pillows and all necessary hardware.
Adjustment Before attaching the mask, the dentist will set the TAP into a fixed protrusive position, which also serves as an anchor to the mask. The dentist will adjust the mask and instruct the patient. The mask is strapless and does not leak.
Materials See materials for TAP. TAP PAP CM: Hard acrylic plastic with a silicone border. TAP PAP CS: Nasal pillows are medical grade silicone (see Fisher & Paykel Opus pillow composition).
Indications Mild To Moderate OSA, Severe OSA, Snoring
Apnea Sciences
Apnea Sciences
Product Name ApneaRx
Website www.apnearx.com
How It Works Advances the mandible in precisely marked 1 mm increments.
Fitting Fitting takes less than 10 minutes. Submerge in boiled water for 90 seconds. Dip into cup of tap water for 3 seconds to cool off. Place in patient’s mouth to custom-mold for 30 seconds.
Adjustment Simple patent-pending adjustment mechanism is unaided by external accessories (screws, bands, etc). Provides marked 1 mm adjustment and locking capability with a 10 mm range.
Materials Soft thermal plastic and hard acrylic.
Indications Mild To Moderate OSA, Snoring
Gergen's Orthodontic Lab
Gergen's Orthodontic Lab
Product Name Respire
Website www.gergensortho.com
How It Works The best dorsal fin or mono block appliance on the market. It’s open in the front to allow patients to inhale/exhale more breath.
Fitting Elastic hook attachments placed on the anterior side to reduce stress on the appliance providing more stability overall.
Adjustment Advancement screw allows for 5.5 mm advancement in increments of 1/10 mm.
Materials The Respire can be fabricated in hard acrylic.
Indications Mild To Moderate OSA, Snoring, Bruxism
Lamberg Sleep Well Appliance
Lamberg Sleep Well Appliance
Product Name Lamberg Sleep Well (LSW-S)
Website www.lambergsleepwell.com
How It Works This appliance advances the mandible in .5 mm increments and opens the vertical in 3 mm increments. The lower jaw has freedom of movement along the arc of opening/closing.
Fitting Appliance does not require special fitting at delivery visit. It is only necessary to verify that the upper and lower members seat fully.
Adjustment A series of “inserts” slide into the upper appliance to increase the amount of mandibular protrusion (up to 9 mm) in .5 mm increments. Vertical adjustment can also be achieved with a vertical “insert.”
Materials Hard polycarbonate and hard acrylic.
Indications Snoring
Gergen's Orthodontic Lab
Gergen's Orthodontic Lab
Product Name Gergen’s Snap Fit Herbst
Website www.gergensortho.com
How It Works Effective on chronic snoring and mild to moderate obstructive sleep apnea sufferers, the appliance allows patients to move laterally and vertically without disengaging the appliance.
Fitting Guaranteed snap fit with a 3 year warranty.
Adjustment No adjusting required.
Materials The Snap Fit Herbst is fabricated in hard acrylic.
Indications Mild to Moderate OSA, Snoring, Bruxism
Gergen's Orthodontic Lab
Gergen's Orthodontic Lab
Product Name Gergen’s Sleep Herbst
Website www.gergensortho.com
How It Works Effective on chronic snoring and mild to moderate obstructive sleep apnea sufferers, the appliance allows patients to move laterally and vertically without disengaging the appliance.
Fitting Very few adjustments are required. The hard acrylic snaps into place. When requested, retention clasps can be added.
Adjustment Can be adjusted with telescopic hardware.
Materials The Sleep Herbst can be fabricated in hard acrylic, thermoactive or soft/hard materials.
Indications Mild to Moderate OSA, Snoring, Bruxism
Glidewell Laboratories
Glidewell Laboratories
Product Name aveoTSD Tongue Stabilizing Device
Website www.getaveo.com
How It Works The aveoTSD works by gently suctioning onto the tip of the tongue, preventing it from falling back into the throat and obstructing the airway.
Fitting Push the tongue gently into the aveoTSD until it touches the sides of the device. Squeeze the bulb to draw the tongue into the device until it is firmly attached.
Adjustment The device requires no adjustment. Small, medium, and large sizes are available. For patients with longer than average tongues, 4 mm/7 mm Uni-Spacers can be clipped onto the device for extra titration.
Materials The aveoTSD is made of 0.4 mm thick soft medical-grade silicone.
Indications Snoring
ResMed
ResMed
Product Name Narval CC
Website www.resmed.com/narval
How It Works Narval CC is the first and only computer-aided design/computeraided manufacturing (CAD/CAM) appliance on the market; patented articulation along the occlusal plane maintains lower jaw in a forward position promoting physiological breathing during sleep.
Fitting Narval CC uses CAD technology to suit the complex dental anatomy of individual patients; does not load incisors and the innate lateral flexibility eliminates “locked-in” sensation, patients can easily talk and drink.
Adjustment Narval CC is easy to titrate and highly adjustable with connecting rods that allow for 15 mm of protrusive range at 1 mm increments. The dentist/patient can simply select a shorter connecting rod until optimal advancement is achieved.
Materials The Ultra APM Positioner can be made with an exclusive thermo-sensitive acrylic material (Brux-eze or Rem-e-deze). Stainless steel Hyrax screws are used for jaw advancement. No clasps, because retention is designed into the acrylic.
Indications Mild to Moderate OSA, Snoring
SomnoMed
SomnoMed
Product Name SomnoDent Classic
Website www.somnomed.com
How It Works The SomnoDent is a medical oral device worn during sleep to increase the upper airway and reduce collapsibility.
Fitting SomnoDent comprises upper and lower dental trays with a unique patented fin coupling component, allowing normal mouth opening and closing.
Adjustment The SomnoDent Classic achieves mandibular advancement by means of bilateral adjustment screws located on the upper maxillary splint. As the screw mechanisms are titrated, they engage with the wings or fins on the lower splint to advance the mandible. The adjustment mechanism allows the mandibular protrusion to be adjusted (titrated) in the range of -0.5 mm to +5.5 mm from the preset level for a total of 6 mm.
Materials Made from the highest quality acrylic that will not discolor, surgical grade stainless steel adjustment mechanism and ball clasps for retention.
Indications Mild to Moderate OSA, Snoring
SomnoMed
SomnoMed
Product Name SomnoDent Flex
Website www.somnomed.com
How It Works The SomnoDent is a medical oral device worn during sleep to increase the upper airway and reduce collapsibility.
Fitting SomnoDent comprises upper and lower dental trays with a unique patented fin coupling component, allowing normal mouth opening and closing.
Adjustment The SomnoDent Classic achieves mandibular advancement by means of bilateral adjustment screws located on the upper maxillary splint. As the screw mechanisms are titrated, they engage with the wings or fins on the lower splint to advance the mandible. The adjustment mechanism allows the mandibular protrusion to be adjusted (titrated) in the range of -0.5 mm to +5.5 mm from the preset level for a total of 6 mm.
Materials Made from SMH BFlex, a soft polymer that is heat-cured, packed, and pressed utilizing an exclusive chemical formula that facilitates soft to hard polymer bonding at the layers. Interface and surgical grade stainless steel adjustment mechanism.
Indications Mild to Moderate OSA, Snoring
Glidewell Laboratories
Glidewell Laboratories
Product Name Silent Nite Slide-Link
Website www.glidewelldental.com
How It Works Silent Nite Slide-Link works by positioning the lower jaw forward using special Slide-Link connectors that are attached to upper and lower trays, which increases the volumetric capacity of the airway.
Fitting It is custom thermoformed in the laboratory from the patient’s models. A bite registration taken with the Slide-Link protrusion gauge is used to determine protrusive position and align the device.
Adjustment Slide-Link connectors attach to the upper and lower trays. These connectors come in six lengths (21-26 mm) and are easily interchangeable by the patient if the lower jaw needs repositioning.
Materials The upper tray of the Silent Nite sl made of a soft polyurethane inner layer and a hard copolyester outer layer that are BPA-free. Depending on retention, the lower tray is made from this same dual-layered material or all hard copolyester.
Indications Snoring
Great Lakes Orthodontics Ltd
Great Lakes Orthodontics Ltd
Product Name Herbst Appliance
Website www.greatlakesortho.com
How It Works It works by re-positioning and holding the mandible in a more protrusive position, thereby holding the tongue forward and airway open.
Fitting Very few adjustments are required. The hard acrylic snaps into place. When requested, retention clasps can be added.
Adjustment 0.25 mm adjustment with telescopic hardware, or 1 mm using advancement shims with the standard hardware option.
Materials Standard hard acrylic but can be made of V eriflex, a thermalreactive option.
Indications Snoring, Bruxism