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Oral Appliance Therapy

The Problem, Initial Evaluation and Treatment


                     Oral Appliances can help with either Snoring or Sleep Apnea


The Problem

With snoring and sleep apnea the air way constricts or is totally closed.  When partially closed the soft tissues vibrate to produce the snoring sound.  When the air way is totally closed this is called apnea.  The consequences of this condition if left untreated are:  high blood pressure and the possibility of stroke; headaches when you wake in the morning; feelings of depression and finally wanting to fall asleep during the day.  Untreated sleep apnea may be responsible for job impairment and motor vehicle accidents.


Oral Evaluation



During the evaluation to see if you are a candidate for an oral appliance your dentition, tongue and airway space will be evaluated.  This is important because a certain number of teeth are needed to stabilize the appliance.  The health of your gum tissues and bone support to the teeth will also be evaluated.  In some cases if there is a gum problem like gingivitis or loss of bone support to the teeth, these must be treated first to ensure a successful result.



Determining the starting position for the appliance

The first step is to determine the proper amount of anterior displacement of the lower jaw.  This is done with a special bite fork.  Once this position has been determined it is locked in with a bite registration material.  Impressions are then made of both the upper and lower arches.  These materials are then sent to the lab . 

Laboratory Phase

The lab then constructs your custom appliance to the position which was determined by the bite fork analysis.  In the above case the straps determine the amount of anterior displacement of the lower jaw. 

Placing the appliance

The appliance is first seated on the upper teeth then the lower jaw is moved forward until the lower teeth fit into the bottom portion of the appliance. 

All appliances are adjustable to meet your needs


    Tap3                                   Tap                                PM Positioner                    SomnoMed


This appliance is easy to wear, allows for jaw movements and can be modified as conditions demand by changing the length of the straps.  The TAP3, SomnoMed and PM Positioner are modified by means of an adjusting screw.


The problem is not just yours.

Not only does it affect you but also the people around you and your loved ones.  Are you tired of sleeping alone with a mask, hoses and an air compressor?

Oral Appliance therapy can give you more that your life back!



It might be all that you need to get the sleep you require and back

in bed with the one you love!


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