Silent Nite sl positions the lower jaw forward using special S-shaped connectors that are attached to upper and lower trays. These trays are comprised of a soft inner layer with a hard outer layer that is durable and BPA-free. The new, improved connectors are stronger than those found on the original Silent Nite and are easily interchangeable by the patient. This intraoral appliance is indicated for patients with a minimum of eight teeth per jaw and a body mass index (BMI) of 30 or less.

The EMA resembles and fits like a retainer. The primary treatment mechanism of opening the bite and gently moving the mandible forward is achieved with the use of occlusal bite pads and the interchangeable elastic straps that offer varying degrees of mandibular advancement. This positioning of the mandible causes a forward movement of the tongue, re-opening the air flow through the oral pharynx (back of the throat). The flexibility of these elastic straps provides for lateral movement and decreases the force transmitted to the jaw.

The SNOR.X appliance from Appliance Therapy Group is a 1-size-fits-all tongue sleeve and extraoral lip guard that holds the tongue forward during sleep, keeping the upper airway open and  less prone to obstruction. The lip guard prevents tongue retrolapse and permits protrusive adjustment for patient comfort with no seizing. No impressions or measuring are required and the sleeve is suction-secured with a simple squeeze.

Mandibular Inclined Repositioning SplintThis appliance uses multiple clasps to positively lock the mandible into the appliance and prevent it from retruding. Because it is a one-piece appliance you can control the vertical dimension by changing the height of the appliance. There is also a larger airway cut into the acrylic in this design. Mandibular Inclined repositioning splint

The TAP III fits over the teeth similar to a mouth guard and advances the jaw forward during sleep. The TAP3 is similar to the TAP appliance without the adjustment device extension.

Clasp Retained Mandibular RepositionerThis dental device uses mandible locks and clasps to prevent it from retracing from its position.

The Dorsal Appliance– Originally designed as a nighttime TMD splint, the Dorsal Appliance has evolved into one of the most popular choices for snoring and obstructive sleep apnea. The two-piece construction allows for patient comfort and lateral jaw movement. The Dorsal fins on the mandibular appliance interface with inclines built into the buccal of the upper appliance to dictate a specific mandibular position. The appliance is traditionally fabricated with adjustable screws in the maxillary appliance to allow for further mandibular advancement. This appliance can be fabricated in a variety of materials including acrylic, dual laminate or thermal splint material.

The SUAD appliance allows more lateral movement than most of the appliances, and is specially made for our patients who aggressively grind their teeth at night (you know who you are). The thermo flex material usually requires heating in warm/hot water to soften it enough to place it every night.

Klearway–  This Mandibular Repositioning Appliance (MRA) is made of a Thermoplastic material, which is placed in hot tap water prior to placement into the mouth. The adjustment mechanism is on the roof of the mouth and can be adjusted in .25mm increments.

The NAPA uses eight clasps and is constructed of hard acrylic to provide excellent retention. Simple in design, the NAPA fits very much like a standard orthodontic appliance. An available option is the thermal active material Variflex™ (clasping optional). This variation will be trimmed scalloped to the gingival margin and is suitable for patients with sensitive teeth, crowns, bridgework or missing dentitions. Both versions of the NAPA appliance are available with the standard breathing beak or beakless option.

Herbst ApplianceThis type of MRA is made of hard plastic / thermoplastic material. The site of adjustment hardware is located on the cheek side of the molar teeth. This type of OA does allow for some lateral movement. This appliance can be fabricated out of material that has no methylmethacrylate and is thus safe for patients who are allergic to this material.

The Silencer appliance features a titanium precision attachment, which controls the anatomical settings of the appliance. It is capable of anteroposterior adjustment as well as vertical adjustment through a range of 10mm, in both dimensions. The design of the precision attachment also allows lateral movement of the mandible, which respects and protects the TMJ.

Tongue Retaining Device (TRD) is a device that works by holding the tongue in a forward position by means of a suction bulb that holds the tongue.

The SnoreFree is a one-piece thermoplastic mandibular repositioning appliance that is made chairside. It comes in a kit that contains instructions and forms.

The OASYS attempts to treat both areas of the upper airway. It is a mandibular advancement device with upper extensions that attempt to affect the nasal airway.

Palatal lift appliances act by lifting the soft palate upward and backward. When the soft palate is moved superiorly and posteriorly, the paired superior constrictor walls move medially to contract and press into the lateral portion of the elevated soft palate, thus affecting a proper velopharyngeal closure.

TAP 1 is an appliance that can be titrated in the sleep lab while the patient is asleep. The TAP uses the principle of cardiopulmonary resuscitation to keep the airway open in order to help patients maintain proper breathing techniques. Oxygen is allowed to flow adequately into the airway with the help of a device that holds the lower jaw forward to prevent collapse of the airway and eliminate instances of breathing cessation.

The Somnodent gently moves the lower jaw (mandible) forward. With the lower jaw forward, even slightly, the tongue will follow forward and the tissues around the soft palate will tighten up. With the lower jaw in this position, it is more difficult for the tongue and the soft palatal tissues to retrude and obstruct the airway.

The TAP II is a custom-made two-piece appliance that snaps firmly over the upper and lower teeth. The Front Assembly on the upper tray of the TAP is eliminated from the TAP II tray, as is the Lingual Bar on the lower tray. Instead, a Base and Hook assembly with an internal adjustment mechanism replaces the Front Assembly, and a Socket replaces the Lingual Bar. The Socket on the lower allows the patient more tongue space unlike the Lingual Bar, which limits the amount of space for the tongue. The tool used to adjust the Hook on the TAP II is an allen wrench “key” that is removable. The Hook Key is a simple tool designed to fit into the adjustment screw of the Base and allow the patient to keep count of each adjustment turn.

SomnoDent G2’s metal free modular advancement system enables ‘click-on’ ‘click-off’ advancement providing visual control for the dentist during the titration period. G2 has a slim profile with greater antero-posterior range as well as new lateral and vertical movement control options allowing dentists more adjustment options. G2 travel case is supplied with bedside storage and maintenance kit.