Sleep Apnea Treatments

Oral appliances offered by a dentist are becoming the first-line therapy for mild to moderate OSA sufferers due to their high compliance and increasing effectiveness. Even severe sleep apnea patients, if non-compliant with CPAP, are able to get a mandibular advancement device through a dentist. NDX has a variety of mandibular advancement devices which are all cleared for the treatment of Obstructive Sleep Apnea.

ClearDream®

ClearDream® is an oral appliance for the treatment of snoring and mild to moderate sleep apnea in adults.

How It Works

ClearDream® is a dorsal appliance, as it uses ‘fins’ on the lower arch to advance the mandible. The ClearDream maintains an open airway using titratable posterior hardware in the upper arch to adjust the degree the lower jaw is moved forward. The ClearDream® is made with clinically unbreakable Clear 450® material. We also employ a wax/design/inject manufacturing process that allows the lower arch with fin to be fabricated into one piece, greatly reducing the likelihood of fin breakage.

Advantages

  • Durable: Made with clinically unbreakable Crystal Clear 450®
  • Design: Anterior opening for patient comfort, better air flow and additional tongue space.
  • Retention: No ball clasps required – the combination of the design and Crystal Clear 450® material achieves sufficient retention

Indications

ClearDream® is intended to reduce night time snoring and mild to moderate Obstructive Sleep Apnea (OSA) in adults.

Contraindications

This device is contraindicated for patients who:
  • have central sleep apnea,
  • have severe respiratory disorders,
  • have loose teeth or advanced periodontal disease,
  • are under 18 years of age,
  • are missing 1st and 2nd molars in any quadrant

What To Send

  • Full upper and lower VPS impressions or digital files
  • A Bite Registration – A George Gauge Bite is recommended. If you do not have one available, the ClearDream® Bite Technique is acceptable. An accurate bite is essential for fabrication. Please download the Bite Technique Guide on how to take the bite registration.

dreamTAP®

Sleep apnea is the temporary cessation of breathing during sleep. Typically indicated by snoring, sufferers tend to awaken, gasping for breath. Apnea related disturbances occur repeatedly, resulting in a restless sleep and daytime drowsiness. This disease can cause serious health issues including increased blood pressure and the restriction of oxygen to the brain and blood stream.

How It Works

Designed with hardware on its exterior, dreamTAP® offers greater tongue space with no obstructions. The single point of adjustment prevents uneven bilateral adjustment that may create an irregular bite and jaw discomfort. The hardware in dreamTAP® is made from nickel-free cobalt chromium.

Advantages

  • Alleviate Sleep Apnea: Research shows that dreamTAP® is the most effective oral appliance available for the treatment of Obstructive Sleep Apnea.1
  • Reduce Snoring: AHI (apnea hypopnea index) decreased by 89% in severe Obstructive Sleep Apneaics.2
  • Improve patient’s sleep:  The quality of their sleep has a huge impact on the overall quality of your patient’s life.
  • Increase lateral and protrusive range of motion for increased patient comfort and compliance.

Indications

  • Anti-snoring device
  • Obstructive Sleep Apnea
  • CPAP intolerance

Contraindications

  • Loose teeth or dentures
  • Central Sleep Apnea

What To Send

  • Full upper and lower VPS impressions
  • Centric bite registration
  • Maximum protrusive measurement


1Thornton Meta-Analysis, 2015. Unpublished
2Hoekema A. et al, Simulated driving in obstructive sleep apnoea-hypopnoea; effects of oral appliances and continuous positive airway pressure (Sleep Breath, 2007), 11:129-138.

EMA®

EMA® is a simple, patient-friendly oral appliance for noninvasive treatment of snoring and Obstructive Sleep Apnea. Sleep Apnea is the temporary cessation of breathing during sleep. Sleep Apnea sufferers will often snore or awake gasping for breath. Apnea-related disturbances occur repeatedly, resulting in restless sleep and daytime drowsiness. The disease can cause serious health issues including increased blood pressure and the restriction of oxygen to the brain and blood stream. EMA® is relatively less expensive than other oral appliance therapy for sleep apnea.

How It Works:

The primary treatment mechanism of opening the bite and gently moving the mandible forward is achieved using interchangeable elastic straps that offer varying degrees of mandibular advancement. By holding the mandible forward, the EMA® maintains a clear airway to reduce snoring and improve breathing.

Advantages

  • Simple: Unobtrusive solution for OSA treatment
  • Comfortable: Elastic straps provide unsurpassed lateral movement
  • Affordable: Lower cost than many other oral appliance therapies

Indications

  • Snoring
  • Obstructive Sleep Apnea

Contraindication

  • Severe bruxing
  • Edentulous patient
  • Centric Sleep Apnea
  • Mobile teeth

What To Send

  • Full upper and lower VPS impressions
  • Centric bite registration
  • Maximum protrusive measurement

TAP®

Sleep apnea is the temporary cessation of breathing during sleep. Typically indicated by snoring, often times sufferers will awake gasping for breath. Apnea related disturbances occur repeatedly, resulting in a restless sleep and daytime drowsiness. This disease can cause serious health issues including increased blood pressure and the restriction of oxygen to the brain and blood stream.

How It Works

TAP® is made of two custom inter-occlusal parts that fit over the mandible and the maxilla. The upper portion of the device hooks into the lower portion, enabling the mandible to be pulled forward. Using a dial mechanism, the appliance is titratable allowing adjustment to determine the degree to which the jaw is held forward. By holding the mandible forward, the TAP® maintain a clear airway to reduce snoring and improve breathing.

Advantages

  • Alleviate Sleep Apnea: Research shows it is the most successful obstructive sleep apnea treatment available.
  • Reduce Snoring: More than 96% of patients using the appliance have stopped snoring.
  • Improve patient’s sleep:  The quality of their sleep has a huge impact on the overall quality of your patient’s life.

Indications

  • Anti-snoring device
  • Obstructive Sleep Apnea

Contraindications

  • Loose teeth or dentures
  • Central Sleep Apnea

What To Send

  • Full upper and lower VPS impressions
  • Centric bite registration
  • Maximum protrusive measurement