Appliances Used in Our Office
We use several oral appliances in our office depending on the size and shape of your mouth and tongue. Dr. Moore will discuss the advantages and disadvantages of each with you before making a final choice.
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An Overview of most common appliances we use
Moses Appliance
The The Moses™ was invented and fabricated by incorporating 3 very specific dimensions. Below is a description of all three dimensions and how they contribute to the efficacy of this oral airway dilator:
- Tongue Management: No other device on the market incorporates Tongue Management into their device. The design of The Moses™ promotes the activation of involuntary sub-conscious reflexes using a clever but simple design in the mandibular lingual acrylic. So rather than pull the tongue out of the airway, the acrylic design guides it to optimum position to the roof of the mouth. Gone are uncomfortable pins, posts and gadgets that prevent the tongue from coming forward. There is nothing in the mouth that restricts the tongue from advancing forward. The Moses™ increases tongue space and prevents collapse of tongue on the airway.
- Mandibular Advancement: With The Moses™, it is not necessary to extend the mandible to a position that is uncomfortable and painful for the patient. The combination of Tongue Management and Mandibular Advancement means you can be conservative when advancing the mandible. Now that the tongue is out of the airway, the mandible does not need to be protruded significantly. As a result, you will also reduce problems associated with TMD.
- Patient Compliance: The most important dimension
of
The Moses™ is compliance. If the device works well and is
comfortable, we know the patient will want to wear it every night. While
wearing The Moses™ the patient can easily talk, drink, open wide and
close their lips. They no longer have the discomfort of dry mouth in the
mornings. Eliminated are the claustrophobic locked jaw and mouth
breather designs of earlier MADs. After a short time, you forget it is
in! Patients wear it because they feel better now that their symptoms
are reduced or permanently diminished.
The combination of all 3 dimensions of The Moses™ means the success does't rely heavily on one attribute to stop symptoms. Since the tongue is stimulated to a forward position, you don't have to aggressively extend the mandible in order stop snoring or reduce the AHI. The mandibular position of The Moses™ is comfortable for the patient. Bottom line: It works and is very comfortable, therefore the patient wears it and gets help every night!
FDA 510K number:
The Moses Appliance - K093710O.R.M. DeviceThe O.R.M.(r) type Device is a new generation custom-made mandibular repositioning device with patented physiological articulation and unique comfortable splints to optimize patient acceptance and treatment efficacy. It is recognised by many specialists as the most discrete and comfortable mandibular advancement device available and thousands of patients recognize the benefits of this simple to use yet extremely efficient therapeutic solution.
In March 2009, Narval launched the O.R.M.(r) mandibular repositioning device using the Narval CADCAM Technology (Computer Aided-Design and Computer Aided Manufacturing) by laser sintering a polymer powder. The CADCAM Technology offers more customization possibilities for the device and a greater mechanical strength.
Simplicity
- You can put it in and out and out your mouth in a few seconds
- You will get accustomed to the device on the first couple of nights;
- You may talk discernibly or drink a glass of water while wearing your O.R.M.(r) device;
You can take it easily anywhere you go.
Clinical success : results on 108 patients with OSAS and obstructive snoring (1)
- Efficacy of more than 80% in treating snoring
- An average decrease of 60% of sleep disruptions and respiratory events during sleep
- Improving the quality of life and sleepiness
- Decrease of more than 25% of the Epworth sleepiness score (daytime sleepiness)
Very good acceptance
- 94% of patients still under treatment after 15 months on average
- 66% of patients wear the device all night 7 nights a week
(1) Navailles et col., Efficacy and Compliance of Innovative Mandibular Advancement Device, Rome, Congrès Modial d´O.R.L. I.F.O.S. 2005
Silencer
The Silencer Professional is a laboratory fabricated fully adjustable oral appliance for the treatment of sleep apnea and snoring. The 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. The titanium Halstrom Hinge(r) is made of implant grade titanium and carries a five-year warranty.
There are three component materials in the Silencer. The body of the appliance is constructed of elastamer,a pliable material which offers the patient a much greater degree of comfort than harder acrylic materials. For additional support, to the dentition as well as the temporomandibular joint, hard acrylic bite pads are placed in the molar regions. A commercially pure titanium articulating component grants the appliance the many adjustment characteristics that make the Silencer unique - kind to the tissues, the teeth, and the temporomandibular joint.
FDA Approval: Approved for both snoring and OSA
Date of FDA Approval: Nov 29, 1995
FDA Registration Number: K954530
Silent Nite
The Silent Nite(r) appliance is prescribed by more dentists for the initial treatment of snoring. Persons with mild sleep apnea also may be treated when surgical and other medical treatments are ineffective or not desired. A soft/hard frame material is available for increased
patient comfort.FDA Approval: Approved for Snoring and OSA
Date of FDA Approval: September 18, 1997
FDA Registration Number: K972424
