When dealing with Snoring & Sleep Apnea cases a medical evaluation by a respiratory sleep physician should precede any dental intervention.
Snoring and Obstructive Sleep Apnea are breathing disorders that can be a real problem not only for the snorer but for their partner and other family members. Snoring is a noise created by the partial closure of the airway and may be no more problematic than the noise itself. However, snoring may be indicative of a more serious disorder, Obstructive Sleep Apnea (OSA). OSA is a serious condition where the airway totally closes many times during the night and can significantly reduce oxygen levels in the body and disrupt sleep. In varying degrees, this can result in excessive daytime sleepiness, irregular high pressure, and increased risk of heart attack and stroke.
Codentech’s range of snoring appliances provide dentists who wish to offer solutions to snoring with predictable and durable appliances that can make a huge difference to your patient’s lives. Sleep appliances reduce or eliminate snoring by positioning the lower forward and opening the airway to allow air to flow more freely. Clinical studies* have shown that snoring is considerably reduced in more than 80% of patients wearing sleep appliances.
The Silensor -SL consists of one transparent splint for the upper jaw and one for the lower jaw. The lower jaw is either held in a predetermined position or advanced by 2 connectors that are fixed laterally to the splint. The Silensor-sl thus counteracts the narrowing of the respiratory tracts.
The velocity of the inspired air decreases and so do noise-generating vibrations of soft tissues. With the Silensor-sl jaw movements are possible but no falling back of the lower jaw. With this function the Silensor-sl is a comfortable and at the same time effective snore guard.
In the beginning patients may experience tension and increased salivation, however generally this soon decreases.
Regular check ups of patient are encouraged to monitor any tooth migration.
Info leaflet available to download.
The MDSA appliance is fabricated from a heat processed hard/soft combination acrylic. The upper splint has a hook mechanism incorporated into the palate of the splint and the lower splint has a plate that the hook mechanism connects into. The hook can be adjusted with a key to provide up to 10 mm of movement to optimise lower jaw advancement. The hard/soft acrylic construction ensures the appliance is very comfortable to wear and the adjustable hook allows the wearer to find the optimal level of advancement. The appliance allows patients to move laterally and vertically without disengaging the appliance.
SETTING THE DEGREE OF PROTRUSION
The degree of protrusion of the lower jaw is best set by taking a construction bite set at 65-70% of maximum protrusion. At Codentech we make this easy by supplying a gauge that makes this procedure straightforward.