Common Oral Appliances Used To Treat Sleep Apnea and Snoring
Replace your CPAP With A Convenient Oral Appliance
Tap III Appliance-Precise Control of Jaw Position
The TAP III Elite is the most current design in the TAP line of oral appliances. The upper and lower trays are connected together by a small hook on the upper tray and a double lingual bar receptacle on the lower tray.
By attaching the upper and lower trays together it is possible to achieve precise lower jaw position to achieve an optimum treatment jaw location during sleep.
The double lingual bar design improves patient experience and durability of the appliance because the hardware cannot disengage while the trays are worn.Advantages of the TAP III Appliance include:
• Allows for a great amount of adjustability
• Jaw position is precise
• Minimal bulk of the appliance
• Hardware durability of front hook and lower bar
Dorsal Appliance-Vertical Freedom of Jaw Movement
The Dorsal appliance provides the greatest degree of freedom for the lower jaw. The "Wings" on the side of the lower tray slide against the "ramp" on the upper tray and guide the jaw forward into proper forward position.
Control of the lower jaw position is achieved by the adjustable ramps on the upper tray. The use of wings on the lower tray rather than a fixed hook like those used by the TAP provides a comfortable alternative for patients that desire more freedom of jaw movement during sleep.
Advantages of the Dorsal Appliance include:
• Normal mouth opening and closing during sleep
• Made of thermal plastic that can be softened prior to insertion
• Enhanced lateral jaw movement
• Patient comfort
Herbst Appliance-Vertical and Lateral Freedom of Jaw Movement
The Herbst Appliance has been proven to be effective on chronic snoring and mild to moderate obstructive sleep apnea sufferers. This appliance allows patients to move laterally and vertically without disengaging the appliance. Also, if it is determined that the initial position does not provide the anticipated relief of the condition, the mandible can easily be moved forward by two options of adjustability. The appliance can be fabricated from hard acrylic, thermoactive and soft materials and is tooth retained via friction grip or clasps.
The Herbst Appliance is a mandibular repositioner that has been in use many years for orthodontic and TMJ therapy prior to its modification for treatment of sleep disordered breathing.
The greatest advantage of the Herbst appliance is that it allows for very quick, easy and accurate mandibular protrusive adjustability. This is accomplished through simple manipulation of the rod/sleeve plunger mechanism. Vertical opening varies is 5 mm and there is limited freedom of movement for the mandible in a lateral direction.