Momentary oral appliances (also identified as transitional, interim, or demo appliances) aid instant therapy for obstructive rest apnea (OSA) compared to the longer waits for custom made oral appliances for OSA.
In accordance to an American Academy of Dental Snooze Medicine undertaking drive, they are defined as: “A short term appliance is approved by a skilled dentist to take care of OSA or loud night breathing, is frequently prefabricated or has a prefabricated shell that can be custom-made to in shape an personal affected person and is in a position to be calibrated. Non permanent appliances are indicated for brief-term use as a changeover to a appropriately equipped, tailor made-fabricated OA. Non permanent appliances are not indicated to be used as a extensive-expression substitute for a adequately equipped, personalized-fabricated OA. As indicated by manufacturer warranty and Food and drug administration content protection details, short term appliances are suitable for 3 to 6 months of ongoing use on common or up to 12 months in scenarios that need interim use for restorative treatment (or wants), evaluating tolerance, or financial motives. More than-the-counter appliances do not satisfy this definition.”
This temporary oral appliances tutorial compares options this kind of as Fda position, how it operates, time to healthy, fitting description, adjustment description, products, efficacy info, predictive value knowledge, warranty, estimated practical everyday living, payor reimbursement position, research supporting the appliance, and far more.
The temporary oral appliances as opposed are:
State-of-the-art Mind Checking Inc Apnea Guard
Airway Administration Inc myTAP
Glidewell Laboratories Silent Nite sl
Business | State-of-the-art Brain Checking Inc | Airway Management Inc | Glidewell Laboratories |
Appliance | Apnea Guard | myTAP | Silent Nite sl |
Fda Standing | Food and drug administration cleared in 2011 (Class II Device) | Fda cleared to take care of loud night breathing and moderate to reasonable OSA (Class II Device) | Fda 510(k) cleared June 25, 1997 for snoring Fda 510(k) cleared June 14, 2018 for loud night breathing and delicate to average OSA |
How It Performs | The Apnea Guard brings together a full selection of mandibular advancement with one particular of a few vertical dimension settings to outline the exceptional jaw ahead situation for the therapy of obstructive sleep apnea. The Apnea Guard can serve as a titration equipment with the settings transferred to a custom made appliance or applied as a demo/momentary equipment for up to 30 times. | The myTAP functions by advancing and stabilizing the lower jaw at a single level midline so the gentle tissues of the throat and tongue do not collapse into the airway. The myTAP comes with an AM Aligner to prevent tooth and jaw movement and a Mouth Protect to advertise nasal respiratory. | Mandibular improvement equipment. Connectors on right and left buccal facet will pull the mandible in protrusion to open up the airway. 6 adjustable options. AM Aligner supplied with each individual Silent Nite. |
Time to Suit | 6-12 minutes (depending on encounter) | 10-15 minutes (with an AM Aligner) | <15 minutes |
Maximum Protrusion (mm) | 18 | 21 | 6 |
Maximum Retrusion (mm) | 7 (forward adjustment from midline for class 1 (retrognathic) bites) | -5 | -1 |
Adjustment Increment (mm) | 1 | 1/3 | 1 |
Materials | 5.5 grams of catalyst and base retention material are required to fit the top or bottom trays of the low, medium, or high Apnea Guard. | The inner tray is a patented ThermAcryl material that can be reformed and remolded as many times as necessary. | Trays are standard soft inner liner and hard outer layer. May also come in hard/hard based on undercuts. |
Predictive Value Data | Identifying responders to custom oral appliance: Odds 3.4 p<0.02. Identifying those who achieve a custom OA AHI < 10: Odds 4.0 p-0.002. (Data presented at AADSM 2019) | Study compared myTAP to custom SomnoMed Flex: results showed that myTAP identifies responders to OA treatment. Also, myTAP significantly reduced AHI in severe OSA cases. (doi: 10.1155/2021/8811700) | Silent Nite may be used provisionally per Glidewell’s provisional mandibular advancement device protocol. But it does not need to be only a “temporary” appliance. It’s a definitive solution for snoring and mild to moderate obstructive sleep apnea. |
Warranty (days) | 30 | 30 | 180 |
Estimated Useful Life (days) | 30 | 90 | Varies based on factors such as clenching, bruxing, and maintenance |
Payor Reimbursement Status | Providers have been consistently reimbursed using E0485. | A limited volume of clients have seen varying reimbursements under EO485. This is new and developing information. | No payor reimbursement data provided but marketer offers a guarantee that if it doesn’t stop snoring, the user can get their money back. |
Research Supporting the Appliance | Levendowski DJ, Sall E, Morgan T, et al. Validation of a novel trial oral appliance protocol versus a conventional custom oral appliance protocol for the treatment of obstructive sleep apnea. J Dent Sleep Med. 20218(2). | Bosschieter PFN, Uniken Venema JAM, Vonk PE, et al. Equal effect of a noncustom vs a custom mandibular advancement device in treatment of obstructive sleep apnea. J Clin Sleep Med. 2022 Sep 118(9):2155-65. | Borrie F, Keightley A, Blacker S, Serrant P. Mandibular advancement appliances for treating sleep apnoea/hypopnoea syndrome. Evid Based Dent. 2013 Mar14(1):27-8 |
Last updated April 2024. A version of the guide was published in the May 2024 issue.
Information for this guide based on data submitted by temporary oral appliance marketers. Sleep Review strives for accuracy in all data but cannot be held responsible for claims made by marketers. All temporary oral appliance marketers get one listing at no charge. Advertisers are offered multiple listings. All options may not be included. Email editor[at]sleepreviewmag.com to be considered for the next update.
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