Adjustable PM Positioner
The Adjustable PM Positioner is a custom fit mandibular jaw advancement device, which has small screws that permit adjustment of the advancement to optimize treatment.
FDA Approval: Approved for both snoring and OSA
Date of FDA Approval: Feb. 8, 1996
FDA Registration Number: K955503
aveo TSD
Clinical trials have found that the aveoTSD anti-snoring aid is very effective in the treatment of SNORING and OBSTRUCTIVE SLEEP APNOEA (OSA) , enriching you and your partners life through reduced sleep disturbances , allowing deep restorative sleep.Complete Wellness now requires sleep awareness to be understood at the same level as exercise and diet.AVAILABILITY – PLEASE CONTACT THE MANUFACTURER AS THE UNIT IN THE UNITED STATES OF AMERICA IS BY PRESCRIPTION ONLY PER FDA REGULATIONS. IN OTHER COUNTRIES THE aveoTSD WILL BE AVAILABLE VIA HEALTH PROFESSIONAL”S TO ENSURE COMPLIANCE AND EFFICACY ALONG WITH OTHER HEALTH REQUIREMENTSFDA Approval: Currently FDA approved for snoring. OSA approval subject to ongoing randomized crossover clinical trials, initiated on indicative efficacy during pilot studies.
Date of FDA Approval: Dec., 1999
FDA Registration Number: K993381
Clasp Retained Mandibular Positioner (CRMP)
Date of FDA Approval:
FDA Registration Number:
Elastic Mandibular Advancement Appliance (EMA)
FDA Approval: Approved for both Snoring and OSA
Date of FDA Approval: Sept. 29, 1997
FDA Registration Number: K971794
Elastomeric Sleep Appliance
Date of FDA Approval: June 14, 1995
FDA Registration Number: K946112
FullBreath Appliance
The design of the Full Breath Solution focuses on inhibition of tongue movement; inhibiting the rise and backward movement of the tongue so that it does not block the airway during sleep.
With a single arch appliance designed to provide subtle yet effective admustments, the Full Breath Solution imporves airflow 100% of the time and stops snoring with 95% of all patients.
Herbst Telescopic Appliance
Date of FDA Approval: March 1996
FDA Registration Number: K955822
Hilsen Adjustable Appliance
FDA Approval: Approved for both Snoring and OSA
Date of FDA Approval: October 21, 1997
FDA Registration Number: K963591
LSWD
Trade Name Lamberg Sleep Well Device
Regulation Numberg: 872.5570
Regulation Name: Intraoral Devices for Snoring and Intraoral Devices for Snoring and Obstructive Sleep Apnea Regulatory Class: II Product Code: LRK
Dated: December 7, 2006
Received: December 7, 2006
Luco Hybrid OSA Appliance
The Luco Hybrid OSA Appliance is a hybrid (cast Vitallium 2000)/acrylic) appliance that is designed to advance the mandible and tongue utilizing pharyngeal reflexes. This feature allows very effective and comfortable treatment of obstructive sleep apnea and snoring. The patent pending forward bite is very effective at reducing muscle activity, as well as TMJ pain. The device was initially designed for TMD therapy and moved later into sleep medicine. It is FDA cleared for sleep apnea and snoring and it is also registered in Canada and the European Union for these diseases as well as the treatment (not just control) of sleep bruxism. The device allows full opening as the top and bottom are not attached, with lateral movements allowing speaking and drinking with ease. The hybrid design is very strong and does not break ensuring a long term treatment. There is no material in the anterior allow mouth breathing.
The metal framework is re-usable, reducing the long term cost considerably for the patient. There is no acrylic on the lingual of upper and lower teeth and inserting the appliance takes minutes (simply tightening 4 ball clasps is all that is needed). The forward bite is simple to adjust as there are only 2 points of contact on the device. It is adjustable up to 6mm and clinically proven with over 2500 appliances currently in use (and only 2 breakages due to dropping on a hard surface) with a compliance rate of greater than 90%.
Sleep Apnea Regulatory Code: LRK
FDA Registration Number K130797
Mandibular Inclined Repositioning Appliance (MIRS)
Date of FDA Approval:
FDA Registration Number:
Medical dental Sleep Appliance (MDSA) 2
MDSA Appliance Medical Dental Sleep Appliance (MDSA) A safe and effective treatment for snoring and mild to moderate sleep apnoea.
The MDSA is
- Effective
- Comfortable
- Easy to keep clean
- Simple to use
- Australian designed and manufactured
The Medical Dental Sleep Appliance (MDSA) has been developed in direct consultation with leading Australian dentists, sleep physicians and dental technicians.
It is a titratable mandibular advancement appliance with these special added features:
- Ability to adjust the advancement when the appliance is in place using a key
- Lateral movement of the mandible with the appliance in place reduces TMJ problems and improves comfort
- Low profile of the appliance allows minimum opening of the bite.
The laboratory made MDSA holds the jaw and tongue forward and prevents the throat from collapsing during sleep.
The results of a study at the Austin and Repatriation Medical Centre Sleep Clinic, a crossover trial comparing the MDSA, nasal CPAP and placebo confirm that this is a safe and effective treatment for snoring and mild to moderate sleep apnoea. Patient compliance and comfort was significantly greater with the MDSA than the CPAP. The MDSA is scientifically proven as an effective method for treating snoring and mild to moderate sleep apnoea.
The MDSA is an alternative therapy when other treatments that involve nasal CPAP or surgery are not accepted.
Narval O.R.M. Device
The 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
Nocturnal Airway Patency Appliance (NAPA)
The Nocturnal AIrway Patency Appliance (NAPA) is constructed in a dental laboratory of rigid acrylic and is tooth retained by Adam”s clasps. An anterior positioned breathing beak allows for oral breathing when necessary. The mandible is held firmly in position to prevent any jaw movement during use and , thus, is non-adjustable. The vertical opening is 5 to 10mm.
FDA Approval:
Date of FDA Approval:
FDA Registration Number:
Nose Breathe Appliance
FDA Registration Number: K013687
OASYS
The OASYS Oral/Nasal Airway System is the first dental device to be reviewed by both the dental and ENT divisions of the FDA and to be approved as a dental device for treatment of snoring and sleep apnea through mandibular repositioning and also as a nasal dilator for reduction of nasal resistance and improved nasal breathing.The OASYS Oral/Nasal Airway System functions to:
- Act as a mandibular repositioner
- Act as a nasal dilator
- Allow mouth breathing to occur, if required.
The OASYS Oral/Nasal Airway System is designed to achieve these functions with the following goals:
- Maintain maximize the intraoral volume.
- Minimize the force on the teeth.
- Have no components that extend extra orally through the lips.
- To reduce upper airway resistance.
THE OASYS ORAL/NASAL AIRWAY SYSTEM REDUCES THE FORCES ON THE TEETH BY DESIGN.
The OASYS Oral/Nasal Airway System fits securely onto the lower arch only. The upper flange extends in front of the upper arch and under the upper lip. This maintains a slippage during mandibular movements during usage. There is a nature give to the wires that creates a yielding give when the mandible pulls back on the device. Provided is an upper splint that distributes the forces through the entire arch. Together these act to reduce the forces on the teeth.
MAXIMAL INTRAORAL VOLUME
The OASYS Oral/Nasal Airway System maintains maximal tongue space by positioning the connectors and adjustment components outside of the dental arch leaving the palate and anterior oral space completely free for the tongue to position itself up and forward. There is usually even an open space for the tip of the tongue to go between the incisor teeth.
SYNERGISTIC FUNCTION FOR MAXIMAL RESULTS The OASYS
Oral/Nasal Airway System maintains the patentcy of the oropharyngeal airway by functioning as a mandibular repositioner and as a nasal dilator by maintaining a stretch in the nasal labial tissue to dilate the internal nares.
For more information http://www.oasyssleep.com
FDA Approval:
Date of FDA Approval:
FDA Registration Number:K030440
OPAP
used for mild to severe cases of OSA.Evaluation of the patient for the suitability of an oral appliance from a medical and dental standpoint is first determined. A referral to a dental sleep specialist is then made. A complete dental exam including panorex, cephalometrics in addition to sonography of the TMJ joint was obtained prior to taking dental impressions may be considered. A bite registration is then obtained, allowing the OPAP® appliance to be custom made to the patients dental impressions. Once a comfortable fit is obtained the OPAP® was connected to CPAP or BiPAP by the standard tubing. A titration polysomnogram test is then recommended with the O PAP and positive air pressure.Primary complaints with the OPAP® included oral drying, excessive salivation, discomfort with exhaling against CPAP. Drying improves with the use of an inline humidifier. Excessive salivation improved with adaptation and continued use of the oral appliance. Discomfort with exhalation against orally delivered CPAP improved with the use of orally delivered BiPAP. The OPAP® has been designed for patients with and without teethData presented to the FDA demonstrated the OPAP® appliance delivered oral air pressure capable of producing a reduction of the AHl in mild to severe cases of OSA to the same level of efficacy as nasal mask delivery. This type of dental appliance may serve to be a therapeutic alterative to nasal CPAP and in certain mild cases this oral appliance is by itself capable of treating mild OSA.FDA Approval:
Date of FDA Approval: Oct. 18,1999
Date of Canadian Approval: Feb. 25, 1999
FDA Registration Number: K991926
Canadian Approval Number: 18949
OSAP
Date of FDA Approval: May, 1996
FDA Registration Number: K960673
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 temperomandibular 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 temperomandibular 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 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
Sleep Apnea Goldilocks Appliance (SAGA)
FDA Approval:
Date of FDA Approval:
FDA Registration Number:
Snore Silencer Pro
The SnoreSilencer(tm) Pro is an easy-to-use and comfortable heat-and-fit mandibular advancement device, for the reduction or elimination of snoring and/or to treat OSA. Patients can take it home the same day it is fit. For patients considering a mandibular advancement device, the SnoreSilencer Pro is a quick and cost-effective introduction to the technology. The device is also an alternative for noncompliant CPAP users or those who want a more accessible treatment alternative when traveling.
With its patented hinge technology and soft pliable material, the device is close to custom in comfort and ability to adjust jaw advancement, without the long waiting period for lab fabrication. The unique Precision 3 Advancement System uses three separate lower trays, each with a fixed pin setting. This facilitates three different advancement levels to help patients can reach a most satisfactory level of treatment.
FDA 510K: K033822
February 6, 2004
Snore_Aid
Date of FDA Approval: July 22,1999
FDA Registration Number: K991449
SnoreFree
The SnoreFree is a one-piece thermoplastic mandibular repositioning appliance that is made chairside. It comes in a kit that contains everything from complete instructions, to all the forms necessary to screen your patients for snoring and apnea. When you need an appliance to bring the tongue forward and clear the airway in the hypopharyngeal region, this appliance is a good one to use first as it is inexpensive, and it’s easy to use.
FDA Approval: Unclassified
Date of FDA Approval: Jan. 4, 1996
FDA Registration Number: K955336
SomnoDent MAS
The SomnoDent MAS is a custom-made device, consisting of upper and lower dental plates with a unique patented fin-coupling component, which allows normal mouth opening and closing. If required, a part can be added to make the device adjustable. This feature provides incremental and adjustable levels of lower jaw advancement, which improves the effectiveness and comfort-level of treatment as the jaw is moved only as far as is required to alleviate snoring and reduce OSA. Key features and benefits of the device include: Permits normal mouth opening Allows speech and drinking Provides full lip-seal Easily adjustable Safe and effective Clinically proven Custom-fitted Additionally, the SomnoDent MAS is made from durable fade-proof acrylic that retains its shape and color for at least four-five years and is covered by a two year manufacturer”s warranty.
FDA Approval received July 2005
SomnoDent MAS
The SomnoDent MAS is a custom-made device, consisting of upper and lower dental plates with a unique patented fin-coupling component, which allows normal mouth opening and closing. If required, a part can be added to make the device adjustable. This feature provides incremental and adjustable levels of lower jaw advancement, which improves the effectiveness and comfort-level of treatment as the jaw is moved only as far as is required to alleviate snoring and reduce OSA. Key features and benefits of the device include: Permits normal mouth opening Allows speech and drinking Provides full lip-seal Easily adjustable Safe and effective Clinically proven Custom-fitted Additionally, the SomnoDent MAS is made from durable fade-proof acrylic that retains its shape and color for at least four-five years and is covered by a two year manufacturer”s warranty.
FDA Approval received July 2005
Somnoguard 2.0
One-part thermoplastic mandibular advancement device to treat snoring and mild to moderate obstructive sleep apnoea. Appliance consists of a hypoallergenic thermoplastic body. After heating the appliance in water that has been boiled the thermoplastic co-polymer becomes soft and mouldable. While soft, the appliance is fitted to the upper and lower jaws and once cooled it is ready to be worn at night. It differs from the preceding SomnoGuard by a 3.0 mm thicker molar biting zone. This thicker molar area means that fitting is faster and easier for those patients with a deep bite. The monobloc appliance exhibits the following features and advantages:
- Easy fitting within minutes, preferably by physicians or their trained staff
- Clinical efficacy well proven by several clinical trials performed with the SomnoGuard® with success rates between 50 to 80% in reducing snoring and RDI (i.e. Respiratory Disturbance Index). Literature references and detailed actual clinical trial outcome data is published on www.tomedcare.com
- Normally very well tolerated. Minor and temporary side effects refer mainly to hypersalivation and morning discomfort
- Average life of about one year, and thus considered for short to medium term use
- The most cost-effective option to treat snoring and sleep apnea
Somnoguard Adjustable
Dental lab made two-part mandibular adjustable positioner to treat snoring and mild to moderate sleep apnoea. The SomnoGuard AP Pro can easily be constructed from common acrylic/elastomeric thermoform dental materials in any detal lab after taking impressions of the lower and upper jaws and producing plaster models. The components used to connect the upper and lower trays of the dental appliance and enable the infinite advancement of the lower jaw are made from stainless steel. The components” technology is based on the preceding development of the SomnoGuard AP. The components are very durable, more or less inndestructable, inexpensive and can most often be reused when the oral appliance has to re-made for some reason. As well as the advantages of the SomnoGuard AP, the dental device SomnoGuard AP Pro provides the additional benefit that even patients with missing teeth or dentures can wear it. SomnoGuard AP Pro is considered for long term use between about three to five years or longer.
FDA Approval received for the complete line of SomnoGuard oral appliances (the 1-part boil & bite devices SomnoGuard and SomnoGuard 2.0, the 2-part adjustable boil & bite SomnoGuard AP and the two part custom made SomnoGuard AP Pro for fabrication by dental labs) the FDA 510(k) approval under the clearance number K061688 on September 8, 2006
SUAD
TAP
The Thornton Adjustable Positioner (TAP) is a custom-made two piece adjustable appliance that is worn while sleeping. The trays of the appliance snap over the upper and lower teeth and hook together. The design is based on the same principle as cardiopulmonary resuscitation, CPR. The airway must be opened to allow air to pass through the throat. The TAP holds the lower jaw in a forward position so that it does not shift nor fall open during the night. This prevents the airway from collapsing. The more you pull your jaw forward, the more your airway will open.
The TAP is the only mandibular advancement device that can be adjusted easily by the patient or practitioner while in the mouth. This feature allows the patient to always be in control of their treatment. The unique design also allows the patient to fine-tune their treatment position at home to achieve maximum results.
Most patients experience relief the very first night they wear their TAP. Although it may take up to a week to get used to wearing a TAP appliance, this is a small hurdle for patients. Nine in ten patients wear the device all night, every night making the TAP a highly effective solution for both snoring and sleep apnea.
Features
- Patient-friendly
- Superior results
- Easy to fit
- Infinitely adjustable
- Precise control of advancement
- Interchangeable hooks
- Freedom for lateral movement
- More room for tongue
- Allows lips to close
The TAP® can help prevent conditions linked to sleep apnea:
- Chronic daytime sleepiness
- High blood pressure
- Heart attack
- Stroke
- Heartburn, reflux
- Morning headaches
- Depression
FDA Approval: Approved for both snoring and OSA
Date of FDA Approval: August 21, 1997
FDA Registration Number: K972061
TheraSnore
Date of FDA Approval: August 13, 1997
December 2014 the FDA has cleared/approved the Adjustable TheraSnore for the treatment of Obstructive Sleep Apnea.The FDA 510(k) approval is K140663.
Tongue Retaining Device (TRD)
Date of FDA Approval:
FDA Registration Number:
Z Appliance
Date of FDA Approval:
FDA Registration Number:
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22 thoughts on “List of Oral Appliances for Treating Sleep Apnea”
Does Medicare pay for these appliances?
Undergoing Sleep study and definitely have sleep apnea with O2 dropping to 82 % at times. Apnea 11% of each hour. Have tried face mask over nose and mouth, but didn’t go well. Interested in options other than CPAP. Please give me names of dentists (Oral surgeons )in the central Florida area near The Villages, FL. who are qualified to work with MAD or other oral devices. Thank you.
“Vivos Therapeutics” should be here… if compared with rest of the other treatment, you will find it more innovative and effective. Just in 12-24 months it will cure sleep apnea if it’s mild to moderate.
I have mild sleep apnea and snoring. These articles were helpful since I have no treatment yet.I am thinking of the snore free. But would like to find out what us the TAP?
What is going on with my purchase? I have not recieved anything.
Have you reviewed the VIVOS appliance?
Are there oral devices (MAD) that can be mde to fit over dentures?
Can you supply a list of Practitioners that are currently selling the Herbst Appliance. My current one is years old and would most likely need to be replaced. I live in Lancaster.
Thank you
JZ
I have unused CPAP medical supplies and don’t want to throw away (incorrect order items received that the company says not cost effective to issue return)…
Need address so I can donate to your organization…
all talk about this woderful treatment for sleep appnea but how about going a little further and showing some advertising photos i do not have a clue at what you are talking about
My husband and I planned an European River Cruise for our 20th wedding anniversary. I asked my doctor about getting something to keep me from snoring. Since I have a normal BMI/weight, don’t drink or smoke or have any medical problems, he thought I should be tested for sleep apnea which can be accompanied with snoring. I completed a one night sleep study and learned that I did indeed have sleep apnea. The Sleep Doctor (MD specializing in this field) had me fitted for the SomnoDent. All this occurred in May, 2016 and our trip was the first few weeks of June. Man what a difference it made right away. The snoring stopped and I started getting the best rest due to treating the sleep apnea which was causing (unaware to me or my husband) me to wake up over five times an hour gasping for air. I wear the device every night and don’t even think about it being in my mouth as I drift off into a sound, uninterrupted sleep…………zzzzzzzzzzzzz
I am using the TRD device that I get on EBAY for 5 dollars, and I do the throat and tongue exercises, plus the breathe aid nasal insert., by sleep rite
I have both obstructive and central apnea. Just wondering how effective a device is with central apnea. My Dr. says the central apnea is more pronounced in my case than the obstructive.
It probably will not be effective for central apnea as that is occurring from the brain not sending proper signals to the muscles that control breathing.
My dentist did plastic-like, custom moldings with wide, rubbarized bands that can be interchanged. While the office refers to it as a ‘snoreguard,’ it sounds like the ‘EMA’ device. I got it as an alternative to the cpap for milder apnea. I am very disappointed in that the rubberized bands tear easily as well as, it has not helped my apnea one bit. Worst is what I was charged – they originally quoted me at $5,000, billable to my insurance & said my out of pocket would be no more than $1700. They have since billed my insurance for $9,000, who paid just $1100… and are billing me an additional $5,000! And, again…zero apnea relief!!!
Wow, what a rip-off! The custom fitted Glidewell silentnite anti snore mouth guard was less than $500 from my dentist. My main objection to it is the replacement crosslinks are $15 from my dentist, and there are only 4 links of a particular length included on the plastic molding that you get for that money, so I’m paying a little under $4 per link for a cheap looking plastic injection molded thing. So far, I have needed to replace one every few weeks of use. I suppose that it depends on the individual and how much strain they place on the links while sleeping. Still….better than thousands of dollars if it works about the same.
I knew nothing about sleep apnea before reading this article. It was interesting to learn that these type of appliances can help you to control snoring. We are planning on going on a road trip soon so hopefully this article can help me to avoid being a burden during the trip.
I use a TAP. Fitted by my dentist. My cost was around 500.00. The plastic breaks down and discoloration occurs in about a year. Otherwise great relief! Can’t sleep without it! I still have a little snore that breaks through, but the apnea is gone.
am trying to price a TAP or someting similar for sleep apnea. can you quote me the prices on these items? thanks
would appreciate a price estimate for a TAP.
Just got one and mine was about $2500.
Is it working? How severe is your sleep apnea?