American Sleep Association

Herbst Appliance

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 first option is traditional hardware with sets of 1,2 and 3 mm shims for advancing those increments only. The second being the Telescopic version allowing the clinician to advance in ¼ mm increments by making one full turn of the protrusion collar up to 6-8mm from the start position. 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. Bilateral interarch elastics are recommended to keep the jaw closed during sleep.NOTE: Some clinicians feel that limited lateral movement of the lower jaw during appliance use is beneficial for TMJ comfort while others believe it is of no benefit. Also, some clinicians find compromised effectiveness if the mandible is allowed to drop down even as much as a millimeter during appliance use while others find no difference. These are both areas that require more scientific study. We are presently unaware of the precise effect of these parameters on appliance effectiveness.FDA Approval: Approved for treatment of snoring
Date of FDA Approval: March 1996
FDA Registration Number: K955822

Herbst Appliance is not affiliated with this website.

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6 comments on “Herbst Appliance”

  1. I am very interested in the Herbst appliance. I currently use CPAP and am looking for a new option.

  2. My partner is a chronic snorer that really keeps me awake often.
    I would like to recommend the Herbst appliance but I wonder if it would be uncomfortable especially in the first days of use and if it would keep her from getting her beauty rest.
    How do users find that the device affects their comfort and sleep?
    Thank you for the read.

  3. I been using the herbst appliance now for about a month.Its been working well for me up until this week. For the past three days I have notice some discomfort up in the top right jaw around my top tooth. When I am eating it kind of hurts to chew. What could be going on with this discomfort in my upper right teeth and jaw area. Would keeping it out of my mouth for couple of night be reasonable until I get to my Dr. on Monday?

  4. I been using the herbst appliance now for about a month.Its been working well for me up until this week. For the past three days I have notice some discomfort up in the top right jaw around my top tooth. When I am eating it kind of hurts to chew. What could be going on with this discomfort in my upper right teeth and jaw area. Would keeping it out of my mouth for couple of night be reasonable until I get to my Dr. on Monday?

  5. I have been fitted with a Herbst oral appliance for sleep apnea. Should the upper plate fit securely to my teeth like the lower plate does. My problem is the upper plate falls off my teeth & I wake up because I end up breathing through my mouth & end up experiencing dry mouth even though I use Xylimints. Even though I have mentioned this to my dentist he ignores me. This appliance is expensive & I don't want to experience this problem. Please tell me what I can say to my dentist to have him fix this problem.
    Thank you so much for your consideration and cooperation.
    Regards,
    Mary K Ducich

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