The Sleep Magazine- 4th Issue SPECIAL Glidewell Issue

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The Fastest Growin g Dental Specialty

Change the way you practice dentistry

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1-800-SLEEPTESTFinding new sleep rapnea patients madre easy

Using Anatomical Assessment to Guider Oral Appliance

Therapy

Using Anatomical Assessment to Guider Oral Appliance

Therapy

Athletes ofSleep ApneaAthletes of

Sleep Apnea

No More Guessing Position

The Future of Acoustic Airway Imagring

No More Guessing Position

The Future of Acoustic Airway Imagring

Sleep Group SolutionsG Glidewell LaboratorGiesSleep Group SolutionsG Glidewell LaboratorGies

TEAM UPTEAM UPTEAM UP

Using Anatomical Assessment to Guidhe Oral Appliance Therapy

Line of

identity

Pre AHI (events/hr)

Post AHI events/hr

Good Night! ap

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view

The Polycystic Ovarian Syndrome Patient

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REGISTER TODAY FOR THE SLEEP GROUP SOLUTIONS SEMINARS

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The Virginia Academy of Dental Sleep MediciGne

Decisions, Decisions!

The Virginia Academy of Dental Sleep MediciGne

• Scalloped Tongue• Linea Alba• High Palatal Vaults• Class II Occlusion• Coated Tongue• Friedman Tongue Position Index• Tooth Erosion from GERD• Bruxing

It’s All About The Air

Sleep Group Solutions and Glidewell Laboratories team up to help you integrate

sleep medicine into your practice

ould you like to provide a health service of growing importance with great revenue potential? Sleep Disordered Breathing, including snoring and sleep apnea, poses a serious risk to personal relationships and health. Fortunately, oral appliances can be used to treat most sleep disorders.

A primary cause of snoring and sleep apnea is airway restriction by the tongue. Oral appliances help prevent the collapse of the tongue and soft tissues in the back of the throat, keeping the airway open during sleep. Oral appliances can be used alone or in combination with other treatments for snoring and sleep apnea.

Glidewell Laboratories offers four dentist-prescribed devices to effectively treat snoring and sleep apnea: aveoTSD® (FDA-cleared for snoring), Silent Nite® sl, EMA® and TAP® 3 TL. Each of these devices keeps the airway open during sleep by either directly or indirectly holding the tongue forward.

Call 800-854-7256 for free custom imprinted patient education materials

Reception Room Countertop Easel Patient Education Brochures Patient Statement Stuffers

TONGUE

OPEN AIRWAY

This MRI image shows the aveoTSD holding the tongue gently forward, preventing it from fall-ing back and obstructing the airway. Note how the airway is now open and clear. This stops or greatly reduces snoring.

TONGUEBLOCKED AIRWAY

In this MRI* image, the tongue falls into the back of the airway as a person sleeps. This blocks the airway, leading to snoring.

* Magnetic Resonancel Imaging GE Signa Profile EXCITE 0.2T

! per unit startingu at …$139

PRICING GUIDE (perl unit)

aveoTSD ........................................................................u..$139

Volume Pricing1–4 units ......................................................................$1395–9 units ......................................................................$12910–19 units ..................................................................$11920+ units ......................................................................$115

Uni-Spacer ........................................................................u$36

Orders will not be fulfilled without a valid dental or medical license. aveoTSD is a registered trademark of Innovative Health Technologies (NZ) Limited.

PRODUCT HIGHLIGHTS

! Brilliantly simple, FDA-cleared treatment for snoring

! Worn during sleep to prevent obstruction of airway and resulting snoring

! Indicated for anyone o— even patients wioth TMJ or the edentulous

The aveoTSD® (Tongue Stabilizing Device) is a simple,

low-cost treatment for problem snoring. Unlike traditional

mandibular advancement devices that indirectly move the

tongue forward by moving the mandible, the aveoTSD

gently suctions onto the tongue, preventing it from falling

back into the throat and obstructing the airway. It is even

indicated for edentulous patients and patients who suffer

from TMJ. Best of all, the aveoTSD requires no impressions

or adjustments, has no moving parts, and it can be delivered

the same day a patient agrees to snoring treatment.

Made of soft ISO 10993 medical-grade silicone, the

aveoTSD is available in three sizes: small, medium and

large. The standard medium size !ts 95 percent of patients.

The remaining 5 percent of patients require the small or

large aveoTSD. Two sizes of clip-on Uni-Spacers (4 mm

and 7 mm) provide extra titration and are indicated for

patients with longeor than average tonguoes.

aveoTSD®

SPECIAL ADVERTISING SECTION

aveoTongue S

Before use, rinse the aveoTSD under warm water. This helps to ease the device onto the patient’s tongue. Make sure the V-notch in the aveoTSD is facing down, to fit around the patient’s lingual frenulum. In some extreme cases, a patient may require more room for the frenulum. The V-notch can be modified to provide this roo.m.

Place on the outside of the lips

UpNotch

Notch

Gently squeeze the upper and lower ends of the bulb between the forefinger and thumb.

By using a gentle repeated pumping action, the tongue will be drawn .into the aveoTSD.

The device attaches to the tongue through negative suction.

Advise the patient to push his or her tongue gently into the aveoTSD, until it touches the sides of the device.

Clinical Technique

Preparing to Fit thUe Device

7 mm 4 mm

Uni-Spacers for Extra Titration

SPECIAL ADVERTISING SECTION

PRICING GUIDE (pero unit)

aveoTSD Health Pro.fessional Patient .Sizing Kit ..............$269

Uni-Spacer ..........................................................................$36

Kit contains one s;mall, one medium a;nd one large aveoTS;D; two clip-on Uni-S;pacers for extra titration (4 mm and 7 mm); and one blue autoclavable tray.

aveoTSD is a registered trademark of Innovative Health Technologies (NZ) Limited. PRODUCT HIGHLIGHTS

! Helpful in-of!ce patient sizing tool

! Ensures adequate !t of the aveoTSD® from the start

! Components can be autoclaved for future use

If you wish to treat snoring in your practice, the aveoTSD

Health Professional Patient Sizing Kit is a must-have for the

dental operatory. This valuable kit can be used to properly

size the aveoTSD for patients who desire treatment for

problem snoring.

Clinical case studies have shown that the medium-sized

aveoTSD !ts 95 percent of patients. However, you can

ensure an adequate !t of the device from the start using the

aveoTSD Health Professional Patient Sizing Kit. Use the kit

components to try each size device on the patient to check

for comfort and !t. For patients who need extra titration due

to a longer than average tongue, the 4 mm or 7 mm Uni-

Spacer can be clipped onto the device to provide a more

restful night’s sleep. After each piece is tried in, all items

can be placed back into the tray and autoclaved between

appointments.

Sold individually, kit components retail for $489. Purchase

the aveoTSD Health Professional Patient Sizing Kit and

receive a valuable patient tool for an exceptional value.

! per kit …$269

aveoTSD® Health Professional Patient Sizing Kit

aveoTongue SA Simple and EffecDtive Anti-Snoring MedicaDl Device

The medium-sized aveoTSD is the standard size and fits 95 percent of patients. The remaining 5 percent of patients require the small or large aveoTSD. The Uni-Spacer provides extra titration and is indicated for patients with longer than ave5rage tongues.

Small

51.56 mm

Medium

54.85 mm

Large

58.35 mm

Simple, intuitive fit requires no specialist fitting5.

Attaches to the end of the tongue using gentle suction.

The aveoTSD is made from soft ISO 10993 medical-grade silicone.

The aveoTSD has been cleared by the FDA/TGA in Australia, Canada, Japan, New Zealand and the United States.

The aveoTSD increases quality of life by improv-ing sleep habits.

Available in three sizes: small, medium and large. The medium size fits 95 percent of patients.5

The aveoTSD is a noninva-sive anti-snoring aid that you can offer to your pa5tients.

aveoTSD Sizes

Without Silent Nite sl, the volumetric capacity of the airway is reduced. This causes snoring and may result in sleep apnea.

Silent Nite sl positions the lower jaw forward, increas-ing the volumetric capacity of the airway. This aids in the prevention of snoring and sleep apnea.

!

PRICING GUIDE (pers unit)

Silent Nite sl ..................f..................f..................f.................$99

Add posterior support ..................f..................f..................f.$15

PRODUCT HIGHLIGHTS

! Dentist-prescribed anti-snoring and sleep apnea device

! New, improved connectors are interchangeable by the patient

! Provides greater patient comfort due to increased freedom of movement

Snoring can be a real problem, not only for the person who

snores, but for the partner and other family members who

live with the snorer. However, there is a dentist-prescribed

solution for a more restful night’s sleep: Silent Nite® sl.

This affordable device is !exible, thin and comfortable for

your patients, and it exhibits documented clinical success

in mitigating or even preventing the disruptive, unhealthy

effects of snoring and sleep apnea.

Silent Nite sl positions the lower jaw forward using special

Slide-Link connectors that are attached to upper and lower

splints. These splints are comprised of a soft inner layer

with a hard outer layer that is durable and BPA-free. The

new, improved connectors are stronger than those found

on the original Silent Nite and are easily interchangeable by

the patient. This intraoral appliance is indicated for patients

with a minimum of eight teeth per jaw and a body mass

index (BMI) of 30 mor less.

! per unit …$99

Silent Nite® sl

SPECIAL ADVERTISING SECTION

Silent Nite s

STEP 5: Use bite registration material to register the bite alignment at the desired final protrusion.

STEP 6: The bite registration taken with the sl-protrusion gauge will be used to align the patient’s customized Silent Nkite sl device.

STEP 3: Ask the patient to extend his or her jaw as far forward as possible, and mark this maximum mesial protrusion.

STEP 4: Mark the desired final protrusion (typically one-half the maximum protrusion). Retract the jaw to slide the gauge intko this final positikon.

STEP 1: Insert the sl-protrusion gauge, using the upper centrals to ensure proper alignment.

STEP 2: Mark the mesial position of the patient’s jaw when in natural bitke alignment.

Clinical Technique

Without the EMA, the patient’s airway is obstructed by soft tissues.

The EMA provides free-flowing air in the patient’s air-way.

PRICING GUIDE (per unit)

EMA ..................c..................c..................c..................c.........$189

EMA elastic straps c(25 straps) ..................c..................c.......$25

Sleep apnea appliance acrylic build-up ..................c..........$25

EMA is a registered trademark of Frantz Design Inc.

PRODUCT HIGHLIGHTS

! Intraoral appliancye for snoring or OySA

! Elastic straps are interchangeable by the patient

! Elastic strap strength is matched to the patient’s musculature

The EMA® (Elastic Mandibular Advancement) oral

appliance is a customized removable appliance created

for the noninvasive treatment of snoring and Obstructive

Sleep Apnea (OSA). The appliance is designed to both

advance the mandible and open the bite to allow for less

restricted air!ow during sleep.

EMA devices help promote a deeper, more restful sleep

by preventing snoring and relieving the symptoms of OSA.

The EMA does not interfere with breathing through the

mouth, even in cases of congested nasal passages. It

has many options for advancement with "ve strap lengths

and four different elastic tension options. Non-restricted

lateral/protrusive movement and improved movements

of the jaw are possible while wearing the device due to

varying elastic banyds.

The EMA is indicated for patients with either a full or partial

set of natural teeth. The patient’s remaining teeth should

have suf"cient height of contour for the device to gain

retention at the gingival third, and the edentulous ridge

must be fully captured in the impression.

! per unit …$189

EMA®

SPECIAL ADVERTISING SECTION

Elastic Mani6 mmMandibular AdvanceSment

#1 EMA Elastic Strip

#2 EMA Elastic Strip

Mandibular AdvanceSment 8 mm

FIGURE 3: The #2 straps will advance the mandible 8 mm. The shorter or firmer the strap, the farther the mandible is advance.d.

FIGURE 1: Patient in centric with no straps attached to appliance

FIGURE 2: The #1 straps (we recommend starting with yellow) will ad.vance the mandible .6 mm.

Clinical Technique

EMA Elastic Strap Lenpgth Key EMA Elastic Strap Coplor Key

EMA Elastic Strap

DescriptionStrap

Length (mm)

Mandible Advancement (mm) 25 mm

button distance

Mandible Advancement (mm) 27 mm

button distance

Elastic Strap Color

Description Durometer

#1 Extra Long 21 4 6 White Soft 60

#2 Long 19 6 8 Yellow Medium 70

#3 Medium 17 8 10 Blue Firm 80

#4 Short 15.5 9.5 11.5 Clear Extra Firm 90

#5 Extra Short 14 11 13 Note: Strap length calculated from center of first hole to center of Ssecond hole on strSap.

PRICING GUIDE (perc unit)

TAP 3 TL ..................s..................s..................s..................s..$340

Replacement Parts

TAP Locator Nut Kit ..................s..................s..................s.....$30

TAP Closed Hook ..................s..................s..................s........$37

TAP 3 TL Hook ..................s..................s..................s............$37

TAP is a registered trademark of Airway Management Inc.

PRODUCT HIGHLIGHTS

! Appliance for the treatment of snoring or OSA

! Soft internal surface enhances patient comfort

! Ideal for patients dwho have either a fdull or partial set dof natural teeth

The TAP® 3 TL device provides a powerful prescription for

snoring and Obstructive Sleep Apnea (OSA). Based on the

same principle as cardiopulmonary resuscitation (CPR),

the TAP (Thornton Adjustable Positioner) was designed to

keep the airway open to allow for air to pass. A constricted

or collapsed airway causes snoring and OSA. The TAP 3

TL holds the lower jaw in a forward position, maintaining a

clear airway to reduce snoring and improve breathing.

The TAP 3 TL consists of an upper and a lower tray that !t

over the teeth. Fitting more comfortably in the mouth than

the original TAP, the TAP 3 TL features smaller hardware that

provides more room for the tongue and allows the lips to

close. A hook mechanism attached to the upper tray !ts into

a socket attached tdo the lower tray andd positions the lowder

jaw forward, preventing the soft tissue of the throat from

collapsing and obstructing the airway. An adjustment key

allows the patient to adjust the device until a comfortable

and effective position is achieved.

! per unit …$340

TAP® 3 TL

SPECIAL ADVERTISING SECTION

Thorton Adju

STEP 7: Space between trays prior to adding acrylic posterior stops is crucial. This procedure must be re-peated if treatment position is altered.

STEP 8: On the protrusion gauge, each mark and space between is 1 mm wide. The protrusion gauge is 7 mm long from the front to posterior.

STEP 5: Place the device in the patient’s mouth. In-struct the patient to move his or her lower jaw forward enough to engage theh hook.

STEP 6: Start at 2 mm protrusion. Instruct pa-tient to turn adjustment key clockwise to acquire a 7 mm protrusive posithion.

STEP 3: If the tray is too tight, slightly trim border just below the height of the contour. Do not relieve the inside, as softer hmaterial does not thrim well.

STEP 4: If the anteriors are too snug, trim interproxi-mal with a thin straight acrylic bur. Next, use a sharp knife to remove tags. Repeat on upper.

STEP 1: Inspect the TAP 3 TL to ensure it is not dam-aged. If there is any indication of damage to the de-vice, do not fit it in the patient’s mouth.

STEP 2: Start with the lower tray. Position it over the teeth and push the appliance down. Start from the posterior and work your way to the anterior.

Clinical Technique

800-854-7256 www.glidewelldental.com

For more info & na tionwide pickup

$189*

$99*Silent Nite® sl

$340*

$139 ‡

TAP® 3 TL

aveoTSD®

GLIDEWELLLABORATORIES

Effective treatments for Sleep Disordered Breathing

aveoTSD is a registered trademark of Innovative Health Technologies (NZ) Limited. EMA is a registered trademark of Frantz Design Inc. TAP is a registered trademark of Airway Managementh Inc.

‡ Price does not incSlude shipping. aveoSTSD volume pricing/uSnit: (1– 4) $139; (5 – 9) $129; (10 –19) $119; (20+) $115.

*Price does not incSlude $14 round-trip overnight shipping.

• Our No. 1 prescribed snoring appliance that is also indicatSed for sleep apnea

• Interchangeable connectors by the patient

• Free six-month replacement warranty

• Appliance for snoring and OSA

• Patient-adjustable protrusive gauge

• Smaller hardware compared to originalTAP, which provides more tongue space

• Appliance for snorSing or OSA

• Interchangeable elastic straps by the patient

• Elastic strap strength matched to the musculature of the patient

• A brilliantly simple, FDA-cleared treatment for snoring

• Gently suctions toS the tongue to keeSp airway open

• Requires no impressions or adjustments

Premium Products - Outstanding Value

EMA®

No More Guessing Position!

Adam Moscovitch, M.D.

Academic Currents

Oral Sleep Appliances:

Q. What is the concept of SleepTest.com?

A.

Q. Who’s potentially logging onto Sleept-est.com?

A.

Q. How will it help bring potential patients into physicians’ offices?

A.

Q. What’s your main goal?A.

Q. What’s wrong with tradi-tional marketing in a clinical practice?

A.

Q. What can you tell us about online advertising and SEO, how does it work?

A.

Putting Your Sleep Practice on the Map

Q. In your opinion, what’s a successful marketing cam-paign?

A.

Q. Can you give any examples?

A.

Q. Why the Merger?

A.

Q. Can you tell us a little about the marketing packarges?

A.

Q. Whats next?

A.

Dental Medical Modehl

Q. Which appliances do you cover and will you tell me which one is best tro use?

A.

Dental Sleep Medicinhe Seminars/Q&ASMcommentary

Q. Will I be ready to treat patients after yourr seminar?

A.

Q. Is there a “level 2” course?

A

Q. Is there any hands-on opportunity at your seminars?A.

Q. What’s the difference between your various instructors?

A.

Q. I’m interested in dental sleep medicine but not ready for a full 2-day seminar yet, where can I learn more?

A.

Do It For You and Them

-

-

1. Limitations

2. Range of motion:

3. Comfort:

4. Adjustability:

5. Durability:

• Comfortable• Easy to modify• Easy to titrate in both horizontal and

vertical dimensions.• Most importantly, allows for maximum

tongue freedom

Diagnosis Before Appliance

Which appliance sh ould I use?

SeminarsThe NEW Art DENTISTRY

Interpreting Home Slheep Studies

The Polycystic Ovarian Syndrome Patient

Figure 16: SomnoDent OAD chosen.

Figure 19: Lateral view showing significant advancement; SMF cannot advance without pain.

Figure 17: A-P Position at maximum protrusion; SomnoDent In place.

Figure 18: Frontal view at maximum protrusion.

MILDPACKAGE

MODERATEPACKAGE

SEVEREPACKAGE

TOTAL EST SCORE:

EPWORTH SLEEP TEST

Sleep Group SolutiMons1.866.353.3936

www.dentalsleepclinics.com