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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
plian
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view
The Polycystic Ovarian Syndrome Patient
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ientc
ase
REGISTER TODAY FOR THE SLEEP GROUP SOLUTIONS SEMINARS
OSA Is Here To Stay
The “D” Words!
Demo & Tech Supporxt 866 602-6550
Sales 866 353 3936c
Software Support Is So Old School!Exclusive for our Practice Management Software Users
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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
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