Mandible retruder or 'morning repositioner'

Affinity

Affinity

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Has anyone made a device similar to somnomeds moring repositioner? My Dr recommended for me to use one to reset my condyle. I was thinking of making one in CAD.. the somnomed model uses ramps on the bicuspids. Any tips on making one of these?
 
TheLabGuy

TheLabGuy

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It's a FDA regulated Medical Device...I outsource them out to a lab that has the license and credentials to offer them legally. You can really jack yourself up messing around with mandible positioners without using a George's guage.
 
sidesh0wb0b

sidesh0wb0b

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It's a FDA regulated Medical Device...I outsource them out to a lab that has the license and credentials to offer them legally. You can really jack yourself up messing around with mandible positioners without using a George's guage.
agreed! if I may ask....where do you have yours made? can PM if you dont want to post public
 
TheLabGuy

TheLabGuy

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agreed! if I may ask....where do you have yours made? can PM if you dont want to post public
My Docs usually want a TAP-3 or one of the other TAP appliances. I use Davis Dental Lab here in Grand Rapids, Michigan and yes they do accept I/O scans for this appliance as well. I also know Burbank Dental Lab on the west coast does the same thing. Lastly, is Panthera Dental as well, they make a pretty unique kind of sleep device. All of them will require a George's guage measurement, and if sending I/O scans, you'll have to include this scan with it. Hope that helps.
 
TheLabGuy

TheLabGuy

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Has anyone made a device similar to somnomeds moring repositioner? My Dr recommended for me to use one to reset my condyle. I was thinking of making one in CAD.. the somnomed model uses ramps on the bicuspids. Any tips on making one of these?
That picture isn't really a mandible repositioner because nothing is going to hold the mandible in place. You would need the maxillary to have that blue acrylic on it and it securely meshed with the mandible blue in a exact mandible protrusive position (this is where the George's guage comes into effect). Because too much will make in unbearable to wear and not enough isn't giving you much benefit. Now if you add you're a Class II or Class III and oh boy, you're in for some real fun then. It's a game changer for folks who snore, or folks who don't meet the CPAP threshold but still show some slight sleep apnea. Most Docs that are thinking about this usually have there patients get a sleep study done (it covers there ass, but also diagnosis the patient fully to make sure they don't have a serious form of sleep apnea where a CPAP machine will be required). It's life changing for those that need it...especially for the spouse.
 
JMN

JMN

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That picture isn't really a mandible repositioner because nothing is going to hold the mandible in place. You would need the maxillary to have that blue acrylic on it and it securely meshed with the mandible blue in a exact mandible protrusive position (this is where the George's guage comes into effect). Because too much will make in unbearable to wear and not enough isn't giving you much benefit. Now if you add you're a Class II or Class III and oh boy, you're in for some real fun then. It's a game changer for folks who snore, or folks who don't meet the CPAP threshold but still show some slight sleep apnea. Most Docs that are thinking about this usually have there patients get a sleep study done (it covers there ass, but also diagnosis the patient fully to make sure they don't have a serious form of sleep apnea where a CPAP machine will be required). It's life changing for those that need it...especially for the spouse.
It's for retrusion. Not protrusion. Not for sleeping, for after you wake up.

Takes forever to get back to centric after using a mandible advance device overnight. This helps guide you back, but doesn't force the issue.
 
sidesh0wb0b

sidesh0wb0b

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My Docs usually want a TAP-3 or one of the other TAP appliances. I use Davis Dental Lab here in Grand Rapids, Michigan and yes they do accept I/O scans for this appliance as well. I also know Burbank Dental Lab on the west coast does the same thing. Lastly, is Panthera Dental as well, they make a pretty unique kind of sleep device. All of them will require a George's guage measurement, and if sending I/O scans, you'll have to include this scan with it. Hope that helps.
Panthera does make a sleep device...and it works great. but they do NOT make a repositioner. or thats what they told me. will look at Davis and Burbank then if they offer it. i have a george gauge and used for the sleep devices ;)
 
TheLabGuy

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Panthera does make a sleep device...and it works great. but they do NOT make a repositioner. or thats what they told me. will look at Davis and Burbank then if they offer it. i have a george gauge and used for the sleep devices ;)
You must of talked to someone other than I because they ask for George's gauge and it does reposition the mandible regardless of what they are saying.
 
sidesh0wb0b

sidesh0wb0b

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You must of talked to someone other than I because they ask for George's gauge and it does reposition the mandible regardless of what they are saying.
let me rephrase. maybe i misspoke. i am looking for a morning repositioner. Panthera told me they advise it since the apnea device was causing severe discomfort in the mornings...but that they dont make a morning repositioner. which is odd considering they make a device that might require one lol. maybe someone at panthera can chime in? @Beatrice
 
Beatrice

Beatrice

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let me rephrase. maybe i misspoke. i am looking for a morning repositioner. Panthera told me they advise it since the apnea device was causing severe discomfort in the mornings...but that they dont make a morning repositioner. which is odd considering they make a device that might require one lol. maybe someone at panthera can chime in? @Beatrice
Who told you we said we recommend it since it was causing severe discomfort???
This is untrue, one benefit of our appliance is the fact that majority of patient do not need a morning repositioner, in a scenario where discomfort is felt by the patient then we recommend it.

The reason why we don't make them is simply because over 90% of patient do not need one. Some of our dentist still prefer to make one for each their patient but it not required neither recommended by us by default.

Again, "severe discomfort" is an interpretation done by a patient I presume and each human are different that why in some case it can be needed (mostly with patient that had TMJ problem prior to do a sleep apnea device)

Hope this help.
 
sidesh0wb0b

sidesh0wb0b

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Who told you we said we recommend it since it was causing severe discomfort???
This is untrue, one benefit of our appliance is the fact that majority of patient do not need a morning repositioner, in a scenario where discomfort is felt by the patient then we recommend it.

The reason why we don't make them is simply because over 90% of patient do not need one. Some of our dentist still prefer to make one for each their patient but it not required neither recommended by us by default.

Again, "severe discomfort" is an interpretation done by a patient I presume and each human are different that why in some case it can be needed (mostly with patient that had TMJ problem prior to do a sleep apnea device)

Hope this help.
i will send you a PM
 
Beatrice

Beatrice

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Also if I might add,
What we recommend is to eat breakfast in the morning it will help re positioning the jaw or if you don't eat in the morning chewing gum work pretty well also.

@TheLabGuy, according to the American Academy of Dental Sleep Medicine and the American Academy of Sleep Medicine, oral appliance should be prescribe in the following :

Snoring : Oral appliance
Mild to moderate sleep apnea (AHI 5-30) : Oral Appliance
Sever sleep apnea (AHI 30+) : Cpap or oral appliance if non-compliance to CPAP (more then 50% of the case) or a combine therapy (both a CPAP and oral appliance)

;)
 
sidesh0wb0b

sidesh0wb0b

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Also if I might add,
What we recommend is to eat breakfast in the morning it will help re positioning the jaw or if you don't eat in the morning chewing gum work pretty well also.

@TheLabGuy, according to the American Academy of Dental Sleep Medicine and the American Academy of Sleep Medicine, oral appliance should be prescribe in the following :

Snoring : Oral appliance
Mild to moderate sleep apnea (AHI 5-30) : Oral Appliance
Sever sleep apnea (AHI 30+) : Cpap or oral appliance if non-compliance to CPAP (more then 50% of the case) or a combine therapy (both a CPAP and oral appliance)

;)
tried both.
 
JMN

JMN

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What we recommend is to eat breakfast in the morning it will help re positioning the jaw or if you don't eat in the morning chewing gum work pretty well also.

@TheLabGuy, according to the American Academy of Dental Sleep Medicine and the American Academy of Sleep Medicine, oral appliance should be prescribe in the following :

Snoring : Oral appliance
Mild to moderate sleep apnea (AHI 5-30) : Oral Appliance
Sever sleep apnea (AHI 30+) : Cpap or oral appliance if non-compliance to CPAP (more then 50% of the case) or a combine therapy (both a CPAP and oral appliance)
That's a keeper. COpy paste print.
 
Chalky

Chalky

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Also if I might add,
What we recommend is to eat breakfast in the morning it will help re positioning the jaw or if you don't eat in the morning chewing gum work pretty well also.

100% agree... my business partner is an Oral Med Specialist, we make M.A.D appliances and he recommends chewing gum to realign the tmj in the morning, eating breakfast will also do this. Some of these alliances in my opinion arent necessary, exercises to try to realign work well too... chewing gum would be my recomendation, its pretty cheap!
 
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