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• Scalloped Tongue • Linea Alba • High Palatal Vaults • Class II Occlusion • Coated Tongue • Friedman Tongue Position Index • Tooth Erosion from GERD • Bruxing
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Sleep Group Solutions and Glidewell Laboratories team up to help you integrate sleep medicine into your practice Call 800-854-7256 for free custom imprinted patient education materials
Reception Room Countertop Easel
Patient Education Brochures
Patient Statement Stuffers
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速 (FDA-cleared for snoring), Silent Nite速 sl, EMA速 and TAP速 3 TL. Each of these devices keeps the airway open during sleep by either directly or indirectly holding the tongue forward. ::: '(17$/6/((36(0,1$56 &20
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SPE C I A L A DV E R T I SI NG SE C T ION
aveoTSD® ■
per unit startingu at … $139
PRICING GUIDE (perl unit) aveoTSD ........................................................................u..$139
Volume Pricing
1–4 units ......................................................................$139 5–9 units ......................................................................$129 10–19 units ..................................................................$119 20+ 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.
BLOCKED AIRWAY
TONGUE
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
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
TONGUE
This MRI image shows the aveoTSD holding the tongue gently forward, preventing it from falling back and obstructing the airway. Note how the airway is now open and clear. This stops or greatly reduces snoring.
OPEN AIRWAY
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 fits 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.
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aveoTongue S Clinical Technique
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.
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.
Preparing to Fit thUe Device Place on the outside of the lips
Before use, rinse the aveoTSD under warm water. This helps to ease the device onto the patientâ&#x20AC;&#x2122;s tongue. Make sure the V-notch in the aveoTSD is facing down, to fit around the patientâ&#x20AC;&#x2122;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.
Up Notch Notch
Uni-Spacers for Extra Titration 7 mm
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SPE C I A L A DV E R T I SI NG SE C T ION
aveoTSDÂŽ Health Professional Patient Sizing Kit â&#x2013;
per kit â&#x20AC;Ś$269
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 â&#x2013; Helpful in-office patient sizing tool â&#x2013; Ensures adequate fit of the aveoTSDÂŽ from the start â&#x2013; 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 fits 95 percent of patients. However, you can ensure an adequate fit 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 fit. For patients who need extra titration due to a longer than average tongue, the 4 mm or 7 mm UniSpacer can be clipped onto the device to provide a more restful nightâ&#x20AC;&#x2122;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.
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aveoTongue S A Simple and EffecDtive Anti-Snoring MedicaDl Device 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 medicalgrade 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 improving sleep habits.
The aveoTSD is a noninvasive anti-snoring aid that you can offer to your pa5tients.
Available in three sizes: small, medium and large. The medium size fits 95 percent of patients.5
aveoTSD Sizes 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. 51.56 mm
54.85 mm
58.35 mm
Small
Medium
Large
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SPE C I A L A DV E R T I SI NG SE C T ION
Silent Nite® sl ■
per unit …$99
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
!
Without Silent Nite sl, the volumetric capacity of the airway is reduced. This causes snoring and may result in sleep apnea.
■ 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 flexible, 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, increasing the volumetric capacity of the airway. This aids in the prevention 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.
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Silent Nite s Clinical Technique
STEP 1: Insert the sl-protrusion gauge, using the upper centrals to ensure proper alignment.
STEP 2: Mark the mesial position of the patientâ&#x20AC;&#x2122;s jaw when in natural bitke alignment.
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 5: Use bite registration material to register the bite alignment at the desired final protrusion.
STEP 6: The bite registration taken with the slprotrusion gauge will be used to align the patientâ&#x20AC;&#x2122;s customized Silent Nkite sl device.
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SPE C I A L A DV E R T I SI NG SE C T ION
EMA® ■
per unit …$189
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 Without the EMA, the patient’s airway is obstructed by soft tissues.
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 airflow 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
The EMA provides free-flowing air in the patient’s airway.
has many options for advancement with five 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 sufficient height of contour for the device to gain retention at the gingival third, and the edentulous ridge must be fully captured in the impression.
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Elastic Man Clinical Technique
Mandibular AdvanceSment 6 mm
#1 EMA Elastic Strip
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.
Mandibular AdvanceSment 8 mm
#2 EMA Elastic Strip
FIGURE 3: The #2 straps will advance the mandible 8 mm. The shorter or firmer the strap, the farther the mandible is advance.d.
EMA Elastic Strap Lenpgth Key
EMA Elastic Strap Coplor Key
Description
Strap Length (mm)
Mandible Advancement (mm) 25 mm button distance
Mandible Advancement (mm) 27 mm button distance
#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
EMA Elastic Strap
#5
Extra Short
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14
11
13
Elastic Strap Color
Description
Durometer
Note: Strap length calculated from center of first hole to center of Ssecond hole on strSap.
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SPE C I A L A DV E R T I SI NG SE C T ION
TAP ® 3 TL ■
per unit …$340
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 d of 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 fit 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 fits 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.
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Thorton Adju Clinical Technique
STEP 1: Inspect the TAP 3 TL to ensure it is not damaged. If there is any indication of damage to the device, do not fit it in the patientâ&#x20AC;&#x2122;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.
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 interproximal with a thin straight acrylic bur. Next, use a sharp knife to remove tags. Repeat on upper.
STEP 5: Place the device in the patientâ&#x20AC;&#x2122;s mouth. Instruct the patient to move his or her lower jaw forward enough to engage theh hook.
STEP 6: Start at 2 mm protrusion. Instruct patient to turn adjustment key clockwise to acquire a 7 mm protrusive posithion.
STEP 7: Space between trays prior to adding acrylic posterior stops is crucial. This procedure must be repeated 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.
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Effective treatments for Sleep Disordered Breathing Silent Nite® sl
$99*
• Our No. 1 prescribed snoring appliance that is also indicatSed for sleep apnea • Interchangeable connectors by the patient • Free six-month replacement warranty
$189*
EMA®
• A brilliantly simple, FDA-cleared treatment for snoring • Gently suctions toS the tongue to keeSp airway open • Requires no impressions or adjustments
TAP ® 3 TL
$340*
• Appliance for snorSing or OSA
• Appliance for snoring and OSA
• Interchangeable elastic straps by the patient
• Patient-adjustable protrusive gauge
• Elastic strap strength matched to the musculature of the patient
• Smaller hardware compared to original TAP, which provides more tongue space
‡ 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. For more info & na tionwide pickup
800-854-7256 www.glidewelldental.com
$139 ‡
aveoTSD®
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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.
GLIDEWELL LABORATORIES
Premium Products - Outstanding Value
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