12/17/2023 0 Comments Ema sleep appliance costTemporary oral appliances can provide an interim solution during the period of time that a broken or damaged device is repaired or replaced, several sources say. The 2014 version of the poster “Feasibility Pilot Evaluating the Use of Pre-Fabricated Titratable Mandibular Advancement Device for Management of Obstructive Sleep Apnea” stated that comparison of efficacy with ApneaRx was pending a 2015 version of the poster published on ApneaRx’s website shows that 12 of 12 patients deemed good candidates by the ApneaRx trial had significant response to a custom oral appliance, suggesting predictive value. In responders, there was essential normalization of AHI from 19.4☑4.3 to 2.9☒.4 (p<0.01), and 24 patients were referred for custom oral appliances. Patrick Maley, COO of Apnea Sciences Corporation, says, “ApneaRx can also be used as a predictor device for the more expensive custom oral appliances.” A study conducted by Dennis Hwang, MD, et al, and exhibited as a poster presentation at the 2014 American Academy of Dental Sleep Medicine (AADSM), fit 73 patients with ApneaRx. Of the 52 who returned for post-PSG, 69% were “responders” (AHI 4% improvement post-AHI<15). Apnea Guard is cleared by the FDA to be fitted by any trained healthcare professional, so a trained sleep center staff person could fit it and conduct the efficacy study prior to referring the patient to the dentist to fit the custom appliance.ĪpneaRx, a boil and bite oral appliance from Apnea Sciences Corporation, is another temporary appliance with predictive value. He says temporary devices allow “patients and payors have to make the significant financial commitment for a custom appliance prior to determining if mandibular advancement is efficacious.”īecause Apnea Guard also helps predict the optimal jaw forward position, Levendowski says it can substantially reduce the time needed for patients to reach the most efficacious end point in their custom appliance. But if the temporary device does not show a benefit, then the device served as a cost-effective way to ascertain that oral appliance therapy will not be efficacious with the given patient.ĭan Levendowski, co-founder and president of Advanced Brain Monitoring, maker of temporary oral appliance Apnea Guard, makes a similar point. That is, if the temporary device shows benefit, a custom oral appliance would then be ordered. Mayoor Patel, DDS, MS, owner of Atlanta’s Craniofacial Pain and Dental Sleep Center of Georgia, says the use of temporary devices can help determine if oral appliance therapy will be of any benefit to the user. These devices are also sometimes referred to as “interim appliances,” “transitional appliances,” or “trial appliances.” This article will discuss their advantages and limitations by examining several products currently on the market as well as the devices’ clinical value. Temporary oral appliances are mandibular advancement devices employed with patients before they receive a custom oral appliance for the treatment of obstructive sleep apnea (OSA). Should these transitional appliances become a permanent part of the sleep professional’s toolkit?
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