APEX

DENTAL SLEEP LAB


Apex Dental Sleep Laboratories fabricates and develops quality, customized dental sleep appliances. We help dentists give their patients quality sleep, better health, and increase their quality of life through Dental Sleep Medicine. Here at Apex we make simple solutions for apnea, TMJ/TMD, and Bruxism sufferers.

APEX

PRODUCTS


TMJ DAY APPLIANCES

Mandibular Orthopedic Repositioning Appliance (M.O.R.A)

The Apex Daytime MORA are designed to reposition the mandible to address chronic disc-displacement of skeletal and muscular asymmetry and maintain proper airway. Orthotic features includes a lingual anatomical ridge to guide disclussion and protect contralateral joint during movement. This design allows the patient to function normally at the new position while reducing pain/inflammation in the TMJ.

The Apex Daytime MORA is available in 3 design options: Daypex-D1 (acrylic with ball clasp), Daypex-D2 (acrylic with ball clasp and lingual wire connector) and Daypex-D3 (thermoformed). Each design functions as a positioning stent to correct vertical dimension, rotation, cant and protrusive changes. These three designs allow for them to be fabricated based on specific concerns for narrow arches, anterior crowding, strength and overall appliance volume/comfort.

ACRYLIC

Features: Acrylic and ball clasp design provides adjustability and added durability.

Indications:

  • Patients that require added strength and durability
  • Present with anterior crowding and/or limited undercuts

COMPACT

Features: Lingual wire provides added comfort and reduced lingual thickness.

Indications:

  • Narrow arches/limited tongue space
  • Require minimal lingual interference

THERMOFORMED

Features: Biocompatible material for added comfort, minimal thickness and reduced acrylic.

Indications:

  • Ideal for patients who are sensitive or allergic to metal
  • Inter-occlusal distances less then 1.5mm

*** Preferred design based on comfort***

TMJ NIGHT APPLIANCES

ANTERIOR DEPROGRAMMER

Features: Anterior occlusal pad with no posterior contact.

Indications:

  • Acute or chronic bruxism or clenching
  • Control parafunctional activity
  • Reduces clenching and grinding
  • Available in acrylic with ball clasp or biocompatible thermoform

NIGHT POSITIONER

Features: Full arch occlusion with anterior ramp.

Indications:

  • Anterior ramp prevents disc dislocation (locking) in supine position
  • Protects injured or inflamed tissue
  • Recommended to be used with opposing trutaine/essix tray
  • Available in acrylic with ball clasp or biocompatible thermoform

ANTERIOR DEPROGRAMMER W/ RAMP

Features: Combines the benefits of anterior deprogrammer with no posterior occlusion of Apex-N1 and anterior ramp of Apex-N2 to support the mandible in the supine position.

Indications:

  • Reduces inflammation (capsulitis)
  • Prevents locking in supine position
  • Improved airway obstruction (tongue space)
  • Reduces clenching and grinding
  • Available in acrylic with ball clasp or biocompatible thermoform
  • Recommended to be used with opposing trutaine/essix tray

N3 TMJ WITH NASAL AIRWAY HYBRID

Features: The Apex-N3 design with added nasal lifters for improved nasal breathing. Reduces in ammation (capsulitis).

Indications:

  • Prevents locking in supine position
  • Improve airway and nasal obstruction
  • Reduces clenching and grinding
  • Available in acrylic with ball clasp or biocompatible thermoform

BITE REGISTRATION

  • Hydrophilic bite registration material for faster work and intra-oral set times.
  • Increased dimensional stability and excellent performance in presence of moisture.
  • 15 sec. working time, 45 sec. intra-oral set time.
  • Remains dimensionally stable for accurate articulation of models.

 

PARTNER

PRODUCTS

3D PRINTED SLEEP APNEA DEVICE


The next generation of digital sleep apnea devices that utilizes the latest 3D printing technology to provide patients with:

  • Smallest, least invasive and strongest device on the market.
  • Flexible and resistant to severe bruxing.
  • Easily titrated with 1mm and .5mm advancement rods.
  • Fabricated to HIP mounting, “S” bite, George gauge and other bite  protocols.

PLATEAU

In order to accommodate every patient, we offer a wide range of plates for tailored contact surfaces, from our standard one to a customized anterior pad. There is no need for a different device for each kind of patients when the D-SAD can be adapted for every situation.

BAND

Likewise, an extensive choice of bands is available upon ordering. The band plays a key role in regards to comfort and retension of the device and must be designed with care. Consequently, our band designs optimize the dental experience, without compremising the treatment of snoring or OSA.

CAD/CAM SLEEP APNEA DEVICE

Digital Simplicity: The first CAD/CAM milled OSA device, MicrO2 is precise, predictable, and easy to use.

Comfortable Profile: The only OSA device made from control-cured PMMA, MicrO2 is compact without compromising durability or retention.

Easy Adjustment: Featuring an adjustment method similar to changing aligners, MicrO2 has a one-piece construction with no moving parts.

Lingual-Free Splint: MicrO2 offers a lingual-free design that is intended to offer the patient maximum tongue space.

90° Post Angle: Prevents lower jaw from falling back during sleep.

Expert Design: The MicrO2 Sleep Device design is based on the clinical expertise of leaders in the field of Dental Sleep Medicine.

Digital Simplicity: The first CAD/CAM milled OSA device, MicrO2 is precise, predictable, and easy to use.

Comfortable Profile: The only OSA device made from control-cured PMMA, MicrO2 is compact without compromising durability or retention.

Easy Adjustment: Featuring an adjustment method similar to changing aligners, MicrO2 has a one-piece construction with no moving parts.

Lingual-Free Splint: MicrO2 offers a lingual-free design that is intended to offer the patient maximum tongue space.

90° Post Angle: Prevents lower jaw from falling back during sleep.

Expert Design: The MicrO2 Sleep Device design is based on the clinical expertise of leaders in the field of Dental Sleep Medicine.

SLEEP APNEA APPLIANCES

SomnoMed® offers a broad range of oral devices for the first line treatment of mild to moderate obstructive sleep apnea.

COMFORTABLE FOR PATIENTS

   88% of patients reported regular use of their SomnoDent device

   Unique SMH BFlex technology provides unparalleled comfort

   Patients can talk and open/close their mouths and lips while wearing device

HIGH QUALITY

   FDA 510K cleared and manufactured at an ISO 13485 certified facility

  Customized using the highest quality acrylic which does not discolor or attract odors

  Device life expectancy 3-5 years; and devices have a 3 year warranty against manufacturing defects

UNIQUELY COMPLIANT

   The 1st and only dorsal fin oral device with micro-recorder that objectively records compliance data

   Reports include hours device is worn and patient’s supine or non-supine head position

CLINICALLY EFFECTIVE

   15+ independent studies demonstrate the device’s significant clinical benefits

   91% of patients reported improvement in sleep quality while wearing SomnoDent

C L A S S I C

ORIGINAL INNOVATION
  • Highest quality acrylic
  • Medical grade stainless steel ball clasps for retention
  • Lingual-less option available for additional tongue space

F L E X

PREMIUM COMFORT
  • Proprietary SMH BFlex inner liner for superior retention
  • Drop in fit – even for patients with short teeth, little undercut or crown / bridge work

F U S I O N™

CUSTOM CALIBRATION
  • Patient specific calibration
  • 3 removable wings for 1mm of protrusion on the bottom
  • Fine calibration in .1mm increments with lugs on the top
  • Longer range of advancement (8.5mm) leading to fewer device resets

H E R B S T®

POPULAR VALUE
  • E0486 Medicare verified
  • Standard telescopic mechanism (also available in Shim)
  • SMH BFlex offers superior comfort and retention, also available with ball clasps

H E R B S T  A D V A N C E™

VISUAL SIMPLICITY
  • E0486 Medicare verified
  • Visual calibration indicator makes it easy to measure how far device has been advanced
  • SMH BFlex offers superior comfort and retention
  • Longer range of advancement (8mm) leading to fewer device resets over the life of the device

THE EMA APPLIANCE

The EMA oral appliance from Myerson increases airway space by advancing the mandible using interchangeable elastic straps. EMA elastic straps come in 9 different lengths (see figure A), and 4 different strengths (see figure B). The shorter the ema elastic strap, the farther the mandible is advanced (see figure C). 36 different straps  allow for the most effective repositioning with maximum comfort.

9 different lengths allow for  1 mm
advancement of the mandible

 

Figure A

Each EMA elastic strap comes in 4
different strengths, indicated by color

 

Figure B

EMA elastic straps are 100% latex free.
The shorter the EMA elastic strap, the
farther the mandible is advanced

 

Figure C

*Myerson recommends a distance between the buttons of 27 mm in the centric position. If the patient’s range of mandibular advancement is limited to 9 mm or fewer a distance of 25 mm distance is recommended.

 

THE O2 OASYS

Oral/nasal airway system is the first system to address the resistance to breathing in the entire upper airway. It is FDA (k030440) approved as a nasal dialator and mandibular repositioner for the treatment of both nasal and pharyngeal restrictions that cause snoring and sleep apnea.

 

 

TAP APPLIANCE

The Thornton Adjustable Positioner® (TAP®) is a simple, patient-friendly treatment solution for snoring and sleep apnea. The TAP holds the lower jaw in a forward position so that it does not fall open during the night and cause the airway to collapse. It maintains a clear airway to reduce snoring and improve breathing.

The unique design allows the patient to fine-tune his/her treatment at home and work with the clinician to achieve the best results. Patients are empowered to manage the degree of lower jaw protrusion over as many nights as it takes to achieve the optimal treatment position. The TAP has a single point of central adjustment preventing an irregular bite and discomfort that may result from uneven bilateral adjustment.

 

TMJ SOLUTIONS

QuickSplint is a custom-fit interim dental splint that can be fabricated quickly and easily in the dental practice with VPS. It is the only dental splint designed specifically for short-term use of a few days or weeks when the full arch splint is delivered. QuickSplint has dozens of practical applications in dentistry and gives dentists the ability to offer their patients an immediate solution for pain and protection including:

  • Same-day treatment for acute jaw pain (Speed to Treat for jaw sprain/strain)
  • Diagnostic aid for parafunction, bruxism and TMJ symptoms
  • Post-op healing aid following a long dental procedure, to help jaw muscles relax and recover to normal function
  • Post-op temporary protection for anterior provisional veneers, newly placed implants, periodontal surgery, endodontically treated teeth, and other new dental restorations
  • Anterior bite-plane/Deprogrammer
  • Transitional, trial or emergency appliance

QuickSplint is sold in a 12-unit pack, and works will with APEX heavy body VPS (two 50ml cartridges will make 12 QuickSplints.)

 

THE MOSES EXPRESS

The Moses Express is a new, FDA cleared intraoral mouthpiece for treatment of snoring and sleep apnea.  Based on the same principles of the successful Moses appliances, it is the first such adjustable, customizable device that can be delivered chairside in 10 minutes or less.  It is made of flexible material, dual-layer injection molded.  The inner layer softens in hot water and takes the shape of the posterior teeth for a secure, snug, comfortable fit.  The outer layer remains stable.  The upper and lower arches are set to a predetermined position by selection of one of the nine bite sticks that snap off of the Bite Stix Wheel.  The Moses Express must be made over maxillary and mandibular full arch retainers to prevent tooth movement. .

 

The Luco Hybrid OSA Appliance®

Sleeping in Complete Comfort®

The only FDA Cleared treatment for sleep apnea, snoring, sleep bruxism and tension/migraine headaches

 

  • 97% patient compliance after 3 years of use
  • The cast framework reduces the size considerably for additional tongue space
  • Open anterior for mouth breathers
  • Full mobility of movement, speaking is drinking possible without removing
  • Extremely durable, resists breakage very well
  • Precision fit ensures a comfortable fit
  • No acrylic on the inside to preserve space for the tongue
  • Device life expectancy 3-5 years; 3 year warranty against manufacturing defects
  • FDA 510K cleared for primary snoring, sleep apnea (Medical uses) K130797
  • FDA 510K cleared for sleep bruxism, to aid in the treatment of tension/migraine headaches K160477
  • The only OSA appliance that is FDA cleared for use on patients suffering from sleep apnea with sleep bruxism
  • Holds 3 international patents on its unique design
  • Reduces jaw and TMJ pain rapidly and safely
  • Effectively treats sleep apnea and snoring
  • Very effectively and rapidly treats tension / migraine headaches associated with sleep bruxism
  • Does not cause muscle or TMJ pain with use, it relieves it

 

THE LUCO HYBRID OSA APPLIANCE®

The Luco Hybrid OSA design incorporates over 29 years  of experience and more than 4000 TMD, orthodontic and OSA appliances. Originally designed for the treatment of advanced TMD cases, the Luco Hybrid appliance is now approved  in Canada, Australia and the European Union, for the treatment of Sleep-Related Bruxism, mild to moderate sleep apnea and primary snoring. The unique use of Chrome Combalt framework provides reinforcement in all the high stress areas to effectively control clenching and bruxism. The patented wing design holds the lower jaw in a forward positioning during sleep. Tooth movement is minimized with a retainer wire in front of the upper and lower teeth while functioning to guide the patient when placing the appliance. These combined innovations to address strength, functionality and comfort qualifies the Luco hybrid OSA as one of the leaders in the new generation of OSA appliances.

 

THE AQUALIZER®

The Aqualizer is the most accurate and effective differential diagnostic tool available. The Aqualizer allows the body to find instant functional balance by unraveling the malocclusion it is locked in. The Aqualizer is an invaluable tool to anyone who is suffering from the effects of TMD. Dental devices made from this bite are immensely effective, predictable and require remarkably few adjustments, saving valuable chair time.

 

SLEEP APNEA APPLIANCES

OravanOSA offers FDA cleared, custom-fit sleep devices with a truly open anterior design for the treatment of mild to moderate sleep apnea. This unique open anterior contains no buccal or incisal coverage on the anterior teeth, leading to maximum patient comfort and natural tongue protrusion. Also experience less clinical chair time as these devices will not interfere with any anterior cosmetic work!

ORAVAN™
  • Dorsal style with a 90 degree or 70 degree wing option
  • A scalloped lingual and buccal design for maximum comfort and effectiveness. We ensure the device is kept as thin as possible without compromising durability
ORAVAN™ HERBST

(PDAC MEDICARE APPROVED!)

  • Herbst style allowing for greater lateral and vertical movement, particularly beneficial for those patients that brux or grind while sleeping
  • The only Medicare approved device with a truly open anterior design
  • Calibration in 1/16th mm increments

Optional extras include elastic hooks and labial bows
Orange acrylic is for illustration purposes only to demonstrate the thin lingual design. All devices come in clear acrylic.

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