7863 LA MESA BLVD. SUITE 204, LA MESA, CA 91942 (619) 724-6040


The first appliance to utilize a unique mandibular advancement dorsal screw designed specifically for Obstructive Sleep. Engineered by and tested on apnea sufferers for a sleek, refined, effective design, the Kava creators kept the patient in mind at every step.


  • Reduced thickness for increased comfort
  • Reinforced material for added strength
  • Simplified activation for error-proof advancement
  • 0.1mm advancement with a 6mm range
  • Minimal profile for increased comfort and reduced bulk


Medicare approved device under the Healthcare Common Procedure Coding System (HCPCS) E0486. The Kava Herbst components are manufactured using highest strength biocompatible stainless steel to provide durability against biomechanical stress. Unique design features an easy activation system with a supplied wrench and total of 7mm maximum advancement. The result is a quality and affordable Medicare approved device without compromise to patient comfort and satisfaction.


  • FDA cleared
  • 510k Medicare PDAC approved 
  • 7mm total advancement
  • Unique activation wrench makes for simple adjustments 
  • Biocompatible materials



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.


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.


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.


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!

  • 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


  • 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.


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.



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.



The OASYS Hinge Appliance is a FDA 510K Cleared Medical Device, and is approved
by PDAC Medicare E0486.

  • T-10 Hinge is smaller in profile, which allows for more flexible placement, even in shorter arch cases.
  • Telescope designed hinge does not come apart with full extension.
  • Advancement of 10mm, compared to current 5mm hinge.
  • Designed for intra-oral activation, compared to side-activation out of the mouth.
  • T-10 Hinge has etched mm marks on the hinge for identification of advancement, compared to other hinges.
  • Nylock coating in hinge chamber prevents screw from backing-off. Welded stop prevents screw from evacuating chamber.
  • OASYS Hinge can pair with OASYS Oral Nasal Airway System, to include Nasal Dilators and Lingual Tongue Lifters.


TAP Sleep Care from Airway Management allows you to effectively treat the full spectrum of sleep-disordered breathing, so you can offer patients a holistic, more intelligent approach to well-being that can dramatically improve their quality of life.



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.

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The dreamTAP™ is an oral device intended to reduce or alleviate nighttime snoring and obstructive sleep apnea (OSA).

  • Single point adjustment
  • Dental grade Cr-Co alloy (Ni Free)
  • Snap-Fit™ or Perfect-Fit™ trays
  • 15mm protrusion range
  • 10mm lateral excursion range
  • Maximum lingual tongue space
  • Easy to prescribe, deliver & adjust

* Available in hard acrylic with ball clasp



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


   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


   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


   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


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

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


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


  • 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™

  • 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®

  • 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™

  • 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 Meridian PM improves your sleep while revitalizing you.

By holding the lower jaw in a more comfortable position, the Meridian PM eliminates the potential jaw pain and changes in the patient’s bite often experienced with traditional oral appliance therapy. It effectively treats snoring, OSA and associated breathing symptoms by stabilizing the lower jaw and training the tongue to stay forward, maintaining a clear upper airway during sleep. The natural result is a decrease in the frequency and duration of apneic and hypopnea events, including snoring. The appliance supports oxygen exchange during sleep, improving health and social consequences associated with OSA and snoring.


Meridian PM uses a unique mandibular advancement dorsal screw for a smooth effective design.

  • Customary Dorsal Fin Design
  • Simplified activation for error-proof advancement (V1, V2)
  • 0.25 mm incremental titration with a 5 mm range (V1)
  • 0.1 mm incremental titration with a 6 mm range (V2)
  • Separate upper and lower design allows for complete freedom of movement (V1, V2)
  • Sleek design allows for complete patient comfort (V1, V2)
  • No acrylic coverage on the lower arch allows for optimal vertical dimension (V1, V2)
  • Patent pending technology allows for minimal lateral wing failures (V1, V2)
  • Kinder to the jaw joint (V1, V2)
  • Ease with sleep lab titration (V1, V2)

OSA Extension – trains the tongue to stay in a forward postion maintaining a clear airway during sleep
Built-In Tongue Rest Positioner – aids in myofunctional retraining of the tongue for porper placement

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 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.



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.)


  • 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.




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 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.





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

The MORA (mandibular orthopedic repositioning appliance) as described by Dr. Gelb, is designed to reposition the mandible to achieve neuromuscular balance and an optional condylar-fossae relationship. The Gelb splint is a mandibular splint with acrylic coverage over the posterior teeth and acts to increase vertical dimension. The splint is used to reposition the mandible and can also be used to recapture the disc. 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). These three designs allow for them to be fabricated based on specific concerns for narrow arches, anterior crowding, strength and overall appliance volume/comfort.


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


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


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


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


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


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

*** Preferred design based on comfort***



Features: Anterior occlusal pad with no posterior contact.


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


Features: Full arch occlusion with anterior ramp.


  • 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


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.


  • 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


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


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

The temporomandibular (tem-puh-roe-mun-DIB-u-lur) joint (TMJ) acts like a sliding hinge, connecting your jawbone to your skull. You have one joint on each side of your jaw. TMJ disorders — a type of temporomandibular disorder or TMD — can cause pain in your jaw joint and in the muscles that control jaw movement.

The exact cause of a person’s TMJ disorder is often difficult to determine. Your pain may be due to a combination of factors, such as genetics, arthritis or jaw injury. Some people who have jaw pain also tend to clench or grind their teeth, although many people habitually clench or grind their teeth and never develop TMJ disorders.

In most cases, the pain and discomfort associated with TMJ disorders is temporary and can be relieved with self-managed care or nonsurgical treatments. Surgery is typically a last resort after conservative measures have failed, but some people with TMJ disorders may benefit from surgical treatments.


Signs and symptoms of TMJ disorders may include:

  • Pain or tenderness of your jaw
  • Pain in one or both of the temporomandibular joints
  • Aching pain in and around your ear
  • Difficulty chewing or pain while chewing
  • Aching facial pain
  • Locking of the joint, making it difficult to open or close your mouth

TMJ disorders can also cause a clicking sound or grating sensation when you open your mouth or chew. But if there’s no pain or limitation of movement associated with your jaw clicking, you probably don’t need treatment for a TMJ disorder.

When to see a doctor

Seek medical attention if you have persistent pain or tenderness in your jaw, or if you can’t open or close your jaw completely. Your doctor, your dentist or a TMJ specialist can discuss possible causes and treatments of your problem.


The temporomandibular joint (TMJ) combines a hinge action with sliding motions. The parts of the bones that interact in the joint are covered with cartilage and are separated by a small shock-absorbing disk, which normally keeps the movement smooth.

Painful TMJ disorders can occur if:

  • The disk erodes or moves out of its proper alignment
  • The joint’s cartilage is damaged by arthritis
  • The joint is damaged by a blow or other impact

In many cases, however, the cause of TMJ disorders isn’t clear.

Risk factors

Factors that increase the risk of developing TMJ disorders include:

  • Various types of arthritis, such as rheumatoid arthritis and osteoarthritis
  • Jaw injury
  • Long-term (chronic) grinding or clenching of teeth
  • Certain connective tissue diseases that cause problems which may affect the temporomandibular joint