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Titratable Mandibular Repositioning Appliances

Supplier: MDSA

...In the wash-in period it was advanced weekly by the study dentist as tolerated by subjects, until the maximum comfortable protrusion was reached, taking up to 3 weeks.

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Titratable Mandibular Repositioning Appliances

  • The first of these was the TAP which allowed full lateral movement and titration while in situ.

    The downside of the appliance is
    • Only made by commercial labs
    • Uses a combined acrylic plate with boil and bite filler for retention. Filler breaks down and not very durable.
    • Very rigid and hard on teeth causing tooth soreness and ache
    • Large lingual bar in the bottom plate impedes the tongue coming forward.
    • An external winder has to be used till the right advancement is obtained (can be for some weeks) once the winder is cut off no post adjustment can be obtained.
  • The MDSA® Component concept Appliance.
    • The most versatile and clinically proven to be an effective alternative to CPAP for the treatment of Snoring and Mild to Moderate Sleep Apnea.

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