Oral Appliance Solutions

Select one of the Oral Appliances in the list below to learn more.

Myerson EMA (Elastic Mandibular Advancement)

The E.M.A. is thinner and less bulky then most snoring/OSA appliances. It is similar to clear acrylic orthodontic retainers, and the 'hardware' (located to the cheek side of the molar teeth) consists of specially designed, patented elastic bands. The appliance is designed to both advance the lower jaw (mandible) and open the bite to allow for less restricted airflow during sleep.
EMA appliances help promote a deeper, more restful sleep by preventing snoring and relieving the symptoms of obstructive sleep apnea (OSA). The EMA does not interfere with breathing through the mouth, even in cases of congested nasal passages. The EMA has many options for patient advancement with 5 strap lengths and 4 different elastic tension options. Non-restricted side-to-side (lateral) or front-to-back (protrusive) movements of the jaw are possible while wearing the appliance due to varying elastic bands.
Some care must be taken to avoid breaking the lower portion when replacing the custom elastics. The EMA is well tolerated by patients who grind their teeth. It has no metal and can be used by patients with a nickel metal allergy.

FDA approved for treatment of snoring and mild to moderate OSA.



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Myerson EMA (Elastic Mandibular Advancement)

OSB Balance

The OSB Balance appliance has some similarities with the dental orthotics that have been used in the treatment of snoring and OSA, however OSB therapy is quite different in that the appliances do not solely rely on alteration of jaw position to keep the tongue from falling back into the throat. Developed by Dr. Farrand Robson DDS, Oral Systemic Balance therapy applies new knowledge of the effect that the shapes and contours of the teeth and other oral structures have on the tongue and airway. In this way, snoring and OSA are better managed as breathing, swallowing, and speaking are made easier. The OSB Balance appliance is a customized pair of acrylic shells joined by elegantly designed titanium hinges. It has a wide variety of adjustable features, though one of the core elements is adjusting the inside acrylic contours to better enable the tongue to posture upward and forward.


OSB Introduces Daytime Therapy

OSB Day-time appliances are also part of OSB Orthotic Therapies. Maintenance of an open throat is not only a night issue, even though treatment of OSA and related symptoms has up until now been focused on nighttime concerns. There are many serious day symptoms associated with snoring and OSA, as the dysfunction of the throat and oral structures are often present 24 hours a day. Specially designed unobtrusive day-time orthotics have had marked benefit for many OSA and other sleep disordered breathing patients. These OSB Day-time appliances are similar to the Balance appliance, with the exception of the hinges, giving the appliance a lower profile that doesn’t interfere with daily activities.

OSB appliances can only be administered by dentists who have been trained in these therapies. To get a listing of dentists who have completed the training, visit: www.OralSystemBiology.com

OSB appliances have not yet been reviewed by the FDA.



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OSB Balance

Adjustable PM Positioner

The Adjustable PM Positioner is a custom-made appliance constructed of a heat-sensitive acrylic that fits over the upper and lower teeth. The appliance is comfortable on the teeth and leaves added space for the tongue compared to other devices. It allows a small amount of jaw movement (4mm) so that the patient does not feel "locked into position". The adjustment mechanisms are on the cheek side of the appliance near the molars and allow for easy advancement of the jaw position to improve effectiveness of the appliance.

The upper and lower portions of the Adjustable PM Positioner are thermal-plastic and must be heated prior to seating.

FDA approved for treatment of snoring and mild to moderate OSA.



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Adjustable PM Positioner

Silent Nite®

Silent Nite is an affordable, custom-made snore prevention device, which is flexible, thin, and comfortable for the patient. This appliance positions the lower jaw into a forward position by means of special connectors that are attached to transparent flexible upper & lower trays. Silent Nite devices do not interfere with breathing through the mouth, and even in cases of congested nasal passages the device prevents snoring and allows uninhibited oral breathing. Small forward movements of the lower jaw are possible with this appliance, which helps minimize stiffness in the joints of the jaw in the morning.

FDA approved for treatment of snoring and mild to moderate OSA.



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Silent Nite®