Technical Bulletin Herbst Sleep Apnea Appliance 423 South 13th St. • Terre Haute, IN 47807 800/457-0504 www. johnsdental.com Serving the Dental Profession since 1939 All patients who wear a sleep apnea device may need to practice morning oral exercisers to help return the mandible into a proper- ly functioning TMJ. P Pr re ev vi io ou us s D De es si ig gn n f fo or r O Or rt th ho od do on nt ti ic c c co or rr re ec ct ti io on n Copyright 2-2014 Telescopic Mandibular Repositioner for Treating Sleep Apnea and Snoring Impression Instructions Alginate impressions of the upper and lower dental arches are taken with care- ful attention to extend the impression up to capture the vestibule of the maxillary arch. The impressions are then poured in dental stone. A bite registration is taken in wax or a fast set of dental impression/bite registration material (such as BlueMousse). The mandible is to be brought forward so that the incisor teeth are aligned edge to edge and the bite is open 3-4 mm. This will be the starting point for the mandibular repositioning. The standard Herbst appliance is well known as an orthodontic and TMJ therapy appliance used to treat Class ll correction cases. The standard one-piece telescopic Herbst Sleep Appliance from Johns Dental. The Herbst is approved by Medicare as a sleep apnea appliance. R Re ev vi is se ed d D De es si ig gn n f fo or r S Sl le ee ep p A Ap pn ne ea a In recent years, the standard Herbst has been modified to treat mild to moderate sleep apnea cases. The original Herbst sleep appliance design used shims to adjust the amount of forward movement. The most current design uses a one-piece telescopic mecha- nism shown here that advances the mandible into a forward position. This revised design is a significant improvement because its one-piece design allows for easier adjustments with- out disengaging the hinge. Doctors no longer have to crimp the shims to make incremental advancements or risk losing appliance pieces. The new design also allows mandible advancement in smaller increments of 1/4 mm. Patients can receive up to 5 mm of forward advancement with the Herbst sleep appliance allowing for an improved airway. The hard acrylic material makes this a durable sleep appliance.

Herbst TechnicalBulletin Sleep Apnea Appliance - Johns Dental · Sleep Apnea Appliance 423 South 13th St. • Terre Haute, IN 47807 800/457-0504 www. johnsdental.com Serving the Dental

Download PDF Report

Upload
others
View
3
Download
0

Embed Size (px)

Citation preview

Technical Bulletin

HHeerrbbsstt Sleep Apnea Appliance

423 South 13th St. • Terre Haute, IN 47807

800/457-0504wwwwww.. jjoohhnnssddeennttaall..ccoomm

Serving the Dental Profession since 1939All patients who wear a sleepapnea device may need to practicemorning oral exercisers to helpreturn the mandible into a proper-ly functioning TMJ.

PPrreevviioouuss DDeessiiggnn ffoorrOOrrtthhooddoonnttiicc ccoorrrreeccttiioonn

Telescopic Mandibular Repositioner for Treating Sleep Apnea and Snoring

Impression InstructionsAlginate impressions of theupper and lower dental arches are taken with care-ful attention to extend theimpression up to capture thevestibule of the maxillaryarch.

The impressions arethen poured in dental stone.A bite registration is taken inwax or a fast set of dentalimpression/bite registrationmaterial (such asBlueMousse). The mandibleis to be brought forward sothat the incisor teeth arealigned edge to edge andthe bite is open 3-4 mm.This will be the startingpoint for the mandibular repositioning. The standard Herbst appliance

is well known as an orthodonticand TMJ therapy appliance usedto treat Class ll correction cases.

The standard one-piece telescopicHerbst Sleep Appliance from Johns Dental.

The Herbst is approved by Medicare as a sleep apnea appliance.

RReevviisseedd DDeessiiggnn ffoorrSSlleeeepp AAppnneeaa

In recent years, the standardHerbst has been modified totreat mild to moderate sleepapnea cases. The originalHerbst sleep appliance designused shims to adjust theamount of forward movement.

The most current design uses aone-piece telescopic mecha-nism shown here that advancesthe mandible into a forwardposition. This revised design isa significant improvementbecause its one-piece design

allows for easieradjustments with-out disengagingthe hinge. Doctorsno longer have tocrimp the shims tomake incrementaladvancements orrisk losing appli-ance pieces. The new designalso allowsmandible advance-ment in smaller

increments of 1/4 mm. Patientscan receive up to 5 mm of for-ward advancement with theHerbst sleep appliance allowingfor an improved airway. Thehard acrylic material makes thisa durable sleep appliance.