EMA

The EMA sleep apnea appliance is easilyadjusted with a variety of flexible straps to allowfor patient comfort and individualization.

he elastic mandibularadvancement appliance, or EMA,is formed from a dentalimpression and both resembleand fit like a retainer. The majordesign innovation includes theregulation of the amount ofadvancement and freedom ofmandibular motion. The flexibilityof the elastic bands allow forindividualization of your patientstreatment, and the ability for quickand easy adjustments to provideoptimum results.

Bands of varying elasticity movethe lower mandible forward intothe desired position while allowingthe jaw to move in all directions.This positioning of the mandiblecauses a forward movement ofthe tongue, reopening the air flowthrough the oral pharynx (back ofthroat).

The freedom of movement of themandible significantly reduces theoccurrence of temporomandibularjoint dysfunction and pain oftenassociated with similar appliancescurrently onthe market.

The EMAappliancealso offerslong-termstabilitydue to thefull occlusal coverage on botharches.

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®

Achieve Regulation of Advancement and Freedom ofMandibular Motion with the EMA.

The elastic straps are the key to the successof this appliance. Work with your patient todetermine the best strength and size. Call usfor a copy of the EMA strap chart or find it onour website: www.johnsdental.com.

The Elastic Snoring & Sleep Apnea Appliance

EMA Sleep Apnea Appliance

he Silencer® is a two component,articulated appliance which acts toadvance the mandible through acontrolled range of protrusivemovements to assure that theoptimum advancement is achieved.

The Silencer utilizes acommercially-pure titanium “hinge”which provides for the incrementaladvancement of the mandiblethrough a range of 10mm. It alsoprovides for a 6mm lateralmovement as well as a 1mm verticalmovement of the mandible, which isat the same time being held in thedesired protrusive position. Theinterincisal distance may also beadjusted over a range of 6mm.

All hinges carry a serial number,which allows for tracking andvalidation of the 5 year warranty.

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The Silencer® utilizes a commerciallypure titanium “hinge” which provides forthe incremental advancement of themandible through a range of 10mm.

Sleep apnea appliance with titanium hinge

www.johnsdental.com • 800/457-0504 • Terre Haute, Indiana www.johnsdental.com • 800/457-0504 • Terre Haute, Indiana

Dr. Wayne Halstrom

Dr. Donald Frantz

Nocturnal Airway Patency Appliance

he Nocturnal Airway PatencyAppliance, or NAPA, is veryeffective in reducing the signsand symptoms of both OSA andsnoring. In moderate to severeOSA cases, 80% of the patientsreceive good to excellent resultswith the NAPA. In non-OSAsnoring, 95% of those sleepingwith a NAPA find their night timenoise is stopped or greatlyreduced. Most patients reportthey feel alert and energetic theday after wearing the NAPA.

The NAPA prevents OSA and snoring by several mechanisms:• Increasing tonicity of tongue bystretching muscle• Inhibiting movement of musclesof mastication to prevent tongueretraction via the anti-tongue-biting reflex.• Stabilizing mandibularanchorage of geniohyoid muscleto permit protraction of hyoidbone and tongue.• Displacing tongue anteriorly byholding mandible in protrusion.

Important: At least one healthyposterior tooth in each quadrant isnecessary to construct an effectiveNAPA.

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Dr. Peter George

© Copyright 2014

The NAPA from Johns Dental

HERBST SLEEPT

NAPA SILENCER

EMA First Step 90 day trial appliance

he standard Herbstappliance has a long history oftreating Class ll correction, butthe original design has beenmodified to treat mild tomoderate sleep apnea. Theone piece telescopicmechanism shown hereadvances the mandible into aforward position allowing for animproved airway. The Herbst Sleep Appliance

is approved as a Medicaresleep appliance. Please besure to write “medicarePatient” on your prescription.

The EMA system offers a short term appliancethat many doctors use to determine if theirpatient is a good candidate for a sleepappliance. Call Johns Dental for current pricing.

Johns Dental has been fabricating sleep appliances since the late 80’s.

Trust an experienced sleep appliance lab.

The Herbst Sleep Appliance

The Silencer® Appliance

octors today are finding avariety of causes relating tosleep disorders that may need tobe corrected before a sleepapnea appliance is used.Some of the key areas are

poor habits like tongue-thrustersand bruxers. A habit appliancemay be needed first to retrain thetongue so other treatment cancontinue more effectively.Bruxism is a poor habit that canbe treated prior to the sleepdisorder or it may affect whichsleep apnea appliance is best.Other doctors, like Dr. Jay

Gerber, prefer to check theneuromuscular system before

any long term treatmentis performed. Short termand long term splintscan be fabricated atJohns Dental and willbegin retraining properjaw position.Many doctors use

Ceph tracings to helpdetermine the bestmandibular position inrelationship to themaxilla. Today, doctorsare finding properalignment can improve

the airway.to close. TheinterchangeablehooksaccommodateClass l, ll and lllbites and increasethe verticaldistance betweenthe upper andlower teeth.

The TAP l and TAP lll Elite arecurrently approved for Medicarepatients. Please be sure to write“medicare patient” on your prescription.Call Johns Dental for more detailsabout the TAP family of sleepappliances.

423 S. 13th St.• Terre Haute, IN 47807 • 800/457-0504 • www.johnsdental.comwww.johnsdental.com • 800/457-0504 • Terre Haute, Indiana www.johnsdental.com • 800/457-0504 • Terre Haute, Indiana

OASYSTM

he OASYS appliance uses synergistic dual action thatreduces upper airwayresistance from nose to throat,that prevents airway collapse. This system functions by

repositioning the mandible inaddition to acting as a nasaldilator.The OASYS is the first

Oral/Nasal Airway Appliance

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Mark Abramson, DDS

®TAP1, TAP3 & TAP3 EliteThornton Adjustable Positioner

The Thornton Adjustable Positioner®(TAP®) is a superior mandibularadvancement device for thesuccessful treatment of snoring andsleep apnea. All TAP products fitcomfortably in the mouth and thecompact hardware provides moreroom for the tongue allowing the lips

TREATMENT CONSIDERATIONSD

Computer ceph tracings are a good wayto determine the optimal positions of themaxilla and mandible for an improvedairway.

Bruxers tend to collapse their bite,TMJ space and airway by slowlygrinding the occlusal surface. Thiscan be a warning sign for futuresleep disorders.

Dr. Dennis Bailey says one of the firststeps in any dental treatment is tonormalize the tongue function. JohnsDental fabricates several types of habitappliances like this one to retrain atongue thruster.

Dr. Jay Gerber says a neuromuscularevaluation prior to any treatment iscrucial for long-term effectiveness andstability.

This Doctor-supplied stone modelshows the challenges of bruxism.

Habit appliances from Johns Dental

© Copyright 2014 All sleep appliances from Johns Dental are FDA approved and made in the USA.

Over-partials like this Bite Restorer can helpcorrect lost vertical, which affects the airway.

dental device to be reviewedby both the Dental and ENTdivisions of the FDA. TheOASYS is also approved as adental device for treatment ofsnoring and sleep apneathrough mandibularrepositioning as well as anasal dilator for reduction ofnasal resistance andimproved nasal breathing.The OASYS is designed toachieve these uniquefunctions with the followinggoals:• Maintain maximum intra-oral volume

• Minimize the forces on the teeth• Have no components thatextend extra orally through the lips

• Reduces upper airway resistance

• Allows mouth breathing to occur, if required

The TAP 1 Appliance

Tap 3 Elite

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SLEEP APNEA

APPLIANCES

The OASYS Appliance

The OASYS sleep apneaappliance allows you toopen the entire upperairway with one system.

The OASYS sleep apneaappliance allows you toopen the entire upperairway with one system.