Digital Sleep Appliance treatment.

With Primescan

Collapse of the tongue and soft tissues, that leads to a partial obstruction of the upper airway.

Collapse of the tongue and soft tissues that leads to a complete obstruction of the upper airway, causing temporary lapses in breath. Patients repeatedly stop breathing for more than 10 seconds. This may happen more than 30 times per hour.

An MAD is an oral appliance that protrudes the lower jaw in a forward position to open the airway and prevent it from becoming obstructed during sleep. It is designed to aid in opening up the space behind the tongue and increase the tension of relaxed soft tissues to help reduce snoring and decrease the number of sleep apnea events that may disturb the physiological sleep cycle.

• During the administration phase, the patient case is created. The patient’s first and last name, the patient ID and the full name of the treating dentist must be entered. Later, the identical data are used in the order form of Panthera Dental to ensure a clear assignment of the case in the ordering process.

• The indication Jaw Scan is selected and the option Impression is enabled.
   

• Three scans are performed. Both the scans “lower jaw” and “upper jaw” are full arch scans. A bite registration is needed for the scan of the buccal image catalog.
• For this patient case,  a George Gauge bite fork was used. Alternatively, the registration can be performed with bite registration material only.

A George Gauge is used to take the protrusive bite.

• The protrusive bite makes it possible to determine the appropriate position for the start of the treatment.
• There is scientific agreement that treatment is effective for the majority of patients at 70% of the maximum protrusion.
• The patient bites on the material applied to the bite fork in a protrusive position. The bite block height should be at least 4 mm in the molar range. Then, with the help of the prepared bite fork, re-enter the patient into the protrusion and perform a one-sided scan.
  

• The order form includes, amongst others, the patient's gender and the form of insurance.

• Panthera Dental is selected as the recipient.

• The order can then either be submitted immediately or placed in the shopping cart to submit it later on.

After switching to the Panthera Dental website and logging in via the user name, the D-SAD sleep advice is selected under the product category "Sleep".

The order form stores the same patient data as in the Connect Case Center Portal, as well as the full name of the practitioner. This ensures the correct assignment of the scan data. 

• After answering a number of detailed technical questions regarding the patient's bite and the sleep advice, this step selects the way in which the scan data is transmitted to Panthera Dental.  

• In the case of intraoral scan data collected with Primescan using Connect SW, the "Intraoral scanner inbox" option is selected.

• After re-checking the information, additional comments may be left on request. The order is then triggered.