The TAP may be the key to improved health and a better quality of life
Improve Your Health & Quality of Life
If you were diagnosed with sleep apnea and prescribed a CPAP machine, but have stopped wearing it, the Thornton Adjustable Positioner (TAP) is for you. The TAP is a simple, patient-friendly treatment solution for snoring and sleep apnea.
It keeps your airway open and improves your breathing while you sleep. The unique design allows you to "fin-tune" your treatment position at home to achieve maximum results. There is no machine, no mask and no air blowing through your nose or mouth all night.
The TAP has over a 95% success rate and is the key to a restful night of sleep.
What is Snoring?
Snoring is the sign of a breathing problem. It occurs when the jaw opens and the tongue falls into the back of the throat, causing the airway to narrow and forcing air through the smaller opening. This creates sound vibrations in the throat known as snoring. Snoring can seriously affect your quality of life. It can be embarrassing and inconvenient, and can cause problems in relationships. In some cases, snoring is a red flag for a more serious medical problem called obstructive sleep apnea(OSA).
What is Obstructive Sleep Apnea?
OSA occurs when the muscle and tissue surrounding the throat relax causing the airway to completely collapse and block airflow into the lungs. This blockage cuts off the oxygen supply to the body and brain. The airway obstruction persists until the brain partially awakens the person.
The repeating cycle-falling asleep, muscle relaxing, airway collapsing, unconsciously awakening with a gasp-is the reason there is never a restful night of sleep. The lack of oxygen puts extra stress on the entire body, especially the heart.
Sleep apnea is a serious chronic disease that may trigger other serious health problems:
The best treatment option for you is one that you will wear all night, every night.
The TAP is a custom-made adjustable appliance that is worn while sleeping. The trays of the appliance, which look like teeth whitening trays, snap over the upper and lower teeth and hook together. The design is based on the same principle as cardiopulmonary resuscitation, CPR. The airway must be opened to allow air to pass through the throat.
The TAP holds the lower jaw in a forward position so that it does not shift or fall open during the night. This prevents the airway from collapsing. The more you pull your jaw forward, the more your airway will open.
The TAP is the only mandibular advancement device that can be adjusted easily while in the mouth. This feature allows the patient to be in control of their treatment.
Most patients experience relief the very first night they wear their TAP. It usually takes about a week to get used to wearing the appliance. Nine in ten patients wear the appliance all night, every night.
*Comfortable and Patient-Friendly *Custom-Made *Patient-Adjustable *Maximum Effectiveness
Tap is the only FDA approved oral appliance proven effective for the treatment of mild to moderate obstructive sleep apnea. Sleep Apnea: is the temporary cessation of breathing 10 seconds or more during sleep. The Obstructive Sleep Apnea cycle The person falls asleep, the mandible relaxes and the tongue falls to the back of the mouth (the soft tissue in the rear of the throat collapses and closes). The airway becomes partially blocked and person starts to snore. The partially blocked airway collapses and due to a vacuum effect from the lungs, the airway stays closed. With a lack of oxygen the brain starts to awake, coming out of deep sleep. The person adjusts the mandible, gasping for breath. This cycle continues throughout the night up to 50 times an hour. Describing the TAP3 Appliance The device is made of two clear horseshoe shaped inter occlusal trays that hook together holding the mandible in a protrusive position. The position of the guards is adjustable using a TAP key.
What is the difference from TAP1 and TAP2?
? TAP1 had all the hardware outside of the plastic trays. It allowed a large range of lateral motion and hardware contained nickel. ? TAP2 the hardware was embedded in the plastic trays. It reduced the range of lateral motion. It is not as easy to titrate. ? TAP3 modified: This is what our Lab will be using. Hardware is medical grade stainless steel with no Nickel. Less interference with the tongue. Range of lateral motion increased.
How does the TAP work?
By holding the mandible forward, the TAP maintains a clear airway to reduce snoring and improve breathing. What are the indications? Used as anti snoring device FDA Approved for Obstructive Sleep Apnea Adults Nickel-Free
What are the contraindications?
Condition in which the patient would have loose teeth or dental work including dentures Central Sleep Apnea Under 18 years old Monomer Allergies
What is Central Sleep Apnea?
Loss of respiratory function due to dysfunction in the thalamus area of the brain that fails to signal the muscles to breath
Describe the materials used in fabricating the tap: The outer layer of the TAP device is made using a durable hard polymer known as the thermalblend layer. The inner later is made using a triple laminate rubbery material known as the durasoft layer. The nickel free hardware is anchored between the layers. What is the hardware made of? A nickel-free medical grade stainless steel
Risk Factors of Sleep Apnea Upper Airway Anatomy Endocrine abnormalities (problems with the thyroid) Alcohol or sedative use Smoking Male Obesity Nasal congestion Genetics (physical characteristics that are passed on) Shape of patient?s head & neck Sleep Apnea results in Restless sleep Daytime drowsiness increased blood pressure increased likelihood of heart attacks/strokes Changes in behavior and relationships Morning headaches Depression Impotence Marital / relationship strain Poor memory Gastroesophageal reflux
How do you care for the device? Each morning wash using a soft toothbrush and anti-bacterial soap. Rinse and dry. Every two weeks you may use an ultrasonic or denture cleaner to clean thoroughly do not soak for more than 15 minutes. Glossary Apnea - The cessation of breathing for at least 10 seconds - A drop in the body?s oxygen level of 3% or more. Results in complete stoppage of airflow or diminished airflow. Central Sleep Apnea - Loss of respiratory effort resulting in episodes of apnea. Caused by a dysfunction in the thalamus area of the brain (part of brain that relays the need to breathe). Typically treated with various drugs or CPAP. Construction Bite - A bite registration that records the relationship between the maxilla and mandible when patient?s mandible is protruded to adequately open airway yet still allow patient comfort. This is typically approximately 60% of the patient?s maximum protrusion. Hypopnea ? breathing that is shallower or slower than normal ? literally: under breathing. Mixed Sleep Apnea - Sleep disorder consisting of both central & obstructive sleep apneas. Mild Sleep Apnea - 5 to 15 episodes of apnea or reduced airflow to lungs every hour with 86% or more oxygen saturation in the blood. Symptoms may include sufferer falling asleep during activities that require little attention such as reading or watching television. Moderate Sleep Apnea - 15 to 30 episodes of apnea or reduced airflow to the lungs with 80-85% oxygen saturation. Symptoms may include patient falling asleep at inappropriate times such as during classes or meetings. Obstructive Sleep Apnea - Sleep disorder occurring when the patient?s upper airway is obstructed, usually when the soft tissue in the rear of the throat collapses, yet they continue to have respiratory effort. Most common form. Treated by the TAP 3. Polysomnography - Sleep study Respiratory Effort Related Arousals (RERA) ? An arousal from sleep that follows a 10 second or longer sequence of breaths that are characterized by increasing respiratory effort. Considered in RDI totals. Respiratory Disturbance Index (RDI) - Apnea + Hypopnea + RERA?s. The number of sleep disorder-related breathing events per hour resulting in arousal from sleep. Severe Sleep Apnea - More than 30 episodes of apnea or reduced airflow to the lungs every hour with no more than 79% oxygen saturation. May cause sufferer to experience drowsiness during activities that require active attention such as eating, driving, or participating in social functions. Snoring - Noise produced by excessive soft tissue obstructs the airway & vibrates when breathing.
Titrate - To adjust in small, measured increments (turning TAP key to adjust mandibular protrusion)
ELASTIC MANDIBULAR ADVANCEMENT
The EMA is a simple custom appliance, patient-friendly oral appliance created for noninvasive treatment of snoring and OSA. The Primary treatment mechanism of opening the bite and gently moving the mandible forward is achieving with the use of interchangeable elastic straps that offer varying degrees of mandibular advancement. The flexibility of these elastic straps provides unsurpassed lateral movement and overall TMJ comfort. The 2 mm thick pressure formed bases offer orthodontic retention (resulting in no tooth movement) and maximum anterior tongue space because there are no projections in the palate.
Treatment of OSA & Snoring
The American Academy of Sleep Medicine now recommends oral appliances for snoring and sleep apnea, and in cases where CPAP (Continuous Positive Air Pressure) has not been tolerated. Oral appliances have several advantages: they fit entirely inside the mouth, they do not use electricity or make any noise that would bother a sleeping partner, and they allow the wearer to change sleep positions.