The basic prerequisite for successful therapy is that the OPTISLEEP has a good and retentive fit on the existing teeth.
The patient’s dentition should fulfil the following requirements:
To be considered:
For the CBCT scan which will be used for the analysis of the upper airway, position the patient’s chin on the chinrest and stabilize the patient’s head.
The patient should gently bite onto a bite stick or some cotton rolls without cramping. The tongue should lie loosely on the palate. Please select the appropriate exposure setting to show the airway.
For a second CBCT scan, which is then used for selecting the therapeutic position, the patient should carefully bite on a white 5mm George Gauge bite fork with registration material or a MATRx bite block which brings him in a therapeutic position.
No, you don’t have to necessarily scan the patient twice. Two scans enable you to compare and show your patient how the treatment with OPTISLEEP will open the airway.
If you want to proceed without a CBCT scan used for the airway analysis, just conduct a CBCT scan with the appropriate protrusion of the mandible with 5 mm vertical clearance in the front and order the OPTISLEEP based on this data.
No, the scan in protrusion (= final therapeutic position) is required for ordering an OPTISLEEP.
In order to capture the airway, the recommended minimal volume size is 11×10. It is not mandatory to capture the TMD for OPTISLEEP. To order an OPTISLEEP appliance without analysis of the upper airway, a volume size of 8×8 is sufficient.
Please have the patient rest his chin on the chin holder and that he stands still afterwards. He should breath normally and must not swallow. His tongue should lie loosely at the roof of the mouth.
To learn more about pricing and how to purchase George Gauge bite forks, please inquire with your local dental supply representative. You can also use other bite forks if the vertical opening is a minimum of 5mm in the incisal area with the ability to measure the grade of protrusion.
The OPTISLEEP must fit between both arches. It features a flat plane comparable to a plastic disk between the teeth.
To make a quick test of the necessary opening between the front teeth in order to ensure the requested clearance of 2.5mm overall the arch, you might put a plastic plate of 2.5mm thickness between the patient’s teeth.
Measure the distance between the front teeth. Place the bite fork between the teeth and add sufficient registration material between the front teeth to achieve the appropriate incisal clearance previously measured.
We recommend following the indicated protrusion degree in the George Gauge manual.
The appliance can be used by patients 18 years and older.
No, the OPTISLEEP appliance is tooth-borne and not indicated for patients who wear removable partial or full dentures.
The patient should have
For further information, please note the Instructions for use for the medical professional which is available in the download area.
In many cases the treatment is covered by medical insurances. Patients should contact their health insurance company to evaluate if the OPTISLEEP appliance is covered.
Yes, from the SICAT SUITE version 1.4, you can match STL, SSI and SIXD files.
AHI stands for APNEA HYPOPNEA INDEX which indicates the severity of sleep apnea and is represented by the number of times the patient stops breathing for longer than 10 seconds during an hour of sleep. It is determined during the sleep examination.
The OPTISLEEP is indicated for mild and moderate cases of Obstructive Sleep Apnea (AHI values between 5 and 29). In certain cases, the doctor can also use OPTISLEEP for more severe OSA cases.
No, all appliances are considered a long-term treatment but not a cure.
General turnaround for OPTISLEEP appliance is 10 working days in our laboratory.
Yes, you can carry out distance and angle measurements manually. The relevant values for the airway comparison are automatically calculated within SICAT Air.
You can adjust the grade of protrusion for OPTISLEEP with the help of exchangeable connectors which are available in 10 different sizes (1 mm increments). This is described in detail in the Instructions for use for the medical professional which you can download in the download area.
Yes, you can order the complete set of connectors in the SICAT shop.
OPTISLEEP therapeutic appliances may not be used in the following cases:
For any further questions concerning OPTISLEEP please refer to the OPTISLEEP manuals: Application and care information (for patient) and the Instructions for use for the medical professional. You can download these manuals in the download area, category manuals > sleep medicine.
Last Update: 2019-10-21