For the CBCT scan which will be used for the analysis of the upper airway, position the patient’s chin on the chin-rest and stabilize the patient’s head.
To allow for 5mm vertical opening between the front teeth, the patient should gently bite onto a bite stick or some cotton rolls. Please select the appropriate exposure setting to show the airway.
Proceed the same way for a second CBCT scan, which is then used for selecting the 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 these data.
No, the scan in protrusion is required for ordering an OPTISLEEP.
In order to capture the airway, the recommended volume size is 11×10. It is not necessary 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 motionless on the chinholder. He should breath normally and must not swallow. His tongue should lie loosely at the roof of the mouth.
To learn 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 as long as the vertical opening is a minimum of 5mm with the ability to measure the grade of protrusion.
The OPTISLEEP has to 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 reach the appropriate incisal clearance.
We recommend to follow the indicated protrusion degree in the George Gauge manual. You might want to register for a course of dental sleep medicine to learn more about this topic and related ones. Learn more about trainings on dental sleep medicine in the service area.
The appliance can be used by patients 18 years and older.
Nein. Die OPTISLEEP Therapieschiene ist zahngetragen und nicht indiziert für No, the OPTISLEEP appliance is tooth-borne and not indicated for patients who wear removable partial or full dentures.
The patient should have
• at least 3 teeth in each quadrant in the premolar and molar area
• no gaps larger than 1.6 mm between two teeth
• no temporary prosthetics
• no elongated teeth, if so they have to be considered by additional clearances while the interocclusal recording with the bite fork
For further information, please note the Instructions for use for the medical professional which you can download in the download area.
In many cases the treatment is covered by private insurances, but not by regular health insurance companies. When OSA is diagnosed, regular health insurance should cover the examination and one CBCT scan. Patients should contact their health insurance company to evaluate if the OPTISLEEP appliance is covered.
• SICAT Air Software
• Dentsply Sirona 3D X-Ray system
• George Gauge or similar bite fork
• Full arch optical scans of upper and lower jaw or adequate stone models sent to our laboratory
Yes, within the SICAT SUITE 1.4 STL, SSI and SIXD files can be matched.
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).
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 are able to measure manually. The relevant values for the airway comparison are 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:
• Central sleep apnea
• Severe respiratory diseases
• Loose teeth
• Advanced periodontal disease
• Persons under 18 years
• Edentulous jaw
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.
Last Update: 2018-12-20