SICAT Air

SICAT Air & OPTISLEEP

SICAT AIR & OPTISLEEP

 

How do I position my patient for the CBCT scans?

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.

Are two 3D scans necessary to order an OPTISLEEP appliance?

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.

Can I use a CBCT scan without the patient being in protrusion to order an OPTISLEEP?

No, the scan in protrusion is required for ordering an OPTISLEEP

What is the required CBCT volume size?

In order to capture the airway, the recommended volume size is 11x10. 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 8x8 is sufficient.

How should I have the patient act during the 3D scan?

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.

Where can I purchase a George Gauge bite fork?

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.

Why does the vertical clearance between the front teeth need to be 5mm?

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 experienced that a clearance of 5mm between the front teeth ensures an appropriate all over clearance for most patients. Please check on all over clearance of 2.5 mm.

What is the recommended protrusion degree during the scan?

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 here.

What is the minimum age the OPTISLEEP appliance may be used?

The appliance can be used by patients 18 years and older.

Can I use an OPTISLEEP therapeutic appliance for an edentulous case?

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
For further information, please note the Instructions for use for the medical professional.

Will health-insurance cover the treatment?

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.

What is required for ordering an OPTISLEEP?

  • • 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

Can I match optical impressions from other systems than CEREC?

Yes, within the SICAT SUITE 1.4 STL, SSI and SIXD files can be matched.

Where can I learn more about the OPTISLEEP workflow?

The SICAT OPTISLEEP workflow is described in our manual. Please follow this link to find the SICAT OPTISLEEP manual.

What does AHI stand for?

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.

Up to which AHI value can be treated with the OPTISLEEP?

The OPTISLEEP is indicated for mild and moderate cases of Obstructive Sleep Apnea (AHI values between 5 and 29).

Can Obstructive Sleep Apnea be cured by oral appliance treatment?

No, all appliances are considered a long-term treatment but not a cure.

What is the turnaround time for an OPTISLEEP?

General turnaround for OPTISLEEP appliance is 10 working days in our laboratory.

Can I do measurements within the software?

Yes, you are able to measure manually, however, the relevant values for the airway comparison are calculated within SICAT Air.

How can I adjust the grade of protrusion for OPTISLEEP?

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.

Is it possible to reorder connectors?

Yes, you can order the complete set of connectors in the SICAT shop.

Are there possible contraindications for oral appliance therapy?

OPTISLEEP therapeutic appliances may not be used in the following cases:

  • • Central sleep apnea
  • • Severe respiratory diseases
  • • Loose teeth
  • • Advanced periodontitis
  • • 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 here.

Links & Downloads

SICAT Support

Hotline: +49 (0)228-854697-12

Email: sgl@sicat.com

Surgical Guide Manual