Description
- Promotes nasal breathing
- Maximum space for tongue
- No anterior coverage
- Very small in mouth
- No restrictions to open mouth
Impressions and bite are the key to a successful treatment. The bite defines where you want to place the mandible and ensures patient comfort and compliance.
INDICATIONS: The Moses Appliance is intended for use on adult patients as an aid for the reduction and/or alleviation of snoring and obstructive sleep apnea. Advancement of the mandible and tongue prevents collapse of the patient’s tongue on the soft palate and/or oropharyngeal airway
CONTRINDICATIONS: This device is contraindicated for patients with loose teeth, loose dental work, numerous missing teeth, dentures or other oral conditions that would be adversely affected by wearing an intraoral dental device which maintains the jaws in a protrusive jaw position. The Moses Appliance is also contraindicated for patients who have central apnea, severe respiratory disorders, or are under eighteen years of age.
The device characteristics of the Moses appliance are as follows:
• A lower acrylic component, custom processed to fit over the mandibular teeth
• An upper heat-formed retainer that fits over all maxillary teeth
• The prescribed protrusive jaw position is maintained by the labial flanges and by impressions of the upper arch retainer processed into the lower component
• By supporting the mandible in a protrusive jaw position, the Moses Appliance passively advances the tongue
• There is an open area between the upper and lower cuspids mm vertically that is approximately 6-8 mm vertically. This open area is to facilitate a forward tongue position against the lips.
• Opening and closing movements are permitted with the appliance in place
• The open anterior design of the Moses Appliance and the prescribed patient exercises facilitate more forward tongue posture in the mouth
• By deterring collapse of the tongue on the airway when the patient is asleep the Moses Appliance potentially reduces the occurrence of snoring and obstructive sleep apnea
Material Composition
• Lower component – methylmethacrylate
• Stainless steel orthodontic jack screw, making the appliance adjustable anteroposteriorly
• Upper component – polypropylene/ethylene copolymer
All are materials ADA, CAS, EU and ANSI approved as safe and biocompatible.