Temporary Oral Appliances-Temporary Oral Appliance Slides

Temporary Oral Appliance Slides

Pdf Summary

The American Academy of Dental Sleep Medicine (AADSM) emphasizes that any use, mention, or depiction of a product, device, or appliance should not be considered as an endorsement, recommendation, or preference by the AADSM. Any opinion expressed or communicated about such products is solely the opinion of the individual and not that of the AADSM. <br /><br />In a presentation by the AADSM, various chairside fitting material options for temporary oral appliances were discussed. These include partially adaptable thermoplastic tray material, injectable or moldable material on a durable tray, and a rigid tray with adaptable thermoplastic liner material. The presentation also mentioned tongue retaining devices, both customized and non-customized, which can be tried on in the office and sterilized.<br /><br />The presentation highlighted different propulsion styles for the devices, including those that limit lateral movement of the mandible and those that allow some lateral movement against elastics. Patient examination is crucial to determine the most appropriate temporary device. Factors to consider include the presence of undercuts, tipped teeth, gingival recession and bone loss, bridges and edentulous spaces. It is also important to check for factors such as gag reflex, arch form width and length, impingement on hard tissues, crowding of soft tissues, evidence of bruxing, and the desired mandibular position.<br /><br />Matching the patient's needs to the capabilities of the temporary oral appliance is essential. This includes considering structural needs such as arch form width, curves of Spee and Wilson, tongue size and position, and missing teeth or limited retentive areas. Functional needs, such as protracted dental restorative treatment, movement disorders, mouth breathing dependence, and claustrophobia or other fears, should also be taken into account.<br /><br />The presentation suggests keeping temporary devices in stock and using an AADSM model template to create an informed consent document. It also provides additional reading materials for further information on the role of temporary appliances in obstructive apnea treatment.<br /><br />When custom chairside fitting, it is recommended to thoroughly familiarize oneself with the manufacturer's instructions, use a waterbath set to the appropriate temperature, and instruct the patient on the procedures and any expected actions from them.<br /><br />Overall, the AADSM emphasizes that their mention or depiction of products should not be seen as an endorsement, and that any opinions expressed are those of the individual and not the AADSM.

Keywords

American Academy of Dental Sleep Medicine

endorsement

recommendation

temporary oral appliances

chairside fitting material options

tongue retaining devices

propulsion styles

patient examination

structural needs

functional needs